NCREN Broadband for Healthcare

David Kirby

NCTN: A Dedicated Broadband Network for

HealthFor: MCNC Community Day –October 5

Moderator: Dave Kirby, NCTN Project ManagerDave@KirbyIMC.com

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

NCREN Broadband for Healthcare

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 Directormsullivan@internet2.edu

Thank You

NCREN Broadband for Healthcare

Questions?