1. Health Information Technology
in Rural Arizona
November 14, 2005
GOVERNMENT INFORMATION TECHNOLOGY
AGENCY (GITA)
and
Telecommunications Infrastructure Sub-Committee
(TISC)
2. WHAT BROADBAND CAN DELIVER
E- HEALTH - Including Tele-medicine, remote access to
specialist and multi-discipline consulting, health training,
remote triage during emergency transport
E- COMMERCE - including connection to world markets,
Tele-commuting, and all the benefits of the Information
age.
E- LEARNING - including vast improvements in student
learning, lower costs to deliver education material and
teaching, workforce development and lifetime learning.
E- GOVERNMENT - including lower cost to deliver
government services, a more responsive government, a
more accountable government.
3. Future Economic Impact on Arizona
Arizona is ranked 12th
in Broadband Deployment (2003
TechNet Report) among the States.
With full Broadband deployment in rural Arizona, we can
expect:
An estimated $8.5 Billion increase in GDP (based on
studies of the economic impact of Broadband
deployment; in 2003 by Gartner Group; in 2003 by CEBR
Ltd. - a British company; and in 2001 by Brookings
Institute).
$100 Million annual increase in revenue for State
government
11,500 new jobs, mostly hi-tech (Center for a Sound
Economy Report – Broadband deployment impact on
Arizona - by Wayne T. Brough, Dec 2003).
Increased Access to a Global Economy.
4. Barriers to Broadband Deployment in Rural Arizona
Leadership, Planning and Coordination is consistently identified as the
single most important factor to successfully deploy broadband.
A Lack of cooperation among the telecom providers, and indifference or a
lack of public and private cooperation
The Return on Investment for Telco’s in Rural Areas is insufficient to
support Broadband infrastructure build-out without a Technology
breakthrough or subsidy support.
Rights-of-Way Access is a significant barrier - including a morass of Federal,
tribal, state and local Rights of Way regulations, multiple jurisdictional
permitting, lengthy application approvals, unequal and prohibitive fees. We
must find a balance between the value of Rights of Way and the value of
Broadband based Economic Development.
A Lack of Funding subsidies. Arizona lacks sufficient access to E-Rate dollars
and to federal grant mechanisms. In addition, Arizona needs to establish
additional funding sources, such as its own Broadband Universal Service Fund.
when rates alone cannot carry the load of deployment
5. Other Barriers in Arizona :
Middle-Mile Fiber Connections
• Map at right reflects many of
gaps existing in the State. Fiber
bypasses many areas.
• Each population center
should have 2 paths in & out
for reliable telecom.
•Limited shared use or
interconnection of Telco Fiber
•Lack of redundant paths can
devastate whole regions when
outages occur.
•Lack of existing infrastructure
keep costs high
6. Examples of other States
N E B R A S K A
W Y O M I N G
U
T
A
H
N E W M E X I C O
O K L A H O M A
K
A
N
S
A
S
LATA BOUNDARY
303 -720 / 970 IntraLATA AREA CODE BOUNDARY
LOGAN
PHILLIPS
WASHINGTON
YUMA
MORGAN
ADAMS
WELD
LARIMER
BOULDER
KIT CARSONLINCOLN
CHEYENNE
KIOWA
BENT
PROWERS
BACA
LAS ANIMAS
OTERO
HUERFANO
PUEBLO
CROWLEY
EL PASO
ELBERT
DOUGLAS
ARAPAHOE
CLEAR
CREEK
JEFFERSON
PARK
FREMONT
CUSTER
ALAMOSA
COSTILLACONEJOS
ARCHULETA
RIO GRANDE
MINERAL
SAGUACHE
CHAFFEE
GUNNISON
LAKE
EAGLE
GRAND
JACKSON
ROUTT
MOFFATT
RIO BLANCO
GARFIELD
MESA
MONTROSE
OURAY
SAN MIGUEL HINSDALE
SAN JUAN
DOLORES
MONTEZUMA
LA PLATA
TELLER
SUMMIT
PITKIN
CONEJOS
GILPIN
COUNTY SEAT -
NETWORK ACCESS POINTS
COUNTY LINES
SEGWICK
DELTA
SILVERTON
TELLURIDE
OURAY
MONTROSE
LAKE CITY
DELTA
CRAIG WALDENSTEAMBOAT
SPRINGS
BRIGHTON
FT.
