Projects
Our Collaborative Enterprises
The M.D. PnP Program receives funding for a variety of projects aimed at furthering the evaluation and adoption of open standards and technology for medical device interoperability. Most of our projects are funded through competitive grants from CIMIT, the DoD via TATRC, the NIH/NIBIB, or the NSF.
The results of our research are usually released in the public domain through publication, demonstration, and lectures.
Several key projects are described on this web site. For information on these projects, see the Projects drop down menu on the navigation bar.
We invite new collaborators from all disciplines to join our community.
Clinical Scenarios and Use Cases
This page contains examples and supporting information of improvements in the safety and quality of healthcare delivery enabled by medical device interoperability and safe system integration.
Clinical Scenario Repository
Clinical Scenario RepositoryTM
With research support from DoD/USAMRMC, we have been developing a sharable repository of clinical scenarios that could be improved through better medical device and health IT integration.
Device Clock Synchronization
Unlike your cell phone or computer, most medical devices do not set their clocks using a network time reference. Like an old-fashioned VCR, the clocks are typically set manually twice a year for daylight savings time, or when the medical devices are serviced.
ICE Standard: Integrated Clinical Environment
Interdisciplinary meetings convened by the M.D. PnP program (described on this web site) identified key capabilities of a patient-centric integrated clinical environment. These capabilities, such as comprehensive data acquisition for the EMR and the integration of devices to enable real-time decision support, safety interlocks, and closed-loop control, can be achieved through the functions described in the standard for the "Patient-Centric Integrated Clinical Environment" (ICE).
MD FIRE: Medical Device "Free Interoperability Requirements for the Enterprise"
Medical Device "Free Interoperability Requirements for the Enterprise" (MD FIRE) comprises a white paper and sample RFP and contracting language to promote the adoption of fully interoperable medical devices and systems in support of patient safety.
OpenICE
OpenICETM Prototype: A New, Open, Interoperable Medical Device Clinical Research Platform
The M.D. PnP Program has developed an open source implementation of the Integrated Clinical Environment (ICE) standard as described in ASTM 2761-09(2013) and made it freely available on SourceForge.
QMDI Project
The M.D. PnP Program received a $10M NIH Phase II Quantum Grant in 2010 for the development of a prototype healthcare intranet for improved health outcomes.
MDIDS
We are developing a reference compendium of medical device interface capabilities and data elements which could enable more complete, effective, and safe device integration.
FDA MDICC
The M.D. PnP Program has had an ongoing relationship with FDA to pursue a definition of the regulatory pathway for integrated medical device systems.
Medical Device Interoperability Coordination Council (MDICC) Clinical Needs and Clinical Landscape Team
Medical Device Interoperability Safety Working Group (MDISWG)
The M.D. PnP Program has had ongoing projects to clarify the regulatory pathway for integrated medical device and HIT systems.
Project: FDA Pre-IDE (now called a "presubmission") for Interoperable Medical Devices
ICE Data Logger
Medical devices are increasingly being networked, for example to populate the electronic health record (EHR). Problems with individual devices in such a system, or unexpected interactions between the devices, can cause device failures and may compromise patient safety. For example, in our lab we have documented a case of ventilator failure triggered by requesting data to send to the EHR. When this kind of incident occurs, clinicians, manufacturers, and regulators have the responsibility to investigate the cause of the problem and try to ensure that it does not happen again.
HIT Safety Administration (HITSA)
HIT Safety and Adoption Barriers are Inhibiting Healthcare Transformation
Proposal to create a HITSA or HITSB
Medical CPS
The M.D. PnP program has been deeply involved in the emerging discipline of cyber physical medical device systems (CPS) since our participation in the June 2005 workshop on High-Confidence Medical Device Software and Systems, led by Dr. Insup Lee. CPS seeks to harness progress in science and technology to enable innovation in engineering modern systems, by integrating principles and practice from physical modeling, dynamics and control, real-time embedded computing, computing architectures, networking and wireless communication, and certification and assurance technology.
Virtual Hospital
Virtual Hospital CPS Test Bed
Medical Internet of Things(MIoT)
Global City Teams Challenge Proposal
We propose to provide access to our Medical Device Interoperability Lab to serve as a Virtual Hospital for the GCTC challenge.
SmartAmerica
Presidential Innovation Fellows, Sokwoo Rhee and Geoff Mulligan,
have convened a SmartAmerica Challenge to "bring together organizations with cyber-physical system technology and testbeds to demonstrate the potential to improve safety, sustainability, efficiency, mobility, and overall quality of life."
Ebola Response
The Medical Device Plug and Play Interoperability Program (M.D. PnP) at Massachusetts General Hospital was asked by federal officials to rapidly identify medical technology-based solutions in support of Ebola care. Over a 20 day period, the M.D. PnP Program, with support by NIH/NIBIB, convened a group from government, academia and industry to prototype innovative approaches to improve patient care and reduce the risk of healthcare workers’ exposure to Ebola.
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Contact Information
Massachusetts General Hospital
M.D. PnP Program
65 Landsdowne St., Suite 200
Cambridge, MA 02139
info@mdpnp.org
Julian M. Goldman, MD
Program Director
jmgoldman@mgh.harvard.edu
Colin Gorman
Program Manager
cgorman@mgh.harvard.edu