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| <HTML> | |
| <!---akamai.html---> | |
| <HEAD> | |
| <TITLE>AKAMAI TELEMEDICINE PROJECT</TITLE> | |
| </HEAD> | |
| <BODY bgcolor="#FFFFFF"> | |
| <table border="0" width="600" align="CENTER"> | |
| <tr> | |
| <td width=100%> | |
| <table cellspacing="0" cellpadding="0"> | |
| <tr> | |
| <td align="right" backround="images2/steth_sm.gif"><img src="images3/aka_conops.gif" width="551" height="100"></td> | |
| </table> | |
| <hr size=1 width="600" align="LEFT"> | |
| <table border="0" width="97%"> | |
| <tr> | |
| <td height="346" width="84%" valign="TOP" background="images2/akamai_bak.gif"> | |
| <p align="RIGHT"> </p> | |
| <p align="RIGHT"> </p> | |
| <p align="RIGHT"><font size="2"><b><font face="Arial, Helvetica, sans-serif"><a href="#mandate">AKAMAI | |
| Mandate</a></font></b></font></p> | |
| <p align="RIGHT"><font size="2" face="Arial, Helvetica, sans-serif"><b><a href="#concepts">Program | |
| Concepts</a></b></font></p> | |
| <p align="RIGHT"><font size="2" face="Arial, Helvetica, sans-serif"><b><a href="#impacts" target="">Theater | |
| Readiness Impacts</a></b></font></p> | |
| <p align="RIGHT"><font size="2" face="Arial, Helvetica, sans-serif"><b><b><a href="#objectives" target="">Operational | |
| Objectives</a></b></b></font></p> | |
| <p align="RIGHT"><font size="2" face="Arial, Helvetica, sans-serif"><b><a href="#evaluation">Telemedicine | |
| Evaluation</a></b></font></p> | |
| <p align="RIGHT"><font size="2" face="Arial, Helvetica, sans-serif"><b><a href="#emerging">Emerging | |
| Technology Investigation</a></b></font></p> | |
| </td> | |
| <td height="346" width="16%" valign="TOP"> </td> | |
| </tr> | |
| </table> | |
| <p> | |
| <hr> | |
| <p> | |
| <p><font size="2"><b><font face="Arial, Helvetica, sans-serif">SUBJECT: | |
| AKAMAI Telemedicine Project <br> | |
| </font></b> </font> | |
| <p> <font size="2" face="Arial, Helvetica, sans-serif"><b>Points of Major | |
| Interest:<br> | |
| <br> | |
| </b> </font> <a name="mandate"> </a> | |
| <p> <font size="2" face="Arial, Helvetica, sans-serif"><b>1. <u><b>AKAMAI | |
| Mandate</b></u></b>: AKAMAI is a congressionally mandated Department of | |
| Defense (DOD) telemedicine project designed to deploy and assess the value | |
| of telemedicine and telecommunications technologies in the military's | |
| Pacific region health care system. This is for the purpose of transferring | |
| patient medical data (text, image, video) among facilities and all necessary | |
| theater locations in peace and war.</font></p> | |
| <p><font size="2" face="Arial, Helvetica, sans-serif"><br> | |
| </font> <font size="2" face="Arial, Helvetica, sans-serif"> <a name="concepts"> </a> | |
| <b>2. <u><b>AKAMAI Program Concepts</b></u></b>: The prevailing AKAMAI | |
| telemedicine concept is directing telemedicine and digital imaging operations | |
| throughout the Pacific Region, including ships at sea. <i>Active telemedicine | |
| operations are currently supporting:</i> <i>Micronesia, U.S. Coast Guard | |
| Ships at Sea, 3<sup>rd</sup> Medical Group and Bassett Army Community | |
| Hospital, Alaska, 15<sup>th</sup> Medical Group Hawaii, 121<sup>st</sup> | |
| Evac Hospital, Republic of Korea, Madigan Army Medical Center, Washington, | |
| and US Naval Hospital Guam as well as the Naval Hospital in Okinawa, Japan</i>. | |
| AKAMAI is tasked to investigate clinically relevant applications of emerging | |
| telemedicine related products, technologies, and services. This is to | |
| include using already established bandwidth to pass patient information | |
| back and forth. Further, the project seeks to evaluate telemedicine's | |
| impact on the health care delivery system and military readiness. </font> | |
| <p><font size="2" face="Arial, Helvetica, sans-serif"><br> | |
| </font> <font size="2" face="Arial, Helvetica, sans-serif"> <a name="impacts"> | |
| <b>3. <u><b>AKAMAI Theater Readiness Impacts</b></u></b>: The AKAMAI project | |
| enhances the health care delivery system and improves military readiness | |
| in the Pacific Basin Region by projecting the medical specialty expertise | |
| of Tripler Regional Medical Center (TRMC) to remote sites through the | |
| use of advanced medical technologies and telecommunications capabilities. | |
| Located in the Pacific Region the AKAMAI Project faces the challenge of | |
| extreme distances and significant time zone differences. These obstacles | |
