NCREN Broadband for Healthcare David Kirby
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Transcript of NCREN Broadband for Healthcare David Kirby
NCREN Broadband for Healthcare
David Kirby
NCTN: A Dedicated Broadband Network for
HealthFor: MCNC Community Day –October 5
Moderator: Dave Kirby, NCTN Project [email protected]
919.272.1157
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A dedicated broadband network with Internet and Internet2 connections to support health and care in NC.
First phases focus on public and non-profit health care providers.
Key design points:◦ Low cost (mostly via volume purchase and discounts)◦ Very high reliability (disaster-resistance)◦ High bandwidth with no over-subscription◦ Support key communications among health and care stakeholders.◦ High user community collaboration in building and operating
NCTN Concept
Cabarrus Health Alliance NC Association of Local Health Directors NC Association of Free Clinics NC Hospital Association University Health Systems of Eastern NC Albemarle Regional Health Services Western Carolina University Southwestern Commission The e-NC Authority NC Division of Public Health NC Institute for Public Health (UNC) Golden Leaf Foundation FCC and USAC
Key Collaborators
Conceived in late 2007 Phase 1 –
◦ two rounds of recruiting of public health, free clinics, and (a few) community health centers
◦ Operational – started late 2010 Phase 2 -
◦ two rounds of recruiting of hospitals◦ Round 1 sites are being implemented now; round 2 sites are subscribing.
Funding: ◦ 85% Discounts for subscribers for broadband services from FCC’s RHCPP (4
years); USF source. $12.1M◦ NC Division of Public Health – admin startup for public health◦ Golden Leaf – admin startup for hospitals◦ Admin - Self-funded thereafter◦ Likely large discounts from FCC’s reformed Rural Healthcare Program
indefinitely
NCTN History Key Points:
Dave Kirby, Kirby Information Management Consulting, LLC (Moderator) --
Layton Long, Health Director, Davidson County Health Department
Andy Anderson, UHSEast Jeff Miller – CEO NCHIE Mike Sullivan, Associate Director, Health
Sciences, Internet2
Panelists
NCREN Broadband for Healthcare
Layton Long
NC Association of Local Health Directors
85 Local Health Departments
Broad array of Public Health services
Data reporting to Division of Public Health
Health Information System (HIS) Rollout Replacement for the HSIS system Pilots began February 2009 Statewide rollout - spring 2010 HIS significantly increased broadband needs Many health departments did not meet
minimum requirements to support HIS
Telehealth Network Contacted by Dave Kirby January 2008
Discussions on the Telehealth Network were initiated with the Technology Committee
System implementation completed 2011
Challenges Lack of understanding among health directors
◦ Benefits?◦ Funding?◦ Broadband needs HIS would create
Communication between IT Directors and Health Directors
Local Governance – Commissioners
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Andy Anderson
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Pitt CountyMemorial Hospital
HeritageHospital
Duplin GeneralHospital
Beaufort CountyHospital
Roanoke-ChowanHospital
ChowanHospital
Bertie MemorialHospital
The Outer BanksHospital
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University Health Systems of Eastern Carolina
UHSPhysicians
HospitalPungo District
-Albemarle
Hospital (managed)
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University Health Systems of Eastern Carolina• FCC Rural Broadband Pilot
• Access to business class broadband in rural areas
• Subsidized cost over several years• NCTN
• Consolidated buying power• Private network • Networked group of healthcare providers
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University Health Systems of Eastern Carolina• Why is broadband important?
• Electronic Medical Record (EMR)• Imaging• Telemedicine
• Broadband for healthcare must be:• Secure• Highly reliable• Provide for diversity and redundancy
NCREN Broadband for Healthcare
Jeffrey D. Miller
NCREN Broadband for Healthcare
Mike Sullivan
Supporting Broadband Health Networks
NCREN Community Day, October 5, 2011Michael Sullivan, M.D. Internet2
Internet2 Community• Non-profit with a public purpose • Member-owned, controlled, and directed• 220 university & college members• 33 regional network members• 59 affiliate members (NIH, CDC, VA, DOE…)• 47 corporate members• 6 Rural Health Care Pilot Programs (RHCPP)• 65,000 community anchor institutions
• The National Broadband Plan (NBP)– facilities serving public purposes need broadband– a non-profit institution could focus on serving the broadband needs
of public institutions.
• Community Anchor Institutions (CAIs)– public libraries– healthcare organizations– public safety organizations– primary and secondary schools– community and vocational colleges– museums, zoos, and aquariums
Broadband for Public Facilities
Internet2 Network with 100 Gb Upgrade
Seven Strategic Focus AreasAdvanced network and network services leadership
Net+: services “above the network”
U.S. UCAN
National/Regional collaboration
Global reach and leadership
Research community development and engagement
U.S. UCAN• An Internet2 project.
• Leverages the 100-gigabit Internet2 network backbone.
• Helps CAIs, BTOP networks, and regional networks connect.
• Extends and advances Internet2 Sponsored Educational Group Participant (SEGP) program.
• Enables CAI applications that require advanced networking.
Rural Health Care Needs Reliable Broadband• Electronic Health Record (EHR) Virtualization
SaaS-based EHRs mitigate limited IT resources in rural areas,but they require affordable, redundant networks.
• Multimedia Health Information Exchange (HIE)HIE with transport of large imaging and genomic datasetswill require high-performance networks.
• Telehealth (HD Videoconferencing)Telehealth can bring high-quality specialty care to rural areas.
• Teleradiology Hubs (Imaging Clouds)Advanced networking can enable real-time radiologicalconsults, e.g. triage of a stroke patient in the ED.
Future Challenges• Share network infrastructure
across CAI sectors.
• Connect BTOP, RHCPP, and statewide HIE networks to enable interoperable health information exchange.
• Connect national resources like SaaS vendors, telemedicine, and distance education.
• General Information– Internet2: http://www.internet2.edu– U.S. UCAN: http://www.usucan.org
• Internet2 Health Sciences– Home: http://www.internet2.edu/health– Contact: Michael Sullivan, MD
Associate [email protected]
Thank You
NCREN Broadband for Healthcare
Questions?