BE491: Seminar in Biomedical Engineering

Healthcare Information Technology

27 September 2004Stephen Schlacter

stephen.m.schlacter@saic.comCUA BBE 1995

2

Agenda

• Introduction

• Project History Overview

• VRE DIN-PACS Details (telemedicine)

• CUA Courses & Real-World Relevance

• SAIC Job Opportunities for BMEs

• Q & A

3

Introduction

• Bachelor of Biomedical EngineeringCUA, 1995

• SAIC, Enterprise & Healthcare Solutions1995 - Present– Senior Engineer / Team Lead– Healthcare IT Solutions for MHS (Primary)– 102 DoD Hospitals Worldwide

4

Project History

• Composite Healthcare System (CHCS)– Infrastructure and hardware installation/configuration– Road Warrior

• Digital Imaging Network - Picture Archiving and Communications System (DIN-PACS)– “Soup to Nuts” System Installation Support

• MHS “HUB & Rack” Systems and Blade Servers– TRICARE Online (TOL)

• http://www.tricareonline.com centralized database for all MHS

– Enterprise Wide Referral and Authorization System (EWRAS)– Provider-GUI (P-GUI)– Clinical Bi-Directional Interface System (CBIS)

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Virtual Radiology Environment (VRE) DIN-PACS Project:

1. Ft. Sam Houston Brooke Army Medical Center (AMC)2. Ft. Hood Darnall Army Community Hospital (ACH)3. Ft. Bliss William Beaumont AMC4. Ft. Huachuca R.W. Bliss Army Health Center (AHC)5. Ft. Carson Evans ACH6. Ft. Riley Irwin ACH7. Ft. Leavenworth Munson AHC8. Ft. Leonard Wood General Leonard Wood ACH9. Ft. Sill Reynolds ACH10. Ft. Polk Bayne-Jones ACH

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PACS Workflow Overview

Quality Control

Diagnosis

Review

Origins Processes Destinations

MRI

CT

CR

US

CRCR

US

Digitizer

CT

VoxelQArchive

Diagnostic WS

Unmatched

Matched

To be read

Uponmatch

UponQC complete

To be read

Uponread

Read

Read

QCWS Archive

Archive

Archive

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VRE DIN-PACS Details

• Irwin Army Community Hospital, Ft. Riley– First Operational DIN-PACS Site (2000/2001)– Computer Center preparation required

• Added electrical circuits to UPS power system• All new network infrastructure

– Cat5e, Fiber Optic– Gigabit Ethernet Hardware (Cisco Catalysts)– VLANs

– http://iach.amedd.army.mil/departments/radiology/info.asp– Film-less radiology department– Diagnostic images are acquired, read, & stored digitally

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DIN-PACS Workstations

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DIN-PACS Workstations

• User Location Site Preparation– Furniture

• HEAVY Displays (roughly 90 lbs each)• Needs to be mobile• Two Configurations (sitting, standing)

– HVAC• Displays generate lots of heat

– Display Calibration• Lighting conditions differ from room to room• Displays “drift” over time

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VRE DIN-PACS Details

• William Beaumont AMC– Custom OR solution to match renovations– Supports remote image archival for RWBAHC– Mixed network environment

• ATM Core with Ethernet Edges

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WBAMC DIN-PACS Network

Fluoro

GE Advantx DRSRm 3335

MRI Bldg 7779

QL #1Rm 3330

Fuji CR #1Rm 3362A

CTRm 3330

Fuji CR #4Rm 1-101Q1 #1 CTMC

Rm 1-101

Comm ClosetsCisco Switches

Computer CenterCicso ATM Core

QL #3Rm 3362

QL#4Rm 12

Imation 9400 AUCServer #1

Fuji CR #2Rm 3362A

FluoroGE Advantx DRS

Rm 3342

FluoroGE Advantx DRS

Rm 3348

UltrasoundRm 3340

Q2 #1Rm 3362

QL #5Rm 3114

DIN-PACS Core(Archive, QuadRIS)

UltrasoundRm 3340

UltrasoundRm 3340

Fuji CR #3Rm Q2 #2

Rm 4225

QL #2Rm 4315

AngioSiemens DLX

Rm 4315

(2) CystoLeibel-FlorsheimRm 4218 & 4225

Film DigitizerRm 3357

QL #6Rm 3357

D4 #2 Rm 3359

Imation 9400 AUCServer #2

Imation 9400 AUCServer #3

Ultrasound 8700

CT 8700

Angio 8700

MRI 8700

Imation 9400 AUCServer #4

Imation 9400 AUCServer #5

Imation 9400 AUCServer #6

Computer CenterCicso Router

RWBAHC Modalities (5)

ExternalNetworks

D2 #1 Rm 3138

D2 #2 Rm 3287

D4 #5 Rm 3378

D4 #3 Rm 3359

D4 #4 Rm 3319

D4 #1 Rm 3359

D4 #6 MRI Bldg Rm 12

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WBAMC OR Solution10

'-0"