COLLINS
CORTEZ
DURANGO
DOVE
CREEK
GREELEY
STERLING
FT. MORGAN
OVID
JULESBURG
HOLYOKE
Akron
WRAY
GRAND
JUNCTION
GLENWOOD
SPRINGS
MEEKER
EAGLE
HOT
SULPHUR
SPRINGS
GEORGETOWN
LITTLETON
CENTRAL
CITY
BOULDER
GOLDEN
PAGOSA
SPRINGS
GUNNISON
CREEDE
DEL
NORTE ALAMOSA
SAN LUIS
SAGUACHE
SALIDA
BUENA
VISTA
WALSENBURG
TRINIDAD
WESTCLIFFE
CANON
CITY
PUEBLO
CRIPPLE
CREEK
ORDWAY
LA JUNTA
LAS
ANIMAS
SPRINGFIELD
LAMAR
EADS
ASPEN
LEADVILLE
FAIRPLAY
BRECKENRIDGE
CASTLE
ROCK
CHEYENNE
WELLS
BURLINGTON
HUGO
LIMON
KIOWA
COLORADO
SPRINGS
North
RIFLE
SOUTH
FORK
DENVER
SELF-HEALING FIBER OPTIC NETWORK
KREMMLING
COLORADO HIGH SPEED DIGITAL NETWORK
COLORADO: Fiber as a result of
the ongoing MNT Project
GEORGIA: Fiber as a result of
the 5-year Broadband fiber push
7. Recent Broadband Upgrades and
Improvements in Arizona (Since Feb 2005)
A. Rural Arizona, specifically in Mohave County, portions of Pinal
and Gila County, much of the White Mountains, and in South
Eastern Arizona, has had a significant upsurge in the availability
of DSL, including high speed DSL.
B. A number of Community Wireless projects are progressing at
various stages. These include Tempe, Tucson, Chandler, and
soon, Scottsdale.
C. Cable companies are providing increasing competition as ISP’s
and increased access to the Internet.
D. Communities all over the State are acknowledging the
importance of Telecom planning, and are instituting best
practices in their planning.
E. Arizona’s Tribal Governments are moving forward with their own
initiatives.
8. Economic Development Regions
The 11 Economic
Development Regions defined
by State Commerce
Department have prove
extremely useful.
A regional decision making
process is preferred for Federal
Telecommunication Grants.
There is also a natural “fit” as an
overlay to the State’s ILEC
interests, allowing for realistic
regional models of cooperation
and infrastructure build-out.
Regions are big enough for
sufficient aggregation of Supply
and Demand, leading to better
pricing, yet small enough for
quick decisions and
management of expectations.
9. MAP OF ARIZONA’S ILECs
Arizona’s 16 ILECs have assigned
territories with associated rights and
responsibilities granted by FCC.
(For purposes of intra-state long
distance rate structures, ILECS are
assigned to LATA’s, represented here
by hues of blue or pink/orange.)
Qwest is the dominant ILEC in the
state, with approximately 80% of
Arizona’s population within its
assigned areas. (About 15% of State’s
total area)
White areas are unassigned territories.
(These areas are beginning to experience
population growth, especially near urban
fringes.)
Most Intra-state FIBER networks are
owned by ILEC’s.
CLECs and other Phone companies
have regulated access to this ILEC
owned infrastructure for voice solutions.
10. • The State of Arizona Department of Administration is well
into the first phase of its Outsourcing plan. Accenture has
taken over the services formally provided internally by ATS, a Dept of
Administration entity, but now on a much larger and more centralized scale.
• A Carrier Services RFP is on the Street. The RFP is
specifically structured to handle the needs of State Agencies as
represented by Accenture, and the disparate Statewide
procurement needs of Rural government entities, including Counties,
Cities, Municipalities, Schools, etc. The RFP is qualified as an E-
Rate procurement, allowing schools to apply for E-Rate
subsidies.
C. The Governor’s Office has encouraged and supported,
through GITA and the Commerce Department, a number
of Telecom initiatives.
Recent Statewide Initiatives from State Government
impacting Telecommunications availability.
11. The GITA Director was assigned as the Chairman
of the Telecommunication Infrastructure Sub-Committee
(TISC) under GCIT.
Members of TISC were appointed from Government,
Education and the Public Sectors, including from ATIC.
Since its creation, TISC has provided a framework for the
the development of recommendations, plans and initiatives
related to telecom infrastructure in Arizona.
