HIMSS Oregon Chapter November 19, 2009 Kim Lamb, Executive Director OREGON HEALTH NETWORK
Goals <ul><li>Who is OHN? </li></ul><ul><li>Organizational Update </li></ul><ul><ul><li>Evolution </li></ul></ul><ul><ul><...
About us Who is “this OHN”?
Who is “OHN”? A 501(c)3 non-profit, membership-based organization that is comprised of technology, healthcare and telecomm...
Who we aren’t <ul><li>The FCC Rural Health Care Pilot Program </li></ul><ul><ul><li>OHN is an  awardee  of the RHCPP </li>...
Why are we doing this? <ul><ul><li>All Oregonians should have access to the best possible healthcare regardless of locatio...
Who do we serve? Hospitals/Healthcare Systems <ul><li>Government  Agencies </li></ul><ul><ul><li>State </li></ul></ul><ul>...
Organizational Update History , Model & Focus
OHN: History and timeline 6/30/10 Contract approval deadline 9/2006 FCC establishes RHCPP to cover 85% of costs to install...
Business Model: Leveraging FCC Subsidy Establish the OHN Network Build  Network Infrastructure and Participant Base Provid...
FCC Rural Healthcare Pilot Program (RHCPP) Requirements and timeline
RHCPP: What is it? <ul><li>What is the Rural Health Care Pilot Program (RHCPP)? </li></ul><ul><ul><li>The RHCPP was establ...
RHCPP: What is it? cont. <ul><li>Wh at are the requirements  and payouts of the RHCPP program? </li></ul><ul><ul><li>85% s...
RHCPP: Nationwide Recipients New England Telehealth $24.6 million CA Telehealth Network $21.9 million Illinois Rural Healt...
RHCPP: OHN’s model <ul><li>How is OHN’s Pilot Program Different? </li></ul><ul><ul><li>We’re a state-wide network (vs. reg...
OHN Participation : status <ul><li>RFP 1: Contracted 7 sites </li></ul><ul><ul><li>Network Operations Center (NOC)  </li><...
Network Operations Center (NOC) Core Service Offering Overview
NOC: Service Overview <ul><li>Who manages the NOC? </li></ul><ul><li>Easystreet Online services has been contracted to run...
Status & Next steps Progress & priorities
Progress <ul><li>5 th  largest awardee of RHCPP; 62 approved programs nationwide </li></ul><ul><li>From OAHHS/OREF > 501(c...
Priorities <ul><li>Best leverage RHCPP opportunity (June 30, 2010 Deadline) </li></ul><ul><ul><li>Request to FCC to extend...
Questions? Please help spread the word! Kim Lamb Executive Director [email_address]
Thank  you & visit us online:  www.oregonhealthnet.org www.oregonhealthnet.org
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Oregon Health Network

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Oregon Health Network

  1. 1. HIMSS Oregon Chapter November 19, 2009 Kim Lamb, Executive Director OREGON HEALTH NETWORK
  2. 2. Goals <ul><li>Who is OHN? </li></ul><ul><li>Organizational Update </li></ul><ul><ul><li>Evolution </li></ul></ul><ul><ul><li>Business model </li></ul></ul><ul><li>FCC RHCPP </li></ul><ul><ul><li>Requirements </li></ul></ul><ul><ul><li>What is it and how is OHN different from other RHCPP’s? </li></ul></ul><ul><ul><li>Process </li></ul></ul><ul><li>Network Operations Center (NOC) </li></ul><ul><li>Progress & Priorities </li></ul><ul><ul><li>Progress </li></ul></ul><ul><ul><li>Priorities </li></ul></ul>
  3. 3. About us Who is “this OHN”?
  4. 4. Who is “OHN”? A 501(c)3 non-profit, membership-based organization that is comprised of technology, healthcare and telecommunications experts who are working together to build the first broadband telehealth network in the state of Oregon .
