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Slide 1:
ATP Initiatives in Healthcare Informatics
Richard N. Spivack, Ph.D.
Economic Assessment Office
(tel.) 301-975-5063
(fax) 301-975-4776
richard.spivack@nist.gov
www.atp.nist.gov

Slide 2:
Advanced Technology Program...
Overview of presentation:

• Advanced Technology Program (ATP).
• ATP Information Infrastructure for Healthcare (IIH) Focused Program, (1994-1997)
• ATP vision of healthcare informatics for the 21^st century.

Slide 3:
Advanced Technology Program...
Advanced Technology Program Mission:

• To further the development and dissemination of "high-risk" technologies which offer the potential for significant, broad-based economic benefits for the nation;


• To support industry leadership in planning and implementing projects;


• With a focus on civilian technologies.

Slide 4:
Advanced Technology Program...
ATP addresses the "funding gap":

• that exists between invention and innovation;


• in which technical innovators face a "valley of death" in institutional support between a scientific breakthrough and a market-ready prototype.

Slide 5:
Advanced Technology Program...
Information Infrastructure for Healthcare (IIH) Focused Program:

• Three solicitations: 1994, 1995, 1997;


• nfrastructure Development Technologies (1994);


• User Interface and Efficiency Enhancement Technologies (1995);


• Healthcare-Specific Technologies (1997).

Slide 6:
Image of IIH Focused Program pyramid. The Pyramid is a representation of the focused program demonstrating the "types" of technologies funded in each of the three years that the program was funded. It should be read from bottom to top: (1) Infrastructure Development Technologies (e.g., tools for enterprise integration, business process modeling); (2) User Interface and Efficiency-Enhanced Technologies (e.g., hypermedia human interfaces, natural language processing, data retrieval & advanced search mechanisms); and (3) Healthcare-Specific Technologies (e.g., clinical decision support systems, consumer health information and education systems).

Slide 7:
Information Infrastructure for Healthcare (IIH) Focused Program .....
Purpose:

• to develop automated tools to catalyze the growth of the healthcare portion of the National Information Infrastructure (NII);


• to enable enterprise-wide integration of information among ATP initiatives in healthcare informatics.

Slide 8:
Development of IIH ....
Requires:

• the integration, synthesis, and definition of any information that needs to be shared across the business enterprise; and,


• the means by which to transport, store, and access information in a way that enhances user productivity.

Slide 9:
ATP and IIH Awarded Projects..
Between 1990 and 2001, ATP awarded funds to:
--526 projects totaling $3.2B in which industry contributed $1.6B;

During 1994, 1995, and 1997, the IIH focused program awarded funds to:
--32 projects totaling $295M in which industry contributed $149M;
--7 additional projects from the Open Competition totaling $27M in which industry contributed $14M.

Average award per project is $2.5M over 3 years.

Slide 10:
Advanced Technology Program...
ATP vision of healthcare informatics for the 21^st century:
--seamless continuum of care;
--evidence-based healthcare;
--wellness and prevention;
--privacy and security.

Slide 11:
ATP Vision for Healthcare Informatics..
Healthcare informatics will be used:

• to deliver healthcare to the patient by the most cost effective means, most frequently by medical practitioners other than physicians;


• for diagnosis and treatment based on evidence of effectiveness determined by the collection of outcomes data.

Slide 12:
Seamless Continuum of Care...

• Information Technologies provide the means for information sharing, knowledge representation and management required to establish a seamless continuum of care;


• Useful in driving the issues of quality of care and cost-effectiveness;

Slide 13:
Seamless Continuum of Care, Delivery. ...
Delivery of healthcare to local or regional populations will take place through a progressive spectrum of delivery entities:

• home healthcare;


• ambulatory clinics;


• trauma centers;


• hospitals.

Slide 14:
Seamless Continuum of Care, Tools....

• Sensor and actuator software technologies;


• Communications architectures;


• Data collection and assessment capabilities;


• Analysis and response systems.

Slide 15:
Evidence-Based Healthcare....
Provides:

• the best and most current scientific evidence applied at the point of care;


• the development of practice guidelines;


• the standardization of care.

Slide 16:
Evidence-Based Healthcare, Metrics..
Healthcare Metrics:

• enable a healthcare organization to identify areas of high and low operational performance;


• allow for implementation of risk mitigation strategies;


• provide customers with informative, accurate knowledge;


• contribute to the formulation of national policy.

Slide 17:
Wellness and Prevention...
Empowers the consumer:

• through the provision of personalized healthcare information;


• offering health education information and decision-support directly over the Internet, via newsletters, and telemedicine.

Slide 18:
Wellness and Prevention, Disease Management..
Requires intervention at all stages:

Slide 19:
Wellness and Prevention, Disease Management Tools...

• Physicians guidelines;


• Monitoring (drug and other treatment interventions);


• Patient education; and,


• Behavior modification interventions.

Slide 20:
Privacy and Security..

• Makes systems and data more accessible outside of the organization where the system and data reside;


• Increases the need to deliver information directly to the patient to encourage patient involvement in his/her own healthcare decisions.

Slide 21:
Privacy and Security needs.

• Require solutions to link clinical data to personal data; and,


• Prevent unauthorized access.

Slide 22:
Conclusions.

ATP has contributed to the development of infrastructural technologies in healthcare that provide for:

• business process reengineering and the automation of current manual processes;


• the implementation of a Seamless Continuum of Care, Evidence-Based Healthcare and Wellness and Prevention.

Slide 23:
Conclusions, cont..

• Unobtrusive data capture tools remains an obstacle.


• Development of such tools will contribute to:


• the longitudinal patient record; and,


• knowledge services and clinical repositories.

Slide 24:
Conclusions, cont........

• Providing information alone will not serve to improve quality of healthcare delivery;


• What is needed is intelligent, context-based presentation of information offered to the practitioner in a fashion synergistic to his/her manner of practicing medicine.

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Created: May 21, 2001
Last Update: April 12, 2005