WVTA Presentation to key stakeholders - 11/2012

Improving Broadband InfrastructureFor West Virginia’s Health Care

Larry Malone and Jack ShafferNovember 27, 2012

RHCPP Objectives

– Interconnect state and region-wide broadband health care networks

– Aid greater use of telehealth applications and learning– Facilitate electronic health information exchange and EHRs– Provide Internet2 connectivity

= Improved rural health care and outcomes

Eligible Entities

- Rural health care centers

- Critical access hospitals (non-profit)

- Mental health clinics (non-profit)

- Medical teaching institutions (Marshall, CAMC,

WVU and the West Virginia School of Osteopathic

Medicine)

- County health departments

- School-based clinics

- Free clinics

- ERs in for-profit hospitals that provide Medicare

WV Telehealth Network

Accomplishments

• Organized a statewide coalition focused on telehealth and health IT• Formed a non-profit organization and dedicated board of directors• Secured multi-million-dollar FCC grant to improve telehealth and

broadband infrastructure• Secured $600,000 Benedum grants• Secured $800,000 in additional funding from state (HCA and DHHR)• Developed a first-rate technical implementation plan – nearly $10

million project• Aggregated need/demand from health care locations across the state

– Group purchasing power– Enhanced service agreements and quality – Improvements in rural connectivity

• Completed projects – – Metro Fiber Build– Advanced broadband connections to 90+ locations

• Telehealth outreach project• Participating in state’s HIT coordination council/strategic HIT plan

RHCPP Project #1

Metro Fiber Project• Marshall University (for its health education programs, courses)• Marshall University Joan C. Edwards School of Medicine• St. Mary’s Medical Center• Cabell-Huntington Hospital

Benefits:• Provide advanced broadband interconnection among these

institutions for the exchange of health information and health education purposes

• Will allow rural health centers added remote access capabilities (via telehealth) to the physicians and specialists at these interconnected organizations 

• Will provide a fiber connection point to bring Internet2 service into the state, particularly into southern and central West Virginia

– New Fiber – Existing MU Fiber

– OARnet/Internet2

Huntington Metro Fiber Build ProjectFiber Routes

– New Fiber – Existing MU Fiber – OARnet/Internet2

Huntington Metro Fiber Build ProjectFiber Routes

RuralHealth Clinics 10 Gig Fiber Connections

1 Gig Connection to Internet2

:1009080706050403020100•••••••••••••••••

Image Transfer Speed Comparison

– Huntington Metro Fiber

– Regular Connection

•••••••••••••••••

RHCPP Project #2

Telco Services/WAN Procurement

90+ locations opted to participate and sign contracts

Purchasing Groups:Partners In Health/CAMCCommunity Health Network of WVValley HealthWV United Health System/ University Health AssociatesWheeling HospitalMinnie Hamilton

Winning Vendors:– Comcast– Frontier– Lumos/nTelos– Verizon

W.Va. RHCPP Participants

Provided are the entities that signed RHCPP contracts:

 Beckley Health RightBelington Community Medical ServicesCabell Huntington HospitalCAMCCommunity Health Network of WVFamily CareHighland Hospital Assoc.Lincoln Primary Care CenterMinnie Hamilton Health SystemMonroe Health Center

Pendleton Community Care

Preston Health Care Corporation

Primary Care Systems, Inc.Roane General HospitalStonewall Jackson Memorial HospitalTri-County Health Clinic, Inc.Tug River Health AssociationUniversity Health AssociatesValley Health SystemWebster County Memorial HospitalWest Virginia Health Right, Inc.West Virginia United Health SystemWheeling Hospital, Inc.

RHCPP Benefits

WAN Bandwidth # Sites

Internet Only 3

1.5 Mbps WAN 40

3 Mbps WAN 3

10 Mbps WAN 37

100 Mbps WAN 13

1,000 Mbps WAN 3

WVTA has met and exceeded its goal of providing at least T-1 service to all healthcare sites, with 40 % of participating locations signing up for T-1s. Moreover, 54 % of participating locations are purchasing service that is at least six times better than T-1 service. Some locations (15 %) are even purchasing 100 Mbps or 1,000 Mbps service.

RHCPP BenefitsImproved broadband connectivity will provide a number of benefits:• Enable greater use of telehealth services and connections that will

enable improved diagnostic capabilities and specialty treatment options:

• Peri-natal project• Tele-stroke• Tele-psychiatry/therapy

• Transmission of medical data for diagnosis, treatment or follow-ups;• Enable better group purchasing power and enhanced reliability and

quality of service• Foster tele-training and educational opportunities; and• Dedicated virtual private networks to ensure security, reliability and

connectivity

Major RHCPP Beneficiaries

• CAMC• WVU Hospital System• Wheeling Hospital• Metro Fiber

– St. Marys– Cabell-Huntington– Marshall School of Medicine

• Community Health Network

Telehealth In Action

• St. Mary's Medical Center Remote Presence Telestroke Carehttp://www.youtube.com/watch?v=E7c7LIxnX-A

• West Virginia Perinatal Project– Perinatal consults– Consults in pediatric cardiology, neurology, and neuro surgery

• WVU Telepsychiatry Programhttp://www.mnn.com/money/green-workplace/blogs/wvu-expands-telepsychiatry-program

• Valley Health– Remote site behavioral health telemedicine

RHCPP Project #3

Intercarrier Metro/MPLS Hub Project

Hub will serve as the backbone for the entire WVTA’s network of networks:1) allow health care providers to connect to the West

Virginia Telehealth Alliance network regardless of broadband vendor

2) allow for other hospitals and health care education facilities to connect seamlessly to the larger telehealth network

Questions?