Mass General Brigham announced it has been awarded three Advanced Research Projects Agency for Health (ARPA-H) contracts to deliver hospital-level care to Americans in rural communities across the United States. These awards will provide funding over five years to support the development of a scalable, multi-purpose, Care Delivery Platform (CDP)— an electric vehicle that integrates various medical devices and technologies to deliver hospital-level care where no hospital exists.
The initiative, known as the Platform Accelerating Rural Access to Distributed & Integrated Medical care (PARADIGM) program, will create CDPs to benefit the many Americans who face significant barriers to accessing advanced hospital-level care.
Some 60 million Americans live in rural areas, representing a patient population that experiences 20% higher mortality rates from the five leading causes of death — heart disease, cancer, trauma, lung disease, and stroke — compared to Americans living in urban areas.
These geographic disparities are expected to worsen as over 100 rural hospitals have closed in the past decade and 30% of remaining rural hospitals are at risk of closing.
This trend threatens to further limit access to advanced imaging, procedures, and specialty medical services.
Julian M. Goldman, MD, Anesthesiologist in the Department of Anesthesia, Critical Care, and Pain Medicine, Director of the Medical Device Interoperability & Cybersecurity Program at Massachusetts General Hospital, and Medical Director of Mass General Brigham Biomedical Engineering, and his team, will develop an advanced, scalable Medical IoT standards-based platform called PARADIGM-ICE. This Integrated Clinical Environment platform will integrate data from various medical devices and EHR systems to create a secure, standardized ecosystem, ensuring devices work together seamlessly to enhance patient safety and care efficiency.
“Our team is developing a transformative Medical Internet-of-Things (MIoT) platform designed to seamlessly capture and harmonize data from medical devices and patient care activities. This innovation will enhance safety, reduce caregiver workload, and enable remote medical experts to support advanced patient care in rural areas,” said Dr. Goldman. The MIoT platform will enable the smart and secure integration of clinical measurements such as blood pressure, oxygen saturation, electrocardiograms, and blood tests, along with critical interventions like intravenous chemotherapy administration. This project serves as a foundation for building and delivering Smart and Autonomous Medical Systems (SaAMS) for rural America.
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