For Public Safety, By Public Safety - NOSORH · For Public Safety, By Public Safety. 21st Century EMS Communications Systems: “Brick”to the Tricorder & FirstNet! Kevin McGinnis,

www.firstnet.gov

National Rural EMS & Care Conference 2017Kevin McGinnis, Paramedic Chief (ret.)

FirstNet Board

April 25, 2017

For Public Safety, By Public Safety

21st Century

EMS Communications Systems:

“Brick” to the Tricorder & FirstNet!

Kevin McGinnis, MPS, EMT-P

Communications Technology Advisor

National Association of State EMS Officials

National Association of EMS Physicians

National Association of EMTs

National Association of EMS Educators

National EMS Management Association

FirstNet & AT&T: An Innovative Public – Private Partnership

Pre-1970 to 2014

EMS FrequenciesVHF – 155.xxx MHz

– 155.340/155.175 (ambulance to hospital)

– 155.280 (hospital to hospital)

UHF – 463.xxx/468.xxx MHz

– (10 “MED Channels”)

– Frequency Coordination

– Voice Communications

– Biotelemetry

Telephone

700/800 MHz

EMS Needs Improved Communications

Technology

EMS Information Needs“I wonder….” Situational Awareness

“We wonder…” Common Operating Picture

Sequential Processing Parallel Processing

Inability to Adopt Available Diagnostic Applications

What We Need to Improve Info:

Network of Data Bases

– Resource Status

– Events Status

– Adequate Bandwidth to Push/Pull/Park Data:

Voice

Other (Complex Biotelemetry, Video, Images)

GIS- (Visually) Based User Interfaces

– Smartphone, Tablet, Laptop, Desktop

≠ 20+30+50+40 Minutes

Trauma, Heart Attack, Stroke…..

THE GOLDEN HOUR Time Dependent Life Threatening Conditions

© First Responder Network Authority

MERCY

HOSP.

CITY TRAUMA CTR.

LIFE FLIGHT

UNITED AMB.

CITY FIRE/RESCUEMVC

CARDIAC

DIABETIC

EMSREMS

RIDGEWAY HOSP.

JONES MEM. HOSP.

(DIVERT)

RIDGEWAY EMSVERNON FD

VOLUNTEER

AMBULANCE

NEW SHARON FD

1ST RESPONDERS

RIDGEWAY FD

EXTRICATION/HAZ MAT

MVC

2 Patients/45MPH

1001 Hendrix Highway (Nash/Oak Sts.)

Toyota Prius/Object/Head On

++Airbags ++Belts

++Severity

Ridgeway EMS 1

MVC

Other Medical

Alarms

EMS INFORMATION NEEDS

Injury Severity Predictor Allows Early Launch of Resources

8/14/2013 © First Responder Network Authority 13

MERCY

HOSP.

CITY TRAUMA CTR.

LIFE FLIGHT

UNITED AMB.

CITY FIRE/RESCUEMVC

CARDIAC

DIABETIC

EMSREMS

DOTREMS

RIDGEWAY HOSP.

JONES MEM. HOSP.

(DIVERT)

RIDGEWAY EMSVERNON FD

VOLUNTEER

AMBULANCE

NEW SHARON FD

1ST RESPONDERS

RIDGEWAY FD

EXTRICATION/HAZ MAT

MVC

Ames St. to Clark St. to Old

Highway (E); 15.2 Mi.s;

#3945 Old Highway

Ridgeway EMS 1

MVC

ROAD CLEARANCE

Lights + /Cars ++ETA: 10 Min’s.

ETA: 12 Min’s.

Team On Alert for Pt:+

ED On Alert for Pt: +

Team On Alert for Pt:+

Parallel Processing

EMS UAS/Drone for Scene “Preview”

EMS INFORMATION NEEDS

FirstNet devices will improve accident triage and enable parallel processing.

8/14/2013 © First Responder Network Authority 17

Other Technologies

– Two Way Telemedicine (Virtual MD/Community Paramedicine)

– Portable Ultra Sound (Video & Images)

Happening today!

4/26/2017

Other Technologies

– Multiple Patient Monitoring (Mass Casualty Incident)

– Multiple Responder VS Monitoring

Other UAS Uses

Other Predicted Technologies

– http://www.npstc.org/ems.jsp “Documents”

− EMS Based Routine Patient Monitoring

− Automated Dispatching Based on Monitored Patients

and Vehicles

− Audio/Video/Data Interfaces with “I’ve fallen” Systems

− Access to Searchable Patient Records/Images/Data

− Real-Time Vehicle Extrication Hazards Alerting Based

on AACN Including Video/Images as Necessary

− Syndromic Surveillance and Quick Alerting to Specific

Populations

− Physician Mediated Interface Between EMS Dispatch,

EMS Crews and Nurse Call Centers

VHF/UHF

Won’t Cut It:

– Current: < 9.6+ kbps @ 12.5KHz bandwidth

Early Dial-Up: 14.4 kbps

Current Dial-Up: 56 kbps

V.S. Transmission: 76+ kbps

Basic video (300-700 kbps)

Ultrasound/CT?

So Where Did That Leave Us?