  5. 5. Who we aren’t <ul><li>The FCC Rural Health Care Pilot Program </li></ul><ul><ul><li>OHN is an awardee of the RHCPP </li></ul></ul>
  6. 6. Why are we doing this? <ul><ul><li>All Oregonians should have access to the best possible healthcare regardless of location. </li></ul></ul>
  7. 7. Who do we serve? Hospitals/Healthcare Systems <ul><li>Government Agencies </li></ul><ul><ul><li>State </li></ul></ul><ul><ul><li>City/Regional </li></ul></ul><ul><ul><li>National </li></ul></ul>Payers & Pharmacies <ul><li>Allied Health </li></ul><ul><li>& </li></ul><ul><li>Long-Distance Education </li></ul><ul><ul><li>Community Colleges </li></ul></ul>Long-Term Health & Assisted Living Facilities <ul><li>Clinics </li></ul><ul><ul><li>Rural Health Clinics </li></ul></ul><ul><ul><li>Federally Qualified Rural Health Clinics </li></ul></ul><ul><ul><li>Tribal Health Clinics </li></ul></ul><ul><ul><li>Mental Health Clinics </li></ul></ul><ul><ul><li>Private Practices </li></ul></ul>
  8. 8. Organizational Update History , Model & Focus
  9. 9. OHN: History and timeline 6/30/10 Contract approval deadline 9/2006 FCC establishes RHCPP to cover 85% of costs to install broadband networks 9/2007 OAHHS + TAO work to establish OHN 2/2009 OHN hires Exec. Director and Incorporates 5/2009 FCC funds commitment letter for RFP 1 6/2009 RFP 2 posted 10/2009 Post RFP 3 11/2009 Post RFP 4 4/2013 Migrate eligible sites to regular FCC Program 4/2014 RHCPP Concludes 11/2007 FCC selects 69 recipients / allocates $417m to RHCPP Allocates $20m over 5 years to OHN 10/2008 OHN issues 1 st Network RFP 5/ 2009 RFP 1 FCC funding 11/2009 RFP 2 FCC funding 12/2009 Post RFP 6 12/2010 Post RFP 5 5/2014 Ongoing Participation 5/2009 OHN hires Office Mgr 10/2009 OHN hires Ops Director , Business Dev. Mgr & IT Proj. Mgr. 2006 2007 2008 2009 2010 2011 2012 2013 2014
  10. 10. Business Model: Leveraging FCC Subsidy Establish the OHN Network Build Network Infrastructure and Participant Base Provide Technical Support for Network 1-2 Yrs 3-5 Yrs Provide Value Add Service Offering Capitalize on New Opportunities 5 Yrs + Best Practices Applications & Equipment Strategic Partnerships Tech Support and Training Policy and Advocacy Exploring Future Opportunities Working with new payer models / groups Providing telehealth to the patient’s home Facilitating new telehealth applications Additional Suite of New Value Added Services ( TBD if OHN or Strategic Partner’s Deliver) Consulting services for Telehealth design and delivery Special needs training Standardization of applications and equipment Continuing to Develop Long-Term Strategic Partners TAO OAHHS Cisco Peer Technologies Intel etc. Target New Customer Groups K-12 Institutions (clinics and counselors) Retail Pharmacies Health Care Payer Groups Government Organizations Assisted Living Facilities
  11. 11. FCC Rural Healthcare Pilot Program (RHCPP) Requirements and timeline
  12. 12. RHCPP: What is it? <ul><li>What is the Rural Health Care Pilot Program (RHCPP)? </li></ul><ul><ul><li>The RHCPP was established by the FCC to help public and non-profit health care providers deploy a state or regional dedicated broadband healthcare network and, at the applicant’s discretion, to connect that network to Internet2, National LambdaRail (NLR), or the public Internet </li></ul></ul><ul><ul><ul><li>69 projects were awarded funding; representing 42 states and 3 territories </li></ul></ul></ul><ul><ul><ul><li>$417 million in total funding </li></ul></ul></ul><ul><ul><li>Shared cost reimbursement program for non/recurring telecommunications charges that will support the connection of more than 6,000 public and non-profit health care providers nationwide to broadband telehealth networks </li></ul></ul><ul><ul><ul><li>No funds for operations/administration </li></ul></ul></ul><ul><ul><li>Not a grant ; a subsidy from the Universal Services Fund (USF) </li></ul></ul><ul><ul><li>5 year program </li></ul></ul><ul><ul><ul><li>All funds must be contracted by June 2010 </li></ul></ul></ul><ul><ul><ul><li>Expenditures over five years (May 2014) </li></ul></ul></ul>
  13. 13. RHCPP: What is it? cont. <ul><li>Wh at are the requirements and payouts of the RHCPP program? </li></ul><ul><ul><li>85% subsidy paid to telecommunications vendors (non/recurring costs) </li></ul></ul><ul><ul><ul><li>OHN pays 15% match for non-recurring </li></ul></ul></ul><ul><ul><ul><li>OHN participant (site) pays 15% match for recurring over the course of the 5 year program </li></ul></ul></ul><ul><ul><li>Competitive bidding – no exceptions </li></ul></ul><ul><li>Who is qualified to participate and receive RHCPP subsidy Funding? </li></ul><ul><ul><li>All non-profit hospitals </li></ul></ul><ul><ul><li>All Federally Qualified Health Centers </li></ul></ul><ul><ul><li>All Rural Health Clinics </li></ul></ul><ul><ul><li>All Community Colleges </li></ul></ul><ul><ul><ul><li>For Health Education Programs </li></ul></ul></ul>
