1. Presented by Tommy Nguyen PAD 7472 December 2012

2. High-speed Internet that allows users to usethe Internet at a higher speed than dial-up Speeds can range from 200 kilobits per second(kbps) to 100 megabits per second (Mbps) Sound, images, and text are delivered as bitsof data 3. Digital Subscriber Line (DSL)-transmits datafaster over copper telephone lines Asymmetrical Digital Subscriber Line (ADSL)- usedin residential homes Symmetrical Digital Subscriber Line (SDSL)- used inbusinesses Cable Modem- provided through the cablesthat connect to your TV. (comparable to DSL orfaster) Fiber Optic- sends data as light through glassfibers (faster than DSL and Cable) 4. Wireless or wireless fidelity (Wi-Fi)- short-range tech that is used in conjunction with DSLor a cable modem Mobile broadband Satellite- provides more coverage, but speedsare slower than DSL and cable 5. Percentage0% 10% 20%30% 40% 50% 60% 70% May-96 Nov-96 May-97 Nov-97 May-98 Nov-98 May-99 Nov-99 May-00 Nov-00 May-01Month/Year Nov-01 May-02 Nov-02 v. Dialup May-03 Nov-03 May-04 Nov-04Dialup Trends in Home Internet Access: Broadband Broadband at Home 6. The Alaska Federal Healthcare Access Network (AFHCAN) links at least248 sites throughout the state. These sites include military sites, regionalhospitals, and small village clinics. The 82-site Missouri Telehealth Network provides services in medicalspecialties such as radiology, cardiology, and mental health by using fiberoptic broadband. As of today, 57,500 Teleradiology exams have beenconducted. The ANGELS program sponsored by the University of Arkansas linksphysicians to pregnant women to 40 sites in rural communities to reducethe rate of low birth weight babies and better pre-natal care. 7. The United States spent nearly $2.6 trillion in2010 Also, the US spends $7,960 per capita as of 2009 Health expenditures accounted for 17.9% of thenations Gross Domestic Product (GDP) in 2010 8. Total Expenditures on Health as aPercentage of GDP 18 16 14 12Percentage 10864201980 1985 1990 1995 2000 2005 2009 Year 9. Reduce costs A study done by Penn State University estimated thatremote health monitoring with the use of broadband cutcosts from approximately $283,000 to about $87,000 perpatient for one group of diabetes patients, a difference of$196,000 or 69% Reduce waste by digitalizing health records andeliminating the traditional method of record-keeping Connect rural communities to hospitals andcaregivers Illinois is using DSL and cable to link medical educationand training to 52 rural hospitals viavideoconferencing, web streaming, and satellitebroadcasts 10. 1. Network security Sensitive information could end up in the wrong hands2. Transmission bandwidth There may not be enough bandwidth in some cases to video conference, or use two-way audio 11. The Recovery Act was passed on February13, 2009 which invested $7 billion to expandbroadband access nationwide that improvedbroadband connectivity in rural areas, andincreased the Internet capability inlibraries, hospitals, schools, and othercommunity buildings National Broadband Plan (NBP) provideplans, goals, and suggestions for improving theaccess of broadband, affordability, and high-speed Internet performance. 12. 1. Creating economic incentives for using broadband2. Congress, states, and the Centers for Medicare and Medicaid Services should reduce barriers that prevent the adoption of health information technology3. The Office of the National Coordinator for Health Information Technology (ONC) should standardize protocols for sharing clinical data and research4. FCC should establish funds to subsidize network operation to health care delivery areas where existing networks are deficient 13. Business challenges difficult to provide and increase access to broadband, while remaining cost-effective In 2010, the Massachusetts Broadband Institute provided $71 million in funding for constructing broadband infrastructure. However, a business model for telecommunications is missing to provide affordable broadband service to customers, particularly in rural areas where it is difficult to provide service to a low population area for an affordable price Economic challenges The idea and utilization of broadband in health is still relatively new and will remain experimental for some time, thus pilot programs that were mentioned previously will continue to be extra expenditures and will continue to add to the health budget 14. Government could reduce health carecosts, and close the economic gap between thewealthy and those who are unable to afford it electronic health records and remote monitoringtechnology could alone create over $700 billion in netsavings over 15-25 years. (FCC, 2012) Improve the quality of care Health care can be more easily accessible forpatients who live in communities that are faraway from centers.