Recommended
Recommended
More Related Content
Similar to Mobile Health Symposium #HIMSS15 Session Mh2
Similar to Mobile Health Symposium #HIMSS15 Session Mh2 (20)
More from 3GDR
More from 3GDR (20)
Recently uploaded
Recently uploaded (20)
Mobile Health Symposium #HIMSS15 Session Mh2
- 1. Establishing Connections – Infrastructure Enabling mHealth April 12, 2015 Tom Reid, Southern Ohio Health Care Network Ali Youssef, Solutions Architect, Henry Ford Health System DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
- 2. Conflict of Interest Thomas Reid Patent Holder: SEED Protocol Ownership Interest: SEED Protocol LLC Not directly related to topic of presentation © HIMSS 2015
- 3. Conflict of Interest Ali Youssef, Solutions Architect, Henry Ford Health System Has no real or apparent conflicts of interest to report.
- 4. Learning Objectives Identify wired and wireless needs in healthcare settings Identify funds and solutions which enable mHealth technologies Assess the impacts of sourcing funding to increase capacity
- 5. Tom Reid Southern Ohio Health Care Network
- 6. Payers becoming providers Employers managing chronic conditions Calculated “shots” to identify services offering the strongest ROI Reducing costs of chronic disease care a tempting target Dangerous Game of Battleship
- 7. mHealth for Chronic Disease 9 to 1 Maximum 4 to 1 Minimum But deployed for < 0.5% of chronic disease patients Costs of $230 PMPM Savings of $980 to $2,030 PMPM Demonstrated ROI
- 8. Payers as Caregivers o Risks shifting the patient’s relationship o Reimbursement negotiations would become even more difficult Innovate now to keep the hearts and minds of the patients Lead the Disruption or Be Disrupted
- 9. Fee-for-service dependency Lack of reimbursement Slow adoption of new practice models Broadband availability The Obstacles
- 10. 10 Leveraging the FCC Funding Power of Consortiums Critical Role of Health Care Providers Expanding Broadband
- 12. Expand access to world-class care Improve health outcomes Defend rural health systems from urban poaching Provide professional development for rural health care providers Broadband as a key missing ingredient SOHCN Vision
- 13. Expand access to world-class care Improve health outcomes Defend rural health systems from urban poaching Provide professional development for rural health care providers Broadband as a key missing ingredient SOHCN Vision Founding health care providers
- 14. 34-County Service Area 17,000 square miles* Average density = 3.2 households per square mile U.S. average density = 33 households per square mile Largest city = 10,000 households *110% size of Massachusetts and Connecticut combined
- 15. Lack of Access In 2008, policy makers were declaring victory 95% of Ohioans had broadband available But the remaining 5% spread across a large area
- 16. Lack of Access In 2008, policy makers were declaring victory 95% of Ohioans had broadband available But the remaining 5% spread across a large area 58.9% of the service area without broadband of any kind We changed the conversation by visualizing the data
- 17. The Grip of Poverty 11 poorest counties in Ohio Crushing childhood poverty rates High unemployment
- 18. Promise in the Region Human Resources + Strong work ethic + Family-friendly communities Natural Resources + Natural beauty + Natural gas and coal Economic Drivers + Farming + Niche Manufacturing + Health care + Tourism Areas of Growth + Biomedical research + Engineering development + Solar and wind energy + Information technology
- 19. Phase I in 13 Counties o $30 million o $16 million from the FCC Phase II in 21 Counties o $104 million o $66 million from NTIA Incumbent Reaction Successes!
- 20. Near Flame Out – Phase I Community broadband restrictions “Excess capacity” and “fair share” provisions
- 21. Smooth Landing – Phase I Negotiated solution with FCC on community broadband IRUs for 16,000+ fiber miles retained by SOHCN 100+ sites connected Generating >$2 million in annual savings
- 22. Partnership Potential Moving Forward Healthcare Connect Fund o Expanding reach of fiber broadband o Providing carrier redundancy o Expanding membership Health Care as Community Leaders o Continued Broadband Expansion o Economic Development o Supporting K-12 Health Care Priorities o Chronic Disease Management o Reinvention of Care Model
- 23. Aren’t We Done Yet? FCC Universal Service Fund Programs Impacting Rural Broadband o Connect America Fund o Healthcare Connect Fund o E-Rate for K-12 o Mobility Fund Implications of Physical Isolation Reduces compliance with follow-up appointments Increases windshield time for home care nurses
- 24. Key Features of New FCC Program Healthcare Connect Fund (HCF) o Lessons learned from Pilot program o “Streamlined” process 65% Subsidy Covering o Site-to-site connections o Internet access o Fiber construction Support for both primary and back-up connections, including use of multiple carriers Acceptance of multi-year contracts resulting from competitive bidding
- 25. Consortium Benefits Pooled purchasing power to lower pricing Collectively comply with HCF’s 51% “rurality” requirement Zero administrative load on the Members, addressed instead through consortium: o USAC invoice processing o FCC reporting o Carrier relations o Intervene on Members’ behalf as needed Collective effort will have more impact in expanding broadband across the region
- 26. HCF Myths Complicated Lowest bidder trap Costs exceed savings
- 27. HCF Realities Easy to outsource operations “Best value” bid criteria Flexible purchasing mechanism (but not mandatory) Low operational consortium overhead Net 50% or more in savings on telecommunications costs
- 28. Expansion of fiber-based broadband services across the service area Deeper reach of fiber networks Speeds 4G deployment by mobile carriers Bonus Round!