5'-0

"6'

-0"

4'-0

"

CPU

UPS

CPU

UPS

ITEM QTY. PART NO. DESCRIPTION

Wall Track - 50"L x 5"W

Wall Track - 26"L x 5"W

Anchor Hardware Kit for Wall Track

Bracket to mount Universal Arm

Bracket to mount Peripheral

Universal Arm - 16"x22" Suspension

Monitor Caddy

Keyboard Tray Holder

Keyboard Tray w/ sliding Mouse Tray

Wrist Rest for Keyboard

Cable Management Kit

Univeral Large Vertical CPU Holder

Universal Medium Vertical CPU Holder

Rotation Control Kit

31-019-003

31-017-003

90-010

60-151

60-156

44-309-000

40-013-000

75-055-009

77-050-000

85-010-087

97-041

80-059-000

80-058-000

97-053-002

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1

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2

2

2

2

1

1

1

2

1

1

2

1

2

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5

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12

13

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2-Head Wall Mount Unit (OR #8 - 10' Ceiling)

1'-6"

5'-9

"

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CUA CourseworkUndergraduate Engineering Research and Design Projects

• Micro-Machining & Computerized Data Acquisition, CUA Cellular Mechanics Lab– Part of a team that designed a laminar flow chamber for an ongoing cancer cell study.– Interacted one on one with the micro-machinist during construction/iteration of the prototype.– Additionally, prepared cell cultures and substrate (laminin) slides for subsequent testing, and

collected test data via phase-contrast microscope and image recording software (NIH Image).

• Computerized System Simulation, CUA Dept. of Electrical Engineering– Independently researched several methods of fetal ECG detection and heart rate

monitoring.– After interacting with Washington Hospital Center staff, wrote Matlab code to design a digital

filtering system that demonstrated the removal of maternal artifact from fetal ECG.• Composites Fabrication, CUA Biomechanics Lab (Senior Design)

– Part of a research and design team that re-designed an "anti-gravity" arm orthosis.– Originated scheme to make the device portable.– Participated in the composite (fiberglass) fabrication process and prototype testing.

• Design Team Leader, CUA Biomechanics Lab (Junior Design)– Led team that designed a pneumatic actuator powered shoulder orthosis.– As group leader, set deadlines and assigned tasks within the design team.– Responsible for physical construction of prototype.

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CUA Coursework

• Other “Relevant” Courses of Note– Drafting / AutoCAD (Dr. Gentry)– Bioethics (Fr. Friday)– Monday Night “Rehab” (Dr. Winters)– Organic Chemistry (Dr. Ponares)– Creative Writing & Literature of Fantasy

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SAIC “Biomedical” Job Opportunities

• Biomedical/Clinical Research Project Manager (Contingent) - Falls Church, VA (Posted: 05/25/2004)Ref. No: ETW090136Description: This position is contingent upon the award of a contract by the customer. SAIC is looking for a biomedical and clinical research project manager to lead a multi-disciplinary team to: 1) assess and identify the biomedical and clinical research infrastructure and resources needs  more...

• Biomedical Scientist - Abingdon, MD (Posted: 09/14/2004)Ref. No: ESL099158Description: Apply scientific expertise to biomedical research and analysis for a non-laboratory multidisciplinary effort. The job entails critical technical review and analysis of scientific research; and writing reviews, briefings, information papers, and reports on scientific and  more...

• Research Associate (NCI 99412) - Ft. Detrick/NCI-Frederick, MD (Posted: 09/21/2004)Ref. No: KMB099412Description: We are seeking a talented research associate to support ongoing projects in proteomics. The ideal candidate will have hands on experience with peptide/protein mass spectrometry by MALDI or by LC-MS/MS. Responsibilities will include routine maintenance of nanobore HPLCs, MS  more...

• Biomedical Engineer/Chemist (Guardian) - Abingdon, MD (Posted: 08/27/2004)Ref. No: SVL097854Description: The Defense and Homeland Solutions Operation, Science Applications International Corporation (SAIC), has a need for Biomedical Engineers, Chemists, analysts, and scientists. This opportunity is associated with a new SAIC program as Lead Systems Integrator (LSI) for the  more...

• Scientist I (NCI 98110) - Ft. Detrick/NCI-Frederick, MD (Posted: 09/02/2004)Job Category: ScientistRef. No: KMB098110Description: Under the general direction of the head of the microscopy and image analysis laboratory, undertake research to enable the segmentation, quantification and modeling of individual cells from 3D digital microscope images of biological specimens (75% time). This project may include  more...

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Questions, Comments, Smart Remarks?

Stephen (Steve) Schlacter, BBE 1995SAIC Enterprise & Healthcare Solutions BU5107 Leesburg Pike Suite 2200Falls Church VA 22041703.578.2498stephen.m.schlacter@saic.comsmschlacter@hotmail.com