The Situation Now

October 4, 2016

Mutual Aid

Police

FireRescueFirst

Responder

Over 20,000 Separate Private LMR Networks

Voice Data Commercial Wireless

Networks

The Downside• Communication barriers• Low data rates• Limited buying power• Higher costs

• Not public safety-grade• Network overload or failure• No priority access• Lack of interoperability

Creation of FirstNet

• Responsible for building the Nationwide Public Safety Broadband Network

• Independent Authority in U.S. Department of Commerce

• Nationwide license for 20 MHz of spectrum

• $7 Billion in authorized funding from spectrum sales

• 15 member Board of Directors including public safety

• 42 member public safety advisory committee (PSAC)

4/26/2017

“True Priority®” from FirstNet

4/26/2017

FirstNet & AT&T: An Innovative Public – Private Partnership

12

700 MHz Landscape

• FirstNet is the license holder for Public Safety’s Broadband allocation –Band 14

• Commercial Carriers also operate in several bands outside of 700 MHz

4/26/2017

AT&

T

AT&

TD

ish

AT&

T

Ve

rizon

PS

Bro

adb

and

PS N

arrow

ban

d

Ve

rizon

PS

Bro

adb

and

PS N

arrow

ban

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6 MHz 12 MHz 12 MHz 6 MHz 12 MHz 11 MHz 10 MHz 6 MHz 11 MHz 10 MHz 6 MHz

13 Band 1413 Band 14

17

2912

17

1 MHz Guard Bands

LMR LMR

DOWNLINK DOWNLINKDOWNLINKDOWNLINK UPLINK UPLINKUPLINK DLUL

FirstNet & AT&T: An Innovative Public-Private Partnership To Build Public Safety’s Network

20MHz

Spectrum &

$6.5B Funding

Customer

Experience

Innovation

Public Safety

Expertise &

Relationships

Program

Management

$180B

Infrastructure

& Services

Technology

Innovation &

$40B investment

Security (Cyber,

Application, &

Network)

Telecommunications

Expertise

IN

MODERNIZED

Innovative apps and large

devices ecosystem

Network improvements

and upgrades over 25 years

Multi-layered, proven,

cybersecurity and network

security solutions

PRIORITIZED

Emergency communications

receive highest Quality

Priority & Preemption

Rapid deployment of network

Instant nationwide coverage

leveraging existing

infrastructure

PUBLIC SAFETY

Counties, Cities,

Tribal, Rural

50 states

5 territories

& DC

COMMUNITIES

Transforming Public Safety Communications

ACROSS

Police, Fire, EMS,

911, others

FirstNet - Dedicated to Excellent Customer Experience (CX)

SPECIALIZED

Nationwide coverage with

access to deployables

Aggressive pricing for public

safety

Dedicated 24/7/365 public

safety helpdesk

THE NATION

Public Safety’s Priorities

What We Heard in Consultation

What We Plan to Deliver “Coverage must be the same”

“Same or lower cost”

“We need this now”

“Rural coverage critical”

“Device & Apps Ecosystem”

More than 99% of Americans covered

post Governor’s Decision

Aggressive public safety pricing

By end of 2017, QPP on all AT&T LTE

bands

Network evolution and access to 100s

of AT&T deployables + 72 BC14

FirstNet dedicated deployables

Robust Device & Apps Ecosystem

A RAN

Core Network

FirstNetRAN

Distributed CoreNetwork

EPCEvolved PacketCore network

SDPService Delivery

Platform

FirstNet “3-in-1” Nationwide Network Concept

N RAN

Core Network

FirstNetRAN

SatelliteCore Network

SatelliteCore Network

Operator A

Terrestrial Mobile Systems Mobile Satellite Systems Deployable Systems

System OnWheels

Cell OnWheels

Operator A Operator NOperator N

……

FirstNet

Network Components and Choices

35

CORE

RAN

DEVICES / SERVICE

Service Plan

Responsibility

Agency Choice

✓FirstNet

FirstNet (Opt In)

State (Opt Out)

February 27, 2015

Key Next Steps to State Plan Release

DRAFTFirstNet State Plan Release

FirstNet Presents State

Plans

States Submit Comments to

FirstNet

FirstNet Reviews

Comments

FirstNet State Plan Release

States Review Draft Plan

2017 Summer Fall 2017Ongoing Consultation, Outreach, Education, and Collaboration

What can YOU do?

• Know your “SPOC”–www.FirstNet.gov/consultation

oClick on the “State Single Point of Contact” tab

• Know the members of your SIEC • Communicate the Needs, Wants, and Possibilities of EMS• Get to the table!• Follow www.FirstNet.Gov

– Job opportunities– Blog

4/26/2017

FirstNet News & Information

38

State Single Points of Contact (SPOC): www.firstnet.gov/consultation

www.firstnet.gov• Blogs• FAQs• Fact Sheets• Presentations• Reports• Calendar of Events

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Google+ (+FirstNetGov)

YouTube (FirstNetGov)

Flickr (FirstNetGov)

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Stay ConnectedVisit our Website

Contact your State, Territory or Association Representatives

Engage with us on Social Media

Public Safety Advisory Committee (PSAC): www.firstnet.gov/about/public-safety-advisory-committee

Kevin McGinnis, MPS, Paramedic Chief (Ret.)FirstNet Board Member

[email protected]