FCC Rural Health Care Pilot ProgramLarry Malone, Chairman/Project Coordinator Jack Shaffer, Technical Coordinator/CIO
A statewide non-profit group comprising thestakeholders involved in telehealth and ruralhealth care in West Virginia to focus ontelehealth services, telehealth research andhealth educationNine-member board of directors
FCC Rural Health Care Pilot• WVTA’s Funds: $8.4 million federal (requires a 15% match - $1.3 million)• Three-year program, but extended until 2013• Cost-reimbursement program – Cover costs associated with the design, engineering and construction of broadband health care networks and broadband subscription fees – No administrative costs nor equipment will be covered• All eligible projects must be competitively bid (USAC), and are subject to quarterly reviews, and stringent oversight and audits
RHCPP Objectives– Interconnect state and region-wide broadband health care networks– Aid greater use of telehealth applications and learning– Facilitate electronic health information exchange and EHRs– Provide Internet2 connectivity= Improved rural health care and outcomes
Eligible Entities- Rural health care centers and free clinics- Critical access hospitals (non-profit)- Mental health clinics (non-profit)- Medical teaching institutions (Marshall, CAMC, WVU and the West Virginia School of Osteopathic Medicine)- County health departments- School-based clinics- Free clinics- ERs in for-profit hospitals that provide Medicare
WVTA Plan– Utilize existing telecommunications infrastructure to connect major participants (hubs) and then to connect rural participants on a regional basis, starting in southern West Virginia and then proceeding north and east to affect a phased integration and coordination of advanced communication and information infrastructure that supports telehealth applications– Coordinate the existing activities of WVU MDTV, CAMC, Marshall University, the WV School of Osteopathic Medicine, the participating members of the West Virginia Hospital Association and the Community Health Network of West Virginia, the West Virginia Primary Care Association, free clinics, local health departments, state-operated facilities, and other eligible health care providers through a dedicated network utilizing a scalable high-speed broadband infrastructure
WVTA Plan– Aggregation of broadband service– Enhanced pricing power– More effective analysis and planning– System upgrades in rural areas– Drive improvements in service quality, reliability– Greater use of telehealth services • Peri-natal project
WVTA PlanDedicated Broadband Health Care Network Connectivity: • Connect community/rural health centers with minimum broadband: MPLS T1s. • Connect acute care and critical access hospitals with advanced broadband: MPLS T1s to 10 meg fiber service • The plan anticipates having health entities in 290 locations connected during the pilot program • Foster systemwide upgrades and enhancements of these networks…to bolster telehealth and EHRs • Aggregating demand for pricing and service benefits
WVTA PlanI2 Connectivity: Provide for an Internet2 connection beginning at Marshall University, then facilitated through Marshall’s connection to WVNET, the state MPLS Network and the state Higher Education Network… will translate into new health care delivery, education, research and training capabilities, not only in the arena of Internet2, but among affiliated health care collaborators across the state of West Virginia and beyond.
WVTA PlanInter-Carrier Hub/Backbone:The idea of the WVTA plan was to create a network that any eligibleentity could participate irrespective of individual telecommunicationscarrier utilized by the various health care organizations.The plan called for the creation of an inter-carrier Metro/MPLS hub toserve as the backbone for the entire WVTA. The hub would act as aClass Of Service (CoS), inter-provider IP-MPLS backbone that wouldallow for connectivity between any of the telecommunicationsproviders operating in the State utilizing the MPLS protocol. It wasenvisioned that this backbone will allow for gigabit connectivitybetween the differing MPLS vendors and will allow rural health careproviders to connect to the West Virginia Telehealth Alliance networkby way of Verizon, nTelos, Fibernet, or any other carrier providingethernet services.This backbone would basically allow for “metro-to-metro” connectivity.
Timeline1st Telco Services RFP (45 centers, 100+ locations) First RFP: Fall 2008 First Contract: Winter 20091st Network Analysis (12-15 centers, 50+ locations) First Project: Winter 2009Internet2 Metro Fiber Build: Fall 2008 – Spring 2009 Internet2 Connectivity: Summer 20092nd Telco Services RFP Spring 2009
e-Health InterconnectionWill support health tech initiatives:• Participate in an ongoing review of state health tech infrastructure and a statewide network analysis to identify gaps in service and access• Facilitate construction and connection of an interoperable, integrated statewide health information network that provides advanced broadband connectivity needed for electronic health information exchange and telehealth
Questions?500 Corporate Centre Drive, Suite 510 Scott Depot, WV 25560 (304) 201-5707 www.wvtelehealth.org
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