- 29. Key RFP Criteria for “Best Value” Architecture Capacity Availability Performance Tier 1 Internet Capacity Key Terms o Meet or Beat o Right to Upgrade o Escalating SLA Penalties
- 30. Wireless coverage expensive to achieve in our terrain Expansion of Mobile Coverage
- 31. Wireless coverage expensive to achieve in our terrain Verizon has dramatically expanded 4G coverage riding our fiber AT&T has also expanded and upgraded services significantly Now 4G reaches a large percentage of our population Ready for mHealth deployment even in our VERY rural area Expansion of Mobile Coverage
- 32. Geo-Referencing Geographic analysis of locations of patient population to 4G coverage Emergency response improved with mobile location services
- 33. Hard to call the winners at this point But we’ve learned from previous technological disruptions … You can’t stop the wave … Unstoppable
- 34. Hard to call the winners at this point But we’ve learned from previous technological disruptions … You can’t stop the wave … So better to learn how to surf! We can help Unstoppable
- 35. Questions Past seven years o $900 million in projects o $174 million in Federal funding Federal Agency Expertise o FCC o NTIA o USDA o ARC Tom Reid Tom@ReidConsultingGroup.com 740-590-0076
- 36. Establishing Connections – Infrastructure Enabling mHealth April 12, 2015 Tom Reid, Southern Ohio Health Care Network Ali Youssef, Henry Ford Health System DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
- 37. Ali Youssef Solutions Architect, Henry Ford Health System
- 38. Henry Ford Health System HFHS is a not-for-profit organization primarily located in Southeast Michigan. More than 23,000 total employees. 3.2 million outpatient visits and more than 88,800 surgical procedures (2013) More than 89,000 patients admitted to HFHS hospitals $6.018 billion total economic impact of HFHS on metro Detroit with revenue accounting for $4.52 billion
- 39. MHealth at Henry Ford Wi-Fi instrumental to MHealth strategy Over 100 facilities and 8 million square feet of Wi-Fi coverage. 9,000+ concurrent guests and 14,000 concurrent Wi-Fi devices daily Use cases inside, and outside the hospitals, and many apply to both. MHealth advisory council/steering committee. • Guest Access • Medical Devices • BYOD • Employee Devices • Phones • RTLS • IOT Inside Hospital • VRI • Telemedicine • Home Care • E-care Outside Hospital
- 40. Mobility spectrum Indoor Voice handsets (900-928 MHz; DECT 6.0 1.93GHz) Medical Body area networks (2360-2400 MHz) Bluetooth and BLE (2.4 -2.485 GHz) Cellular Distributed Antenna Systems (3G, 4G) Zigbee (2.4 GHz) Telemetry WMTS (608-614 , 1395-1400 , and 1429-1432 MHz) WLAN/Wi-Fi (2.4 GHz, and 5 GHz)
- 41. Wired and wireless QoS strategy. High availability design for Wi-Fi Aps/controllers Onsite RF Design surveys Ongoing Capacity planning IEC 80001 risk management framework for networked medical devices Security strategy Standard device testing and onboarding process. Security strategy and roadmap Focus on QoE Anatomy of Mhealth ready Infrastructure
- 42. 8 Video Remote Interpretation Targeting Deaf and hard of hearing patients and staff by providing remote American Sign Language translators. Custom wired and wireless system developed End to end QoS implemented Initial POC deployment in Emergency Departments. Cost savings realized for short duration sign language translation requirements by providing timely access to care.
- 43. 8 LTE Unlicensed Extension of LTE network in Unlicensed 5GHz space. One more contender for small cell deployments Further coexistence testing with Wi- Fi in the 5 GHz band in progress. *Graphic by Qualcomm
- 44. 8 “Wi-Fi Enabled Healthcare” Focusing on its recent proliferation in hospital systems, Wi-Fi Enabled Healthcare explains how Wi-Fi is transforming clinical work flows and infusing new life into the types of mobile devices being implemented in hospitals. Drawing on first- hand experiences from one of the largest healthcare systems in the United States, it covers the key areas associated with wireless network design, security, and support.
- 45. Questions?