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Innovation in Medical Care Guest Lecture at UT-Dallas  Healthcare Management Seminar Lance Manning June 3, 2009
Background ,[object Object],[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Military Medical Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Defense Advanced Research Projects Agency  (DARPA)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
DARPA Programs ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Revolutionizing Prosthetics  Credit: Col. Geoff Ling, Program Manager
War Injury Statistics ,[object Object],[object Object],[object Object],[object Object],[object Object]
DARPA Program Manager ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Computational model that  substitutes for the soldier . . . . . .  to accurately diagnose wounding Compare to data acquired on the battlefield after wounding (Ultrasound) Predict likelihood of  battlefield mortality Instantly & Accurately diagnose internal combat injury (heart)   Virtual Soldier  Electronic “dog tag” from which to diagnose and predict combat injury Courtesy of  - Brian Athey, Univ Michigan Courtesy of  - Larry Crum, Univ. Washington Holomer on dog tag ultrasound, vital signs, etc Real-time data Virtual Soldier  BMIST Calculate & Display Outcomes Baseline Update Decision Support Organs Injured Shock Quicker Automatic  Diagnosis
Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Messaging ,[object Object],[object Object],[object Object],[object Object]
 
Policy Alignment “…  President’s call to make electronic health records (EHR) available to most Americans in the next 10 years…  …  My goal in the next year is to focus this into a well-developed plan and a set of coordinated actions to  accelerate the widespread adoption of electronic health records .  These standards will make it easier for information to be shared across agencies and could serve as a model for the private sector.  …  I will also  coordinate outreach  and consultation by the federal government with interested public and private organizations, groups, and companies. … The purpose of this information exchange would be to  personalize care in such a way that each patient could be diagnosed and treated as an individual  rather than a disease type.” Statement of David Brailer, M.D., Ph.D., National Health Information Technology Coordinator, U.S. Dept. of Health and Human Services in Testimony Before the Subcommittee on Health of the House Committee on Ways and Means June 17, 2004
Virtual Autopsy ,[object Object],[object Object],[object Object],[object Object],[object Object],Courtesy of - Captain Craig Mallak, Armed Forces Institute of Pathology Wound Tract
Virtual Autopsy News Report ,[object Object]
Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Market Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Battlefield medical support has  1.  too large of a footprint  2.  too long of a logistical tail 3.  not automated to support Future Combat System (FCS)* Solution * By 2025, approximately 30% of military forces will be automated (UAV, UGV,etc) TraumaPod Battlefield without Hospitals Courtesy of - Phil Green,  SRI, International
Trauma Pod ,[object Object],[object Object],[object Object],[object Object],[object Object]
Integrating Surgical Systems for Autonomy The Operating Room of the Future Satava  March, 2000 Surgeon  Assistant  Scrub Nurse  Circulating nurse Courtesy of -  Pablo Garcia,  SRI, International
The Operating Room of the Future Courtesy of -  Dr. Richard Satava
From Wired Magazine 2005
Market Assessment ,[object Object],[object Object],[object Object],[object Object]
Lessons Learned from DARPA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Military Medical Innovation ROI Project ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Innovation in Medical Care MIT www.technologyreview.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Innovation in Medical Care
Follow the Money ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Innovation in Medical Care Guest Lecture at UT-Dallas  Healthcare Management Seminar Lance Manning [email_address] June 3, 2009

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Innovation In Medical Care

  • 1. Innovation in Medical Care Guest Lecture at UT-Dallas Healthcare Management Seminar Lance Manning June 3, 2009
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  • 10. Computational model that substitutes for the soldier . . . . . . to accurately diagnose wounding Compare to data acquired on the battlefield after wounding (Ultrasound) Predict likelihood of battlefield mortality Instantly & Accurately diagnose internal combat injury (heart) Virtual Soldier Electronic “dog tag” from which to diagnose and predict combat injury Courtesy of - Brian Athey, Univ Michigan Courtesy of - Larry Crum, Univ. Washington Holomer on dog tag ultrasound, vital signs, etc Real-time data Virtual Soldier BMIST Calculate & Display Outcomes Baseline Update Decision Support Organs Injured Shock Quicker Automatic Diagnosis
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  • 14. Policy Alignment “… President’s call to make electronic health records (EHR) available to most Americans in the next 10 years… … My goal in the next year is to focus this into a well-developed plan and a set of coordinated actions to accelerate the widespread adoption of electronic health records . These standards will make it easier for information to be shared across agencies and could serve as a model for the private sector. … I will also coordinate outreach and consultation by the federal government with interested public and private organizations, groups, and companies. … The purpose of this information exchange would be to personalize care in such a way that each patient could be diagnosed and treated as an individual rather than a disease type.” Statement of David Brailer, M.D., Ph.D., National Health Information Technology Coordinator, U.S. Dept. of Health and Human Services in Testimony Before the Subcommittee on Health of the House Committee on Ways and Means June 17, 2004
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  • 19. Battlefield medical support has 1. too large of a footprint 2. too long of a logistical tail 3. not automated to support Future Combat System (FCS)* Solution * By 2025, approximately 30% of military forces will be automated (UAV, UGV,etc) TraumaPod Battlefield without Hospitals Courtesy of - Phil Green, SRI, International
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  • 21. Integrating Surgical Systems for Autonomy The Operating Room of the Future Satava March, 2000 Surgeon Assistant Scrub Nurse Circulating nurse Courtesy of - Pablo Garcia, SRI, International
  • 22. The Operating Room of the Future Courtesy of - Dr. Richard Satava
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  • 30. Innovation in Medical Care Guest Lecture at UT-Dallas Healthcare Management Seminar Lance Manning [email_address] June 3, 2009