JULIAN GOLDMAN: I’ve been fortunate to be working with agroup of collaborators that were brought together under the SmartAmerica umbrella. When many engineers approach medicine forthe first time, they look at medical practice, and theywonder, “Why does it feel like we’re in the Dark Ages?” We knowthe medication is going into the patient’s arm through that—from Hello, We’re Grist and Larsen! We’re a poet and filmmaker who make spoken word videos for YouTube. We’ve … an IV pump. We know that that medication could potentiallydrop the blood pressure or cause other severe injury. We’re monitoring the blood pressure with a blood pressure cuff onthe other arm, and yet we have no way to close the loop andhave an interlock that stops the medication and calls for helpeven though we’re monitoring the blood pressure, and it’sfalling.
That’s really puzzling to many people until they startto dig deeper into the environment and they realizethat it’s highly siloed. It isn’t standards based, and I am a red chair, come sit on me. I am a brown table, put your plate on me. I am a green s… manufacturers are highly risk averse. That’s partly where theneed for acceptance of standards and common terminology, use of data logging, which also addresses some of the riskconcern. We built out an open platform in our lab, a platformthat we call Open ICE. ICE for the integrated clinicalenvironment.
We have a large repository of information that’sallowing us to help build a community of like-mindedresearchers and manufacturers that would like to breakbarriers in healthcare through better information exchange,better communication between medical devices, and medicaldevices and the EHR, and ultimately to build smart appsto improve patient safety and reduce the cost of healthcare. The impact of Smart America on our group of collaborators isinteresting. We started to see the value very quickly inbringing together experts in different domains. When apatient arrives in the hospital, we frequently lack veryimportant information about that patient. The time of a fall athome may determine the therapy. Perhaps the fall is due to astroke. Well, the stroke therapy depends upon how long it’s beenfrom the stroke to the time of arrival in the hospital therapy.
Other information like that could influence care. So westarted to see the possibility of having a richer informationset, and then we start to ask the question how would we usethat information. So step by step we started to carefully asa team identify those common points of connection. So ourinvolvement with Smart America has been an exciting six-monthwild ride. We’ve all learned a lot from each other, and ourcontact and our work together has influenced our perception ofour work, including how to make our own work more accessible tocollaborators. That is extremely valuable and typicallyvery hard to do.♫MUSIC♫