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Subject: RE: [ihc] Sorry I missed yesterday's meeting-Note for October
Rex, This type of support has liability so it must be very accurate. This implies a level of rigor and testing that need be accomplished before implementing such a system. I believe we can accomplish such a design and implementation. However it is a significant effort not to be underestimated. By the way please see literature on (e.g.. DXplain, QMR, Iliad, etc.) as a start of the discussions. Warm regards, Peter -----Original Message----- From: Rex Brooks [mailto:rexb@starbourne.com] Sent: Monday, June 09, 2008 10:29 AM To: Elkin, Peter L., M.D.; Rex Brooks; David RR Webber (XML) Cc: ihc@lists.oasis-open.org; Brett Trusko,Ph.D. Subject: RE: [ihc] Sorry I missed yesterday's meeting-Note for October I'd certainly support the addition of expert systems. One feature of remote support is that it can be adaptable to support the available personnel. That was what I had in mind for symptomology, as the logical starting point at which patients, on-site personnel and information systems can begin the most effective set of interactions, gathering information and assessing the patient's condition in relation to the facilities and personnel available. The better we do that, the more patients can be appropriately tended in the golden hour. As we get better at it, our efficiency should improve. Also all of the resources can be adapted based on experience. However, for now we are at the beginning point, or we should be, but it looks like the best we can do is make sure these issues get some visibility during the transition between administrations. When I first discovered that there were no symptomologies available to EMTs I was stunned. That was four years ago. We still have systems that expect emergency personnel to be trained, so there's still little remote support. However, we now have portable defibrillators, so I assume we will eventually have portable remote support so that the uninjured at an emergency site can be put to some good use when trained personnel are in short supply. Cheers, Rex At 9:10 AM -0500 6/9/08, Elkin, Peter L., M.D. wrote: >Perhaps in addition we could add expert systems support for both >diagnosis and treatment to operate in regions where healthcare personnel >are in short supply. > >Warm regards, > >Peter > >Peter L. Elkin, MD, FACP, FACMI >Professor of Medicine >Department of Internal Medicine >Mayo Clinic College of Medicine >(507) 284-1551 >Fax: (507) 284-5370 > > >-----Original Message----- >From: Rex Brooks [mailto:rexb@starbourne.com] >Sent: Monday, June 09, 2008 8:29 AM >To: David RR Webber (XML); Elkin, Peter L., M.D. >Cc: ihc@lists.oasis-open.org; Brett Trusko,Ph.D.; Rex Brooks >Subject: RE: [ihc] Sorry I missed yesterday's meeting-Note for October > >Hi David, Peter, all, > >The good thing about starting discussions this far in advance of an >event is that we can give it the kind of thought that short term >calls for papers with one month deadlines tend to obscure. What is it >we really need to support better healthcare in emergencies. My $.02: >quick satellite-relay resources for remote support without regard to >conditions on the ground, e.g. helicopter transport of satellite >dishes with sufficient fuel for operations until resupply is likely >combined with a good event type-based symptomology for remote >diagnostic and treatment support. > >Thoughts? > >Cheers, >Rex > >At 7:15 PM -0700 6/8/08, David RR Webber \(XML\) wrote: >>Peter, >> >>I hear the new plan under consideration is simply to outsource >>disaster recovery and emergency response to the Chinese Army. >> >>A few brigades would be airlifted in in the event of a disaster. >>The Chinese troops have the advantage of requiring only 10% of the >>logistics support that equivalent US forces need - which is vital >>when critical infrastructure is destroyed. >> >>Plus they are strongly experienced in typical events - floods, >>quake, fire events and of course cost much less. >> >>Locally heavy equipment and machinery would be provided by Bechtel >>and Caterpillar as needed - and again these folks are very >>experienced with working with Chinese teams. >> >>OK - Ok - I'm just messing with you - but the scary thing is there's >>probably someone in the adminstration I'm sure who really is working >>on the feasiblity and comparison weighted scorecards.... >> >>; -) >> >>DW >> >> >> >>-------- Original Message -------- >>Subject: RE: [ihc] Sorry I missed yesterday's meeting-Note for October >>From: "Elkin, Peter L., M.D." <Elkin.Peter@mayo.edu> >>Date: Fri, June 06, 2008 1:44 pm > >To: "Brett Trusko, Ph.D." <brett.trusko@oasis-open.org>, "Rex Brooks" >><rexb@starbourne.com> >>Cc: <ihc@lists.oasis-open.org> >> >>Dear Rex, >> >>This is quite interesting. It would be useful to strategize about how >>this should be included into the HIT Strategic Plan for HHS. Also we >>would be interested in participating in the NSF conference. >>Preparedness money seems to be going away at HHS. If you have any >>thoughts regarding the correct strategy for disaster response this >might >>be another good topic for discussion. >> >>With warm regards, >> >>Peter >> >>Peter L. Elkin, MD, FACP, FACMI >>Professor of Medicine >>Mayo Clinic College of Medicine >>Baldwin 4B >>Mayo Clinic >>(507) 284-1551 >>fax: (507) 284-5370 >> >> >> >>-----Original Message----- >>From: >><http://email.secureserver.net/pcompose.php#Compose>ihc-return-166-elk i >n.peter=mayo.edu@lists.oasis-open.org >>[mailto:<http://email.secureserver.net/pcompose.php#Compose>ihc-return - >166-elkin.peter=mayo.edu@lists.oasis-open.org] >>On >>Behalf Of Brett Trusko, Ph.D. >>Sent: Friday, June 06, 2008 11:41 AM >>To: Rex Brooks >>Cc: >><http://email.secureserver.net/pcompose.php#Compose>ihc@lists.oasis-op e >n.org >>Subject: Re: [ihc] Sorry I missed yesterday's meeting-Note for October >> >>I hear this new fangled thing called the Internet can assist with >>this type of thing also. ;) >> >>Brett >>On Jun 6, 2008, at 10:45 AM, Rex Brooks wrote: >> >>> Hi Brett, Everyone, >>> >>> I'm sorry I missed yesterday's scheduled meeting. I was actually >>> out getting a blood test and discovered that the lab had moved and >>> so it took a lot longer than I expected. I've heard there's this >>> new fangled device called a telephone you can use to check on such >>> things. Imagine! ;-) >>> >>> Regardless, I saw the HHS release this week of the Strategic HIT >>> Plan for 2008-2012 and it includes "Population Health" and I >>> wondered if you all had noticed this? >>> >>> I am in preliminary talks about a Collaborative Expedition Workshop >>> at NSF in October covering the domains related to Emergency >>> Management: >>> EM Standards; >>> Health Informatics; >>> Geospatial Information Systems; and, >> > Building Information Modeling (BIM). >>> >>> I am concerned that the National Disaster Medical System (NDMS) is >>> not mentioned in the HHS HIT Strategic Plan although Senate Bill S. >>> 3678: Pandemic and All-Hazards Preparedness Act signed in December >>> 2006, is not mentioned. >>> >>> Responsibility for NDMS was transferred in S3678 to HHS from DHS >>> (Homeland Security), though some degree of cooperative effort >>> between the two cabinet departments is also mandated. >>> >>> I'd like to draw attention to this, so as I go about looking for >>> experts from the Health community to recommend for this October >>> Workshop, I'd like to start a conversation in this group in >>> relation to the HIT Strategic Plan, (not just NDMS) which I have >>> attached, (both the plan and the summary). >>> >>> Cheers, >>> Rex >>> -- >>> Rex Brooks >>> President, CEO >>> Starbourne Communications Design >>> GeoAddress: 1361-A Addison >>> Berkeley, CA 94702 >>> Tel: >>> >510-898-0670<HITStrategicPlan.pdf><HITStrategicPlanSummary.pdf>------- >> >>> -------------------------------------------------------------- >>> To unsubscribe from this mail list, you must leave the OASIS TC that >>> generates this mail. You may a link to this group and all your TCs >>> in OASIS >>> at: >>> ><>https://www.oasis-open.org/apps/org/workgroup/portal/my_workgroups.ph p >> >> >>--------------------------------------------------------------------- >>To unsubscribe from this mail list, you must leave the OASIS TC that >>generates this mail. You may a link to this group and all your TCs in >>OASIS >>at: >><>https://www.oasis-open.org/apps/org/workgroup/portal/my_workgroups.p h >p >> >> >>--------------------------------------------------------------------- >>To unsubscribe from this mail list, you must leave the OASIS TC that >>generates this mail. You may a link to this group and all your TCs in >OASIS >>at: >><>https://www.oasis-open.org/apps/org/workgroup/portal/my_workgroups.p h >p > > >-- >Rex Brooks >President, CEO >Starbourne Communications Design >GeoAddress: 1361-A Addison >Berkeley, CA 94702 >Tel: 510-898-0670 -- Rex Brooks President, CEO Starbourne Communications Design GeoAddress: 1361-A Addison Berkeley, CA 94702 Tel: 510-898-0670
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