| offer a unique opportunity to exploit existing and pre-existing network | |
| capabilities down to the lowest level of care possible in a warfighting | |
| environment. This project has significant readiness and humanitarian implications | |
| in the Pacific Region.</a> </font> | |
| <p><font size="2" face="Arial, Helvetica, sans-serif"><br> | |
| </font> <font size="2" face="Arial, Helvetica, sans-serif"> <a name="objectives"> | |
| <b>4. <u><b>AKAMAI Operational Objectives</b></u><b>: </b></b>The following | |
| list highlights the operation objectives of the AKAMAI Program.</a><br> | |
| </font> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Digital Radiology/Sustainment</u>: | |
| To maintain and update MDIS systems that are already in place throughout | |
| the Pacific Basin.</font> | |
| </ul> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Digital Radiology | |
| at Elmendorf</u>: To establish MDIS technologies and equipment at the | |
| 3<sup>rd</sup> Medical Group at Elemendorf Air Force Base, Alaska.</font> | |
| </ul> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Multimedia T-Med | |
| System</u>: To install Multimedia Medical Systems with communications | |
| and training to the following areas:</font> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif">Japan/Okinawa</font> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif">Guam/Pacific | |
| Islands</font> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif">Korea</font> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif">Ships at Sea | |
| Connectivity</font> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif">Deployable | |
| Telepresence</font> | |
| </ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Web-Paradigm | |
| Solution</u>: To provide Store and Forward and real time/inter active | |
| solutions that can be run on the Department of Defense Local Area Network | |
| via the Intranet. This is done using Commercial Over the Counter Software | |
| with already existing programs for health care delivery.</font> | |
| </ul> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Deployable Telepresence | |
| Unit</u>: A deployable radiology imaging system that can be used in | |
| the future to assist forward deployed units and also used for humanitarian | |
| assistance.</font> | |
| </ul> | |
| <a name="evaluation"></a> | |
| <p> <font size="2" face="Arial, Helvetica, sans-serif"><b>5. AKAMAI Telemedicine | |
| Evaluation: </b>Evaluations to integrate protocol user interface and evaluation | |
| database with core telemedicine system pilot versions. Perform teleconsulting | |
| operations and evaluations by assessing organizational impact; Protocols | |
| by assessing outcomes of telemedicine encounters; and Human factors which | |
| are relevant to the use of telemedicine equipment. Included in the evaluation | |
| is assessing the technical functionality (IV&V) and cost-benefit analysis | |
| of telemedicine systems.</font> | |
| <p><font size="2" face="Arial, Helvetica, sans-serif"> <br> | |
| </font> | |
| <a name="emerging"> </a> | |
| <p> <font size="2" face="Arial, Helvetica, sans-serif"><b>6. AKAMAI Emerging | |
| Technology Investigation: </b>Provided below is a list of emerging technologies | |
| being utilized by AKAMAI.<br> | |
| </font> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>SETS Technology | |
| (non-invasive)</u>: A means of performing non-invasive surgery by using | |
| Hyperspectral Florescent Imagery to depict cancerous cells within the | |
| body.</font> | |
| </ul> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Remote Radiation | |
| Therapy Treatment</u>: Establishing a partnership with Mallinckrodt | |
| and Maui High Performance Computing Center to perform a study of Remote | |
| Radiation Therapy Treatment.</font> | |
| </ul> | |
| <ul> | |
| <li><font size="2" face="Arial, Helvetica, sans-serif"><u>Other Proposed | |
| Projects</u>: Request the C3, Clinical Consulting Committee to prioritize | |
| projects. This will be accomplished by using funding available after | |
| providing funding for Congressionally mandated and previously committed | |
| projects to perform other projects in priority order. </font><font size="2"></font><font size=2 face="Arial"><br> | |
| </font> | |
| </ul> | |
| </td> | |
| </tr> | |
| </table> | |
| <BR> | |
| <!-- </CENTER> --> | |
| <P> | |
| </BODY></HTML> |