The Governor’s Council on
Innovation & Technology (GCIT)
Formed an Infrastructure Committee in October 2004
12. Overall Strategies & Initiatives to
Accomplish TISC’s Mission
Identify Telecommunications as a Critical Infrastructure.
Provide Statewide Telecom Planning and Coordination.
Facilitate alternatives for Telecom infrastructure Funding and
Financing.
Help identify ways to Aggregate Demand for Telecom Services
(TOPAZ).
Seek sources of Federal Funding (E-Rate, RUS, DHS, US
Commerce Dept. Grants).
Provide a Forum to discuss Rights-of-Way Issues.
Coordinate Community and Regional Assessments.
Educate Policy Makers
13. TISC – Accomplishments and Activities
during the Year 2005.
1. In February of 2005, with the League of Cities & Towns and
the Arizona County Supervisors Association (CSA), a formal
Request for Information (RFI) was issued to Telecom Vendors
2. The RFI was processed and by June of 2005 the RFI provided:
information:
- Information and Support for Eleven Recommendations
to expand Broadband services to Rural Arizona
- Guidelines to leverage State Government purchases
in building out Broadband via the State’s upcoming
Carrier Services RFP and Contract.
14. GCIT Recommendations
GCIT categorized the eleven recommendations into areas of
Leadership, Investment, and Policy Development.
GCIT is now in the process of developing plans to implement the
recommendations and create a continuing structure within the
council for telecommunication strategic planning.
1. Recommendations were authored by ATIC and TISC task
groups.
2. Recommendations were modified slightly and formerly
adopted by vote of TISC members and passed to GCIT.
3. After slight changes by GCIT, Recommendations were
formerly accepted
15. Recommendations (Divided by Category)
Leadership
- Establish a Telecommunications Infrastructure Advisory Group
- Consider Establishing a Broadband Authority
- Provide Support for the Development of a Statewide
Telecommunications Strategic Plan
- Convene a Series of Statewide and Rural Telecommunications
Roundtables
- Encourage the Arizona Corporation Commissions to Modify the
Current Arizona Universal Service Fund; or Establish an Arizona
Broadband Universal Service Fund
16. Recommendations (Continued)
Investment
- Provide State Support to Identify Potential Funding Sources and
Grant Writing
- Implement a Strategy to Facilitate increased use of Federal
E-Rate Subsidies
- Provide Ongoing Funding for Community Telecommunications
Assessments
Policy Development
- Adopt an Arizona Definition of Broadband to be 1Mbps
- Encourage Access to Local, State, Federal, and
Tribal Rights-of-way
- Monitor Legislative Actions to Ensure that Explicit or DeFacto
Barriers to Municipal Participation in Broadband Deployment
are Eliminated
17. In Addition, TISC has:
Begun the process of a State-Wide Strategic Telecom Plan
Engaged the FCC – Starting in October (Discussions
specific to Arizona)
Continued Outreach to Regions
Identified Funding Alternatives
Continued as a Center of Influence for telecom
infrastructure growth and best practices information
18. Other GITA Activities related to Broadband
Deployment
2. CANAMEX CORRIDOR AS A SMART CORRIDOR
3. OVERSIGHT OF DHS WIFI GRANT IN SOUTHERN ARIZONA
4. TRIBAL INTERFACE AND EXCHANGE
5. SUPPORT OF E-RATE PROCESSES IN ARIZONA
6. OVERSIGHT OF AGENCY TELECOM PROJECT INVESTMENT
JUSTIFICATION (PIJ)
19. • A 30-mile stretch of the CANAMEX Corridor near
Mexico will be “secured” as a First Responder WIFI
“hot spot” with sufficient access points to enable
in-vehicle “WIFI ready” devices moving into and
through the area to have mobile access to the
Internet or Internet based Virtual Private Networks
(VPNs), and with various applications associated
with those resources, at broadband (1 Mbps +)
speeds.
• First responder communities including the
Arizona Department of Public Safety (DPS), other
state agencies, Santa Cruz and Pima count law-
enforcement agencies, various fire departments
and other first responders will be equipped to take
advantage of this mobile “hot spot.”
• Telemedicine, Public and private enterprises and
schools will also have access to this “hot spot.”
• Combining access for public and private interests
will allow post-Grant “sustainability” of the project
as well as replication of processes by others.
•Elevation
3500ft to 3700 ft
WIFI Project in Southern Arizona
20. Power Pole Use for Project
•Simulated Mounting, to scale