  14. 14. RHCPP: Nationwide Recipients New England Telehealth $24.6 million CA Telehealth Network $21.9 million Illinois Rural Health $21.0 million Michigan Public Health $20.7 million Oregon Health Network $20.2 million Rural Nebraska Healthcare $19.2 million Indiana Telehealth $15.9 million Louisiana Dept. of Hospitals $15.9 million Southwest Telehealth $15.3 million Southern Ohio Healthcare $13.8 million Montana Health Info Exchange $13.5 million
  15. 15. RHCPP: OHN’s model <ul><li>How is OHN’s Pilot Program Different? </li></ul><ul><ul><li>We’re a state-wide network (vs. regional) </li></ul></ul><ul><ul><li>Leased vs. owned network </li></ul></ul><ul><ul><ul><li>Network of existing networks; leveraging existing network infrastructure </li></ul></ul></ul><ul><ul><li>Start up vs. hosted program (example: state university) </li></ul></ul>
  16. 16. OHN Participation : status <ul><li>RFP 1: Contracted 7 sites </li></ul><ul><ul><li>Network Operations Center (NOC) </li></ul></ul><ul><ul><li>Wallowa Memorial Hospital </li></ul></ul><ul><ul><li>(2) Blue Mountain Community College </li></ul></ul><ul><ul><li>(3) Oregon Coast Community College </li></ul></ul><ul><li>RFP 2: 22 sites in final contract negotiations </li></ul><ul><li>RFP 3: Posting Oct 2009 </li></ul><ul><li>RFP 4: Posting Nov 2009 </li></ul><ul><li>RFP 5: Posting Q4 2009 </li></ul><ul><li>RFP 6: Posting Q1 2010 </li></ul>Creating awareness about OHN and the RHCPP time limitation continue to be our greatest challenges. Collaboration is the best and only means for us to address them. “ ”
  17. 17. Network Operations Center (NOC) Core Service Offering Overview
  18. 18. NOC: Service Overview <ul><li>Who manages the NOC? </li></ul><ul><li>Easystreet Online services has been contracted to run/operate the NOC for OHN. </li></ul><ul><li>What does it do? </li></ul><ul><li>Monitors the network to ensure that each telecommunications vendor meets the contractually committed quality of service on its portion of the network. </li></ul><ul><li>Leaf node devised for end-to-end monitoring, troubleshooting etc. to minimize finger pointing </li></ul><ul><li>How does is help OHN Participants? </li></ul><ul><li>OHN participants may contact the NOC for help whenever they have technical network problems. NOC staff will work with the telecom vendors to identify and resolve any problems. </li></ul>
  19. 19. Status & Next steps Progress & priorities
  20. 20. Progress <ul><li>5 th largest awardee of RHCPP; 62 approved programs nationwide </li></ul><ul><li>From OAHHS/OREF > 501(c)3 </li></ul><ul><li>Raising $3.8 million + </li></ul><ul><li>Sustainability Plan </li></ul><ul><li>Business Plan </li></ul><ul><li>NOC design/deployment; 6 sites currently being monitored </li></ul><ul><li>Admin Infrastructure </li></ul><ul><ul><li>Web-based/MS Sharepoint portals; workflow and process mapping </li></ul></ul><ul><ul><li>Staff 0 – 6 (capped) </li></ul></ul><ul><ul><ul><li>Operations Director: Kim Klupenger </li></ul></ul></ul><ul><ul><ul><li>Associate Proj. Coord: Cathy Britain </li></ul></ul></ul><ul><ul><ul><li>Business Development Manager: Mary Erichsen </li></ul></ul></ul><ul><ul><ul><li>IT Project Mgr (contract): Peter Trnavskis </li></ul></ul></ul><ul><ul><ul><li>Office Mgr: Deborah Galiel </li></ul></ul></ul><ul><li>Marketing </li></ul><ul><ul><li>New CMS website (Drupal) </li></ul></ul><ul><ul><li>Messaging/materials </li></ul></ul>
  21. 21. Priorities <ul><li>Best leverage RHCPP opportunity (June 30, 2010 Deadline) </li></ul><ul><ul><li>Request to FCC to extend deadline made in October; leverage other RHCPP’s with central voice </li></ul></ul><ul><ul><li>Leverage anchor tenant organizations in rural communities throughout Oregon </li></ul></ul><ul><li>Operational Development & Compliance </li></ul><ul><ul><li>Improved customer service/communications </li></ul></ul><ul><ul><li>NOC deployment and reporting </li></ul></ul><ul><ul><li>RHCPP customer invoicing/approval application and reporting </li></ul></ul><ul><ul><li>Site and vendor portal deployment and improvements </li></ul></ul><ul><ul><li>Fundraising </li></ul></ul><ul><li>Education & Awareness </li></ul><ul><ul><li>Co-sponsored webcasts; value of telehealth/issues that are better supported by OHN connectivity </li></ul></ul><ul><ul><li>Community visits/face-time; listening to needs of communities and organizations </li></ul></ul><ul><ul><li>Encouraging OHN participants to become anchor tenants in co-educating surrounding community partners </li></ul></ul><ul><ul><li>Encourage and support community based strategic partnerships/commitment </li></ul></ul><ul><ul><li>Develop, and nurture stake-holder and strategic partner network (non-profit, government, industry) </li></ul></ul><ul><li>Model For-Profit Solution </li></ul><ul><li>Value-Added Service Offering </li></ul><ul><ul><li>Stakeholder Focus group; identify and prioritize what the “need” is, and which are appropriate for OHN to help directly or indirectly </li></ul></ul>
  22. 22. Questions? Please help spread the word! Kim Lamb Executive Director [email_address]
  23. 23. Thank you & visit us online: www.oregonhealthnet.org www.oregonhealthnet.org

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