www.more.net | university of missouri copyright ©2007 morenet and the curators of the university of...
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www.more.net | University of MissouriCopyright ©2007 MOREnet and The Curators of the University of Missouri
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Telehealth in Missouri
Net@EDU Annual Meeting 2007
February 6, 2007
Health-Related Institutions
and the Role of State and Regional Networks
Ben Colley ([email protected])
Strategic Technologies
www.more.net | University of MissouriCopyright ©2007 MOREnet and The Curators of the University of Missouri
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Missouri Telehealth Network (MTN)
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MTN in detail
• Today, MTN has 115 sites in 44 Missouri counties
• Funding is from a combination of federal, state and institutional dollars.
• The sites provide personnel and in some cases monetary contribution.
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MTN - Applications
• Psych/Mental Health• Dermatology• Cardiology• Radiology• Neurology• Rheumatology• Rehabilitation• Autism• Surgical Follow-up• Internal Medicine• Genetics• Bioterrorism
Preparedness/ Response
• Endocrinology• Burn/Wound Care• Pre-operative Evaluation• ER Fetal Monitoring• Ethics Consultations• Geriatrics• Tele-Home Care/ Remote
Monitoring-Rolla• Admin. Meetings• Education• Interpretation
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RHC Pilot – how it might help Missouri
• Only four of the current telemed sites as part of the MTN have circuit costs higher than the established urban rate and therefore benefit under the current program guidelines.
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Determining Discounts
• Because of advancements in technology, the difference between the urban and rural rate is negligible for most telemed sites. (At least in Missouri).
• Many eligible sites do not see a benefit from the program under the current guidelines
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MOREnet’s Role in the Pilot Program
• Current network provider for the MTN• Extremely familiar with FCC programs
– eRate– RHC program
• Connected to Internet2
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Connectivity, Service, Support and Solutions
CUSTOMERS– Higher education– School districts– Public libraries– State government– UM Extension– Telehealth– Affiliates
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Kansas City Hub(UMKC) Columbia Hub
(UMC)
Jefferson City Hub(State Data Center)
Springfield Hub(MSU)
St. Louis Hub(UMSL)WorldNet
Great Plains
Internet2(Abilene)
Shared Network connects nearly 1,000 sites
Qwest
Sprint
Internet
Qwest
InternetSprint
2.4Gb Internet0.6Gb Internet2
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Current thinking about a Missouri proposal
• Increase the MTN presence into new communities
• Upgrade some existing MTN community connections to support advanced applications– High definition video conferencing and
consulting
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Pilot Challenges
• How many sites and what connection speeds in our proposal?
• Advanced services will take 12-18 months to deploy. Results will be hard to measure within a 2 year pilot.
• Cash flow. Historic reimbursement program vs. deployment costs.
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Guidelines – Accept or Except?
• Dark fiber not covered• Rural locations and cost differential• Reimbursement of costs• Etc…
• Risk determination.– How many exceptions to ask for– “Up to” nature of funding. Can you proceed at
a lesser level of funding?
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RHC Pilot goal: Distribution of Funds
• The Rural Health Care Program is actively seeking a mechanism to increase disbursements, thus the creation of the FCC Pilot Program
• We would like to help!