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The FCC Rural Health Care Pilot Program : Improving Access and Quality of Health Care throughout California Thomas Nesbitt, M.D., M.P.H. Executive Associate Dean, School of Medicine Director, Center for Health and Technology University of California, Davis

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The FCC Rural Health Care Pilot Program:Improving Access and Quality of Health Care throughout California

Thomas Nesbitt, M.D., M.P.H.

Executive Associate Dean, School of Medicine

Director, Center for Health and Technology

University of California, Davis

slide2

The explosion of new knowledge and information in the health sciences is ironically creating greater disparities in the quality of health care services.

slide3

If we discover a cure for cancer, but only half the people have access to it, we have only discovered half the cure for cancer.

Medical Science, no matter how good it is, is worthless if not applied appropriately to patients who need it

slide4

Advances in telecommunications and information technologies can help to redistribute health care knowledge and expertise to where and when it is needed

slide5

These technologies can help facilitate a new, more efficient model of care across the economic and geographic spectrum.

telemedicine
Telemedicine
  • Interactive healthcare over distance using technology
  • Telemedicine brings the expertise of a specialist to the point of care and allows that expertise to be customized to that patient
uc davis telemedicine services
Pediatric Critical Care

Pediatric Sexual Abuse QA

OB/GYN

Pediatric Cardiology

Surgical Oncology

Allergy

Occupational Medicine

Child Development

Burn

Genetics

Transplant

Urology

Pediatric Rheumatology

Pulmonary

Plastic Surgery

Pediatric PM&R

Podiatry

Hematology

Pediatric Urology

Pediatric Gastroenterology

Oncology

Pediatric Hematology/Oncology

Surgery

Cardiology

Pediatric Endocrinology

Pediatric Nephrology

Gastroenterology

Infectious Disease

Pediatric Neurology

Pain Management

Pediatric Genetics

Nephrology

Psychology

Rheumatology

Neurology

Hepatology

Otolaryngology

Pediatric Obesity

Orthopaedics

Nutrition

Endrocrinology

Psychiatry

Dermatology

UC Davis Telemedicine Services
medical peripherals
Medical Peripherals

General Exam Camera

Nasopharyngoscope

Electronic stethoscope

Otoscope

telemedicine in the hospital setting
Telemedicine in the Hospital Setting
  • Hospitalized patients are much sicker than in the past
  • Having the right expertise at the point of care 24/7 is essential
  • Access to specialty expertise is a significant challenge for smaller hospitals
  • Telemedicine can bring that expertise to the emergency room or to the inpatient bedside
requirements for a successful statewide telehealth network
Requirements for a successful statewide telehealth network
  • Broadband connectivity
    • Reliability
    • Quality of Service (QOS)
    • Security
    • Privacy
  • Equipment
    • At specialty and remote sites
  • A trained workforce
proposition 1d
Proposition 1D
  • Proposition 1D: K-University Public Education Facilities Bond Act of 2006
    • “…the amount of $200 million shall be used for capital improvements that expand and enhance medical education programs with an emphasis on telemedicine aimed at developing high-tech approaches to health care.”
california s proposition 1d passes
California’s Proposition 1D Passes

UC Davis Pediatric Telehealth Colloquium

“With Proposition 1D we will be able to connect our best hospitals and our best medical schools with clinics in remote areas all over the state of California.”

--Governor Arnold Schwarzenegger 

fcc rural health care pilot program
FCC Rural Health Care Pilot Program
  • Dedicated over $417 million for 69 pilot program networks
  • Encourages regional broadband health care networks with connections to national backbones

UPDATE!

consortium members
Consortium Members

The Office of the Governor

California Business, Transportation and Housing Agency (BTH)

The California Emerging Technology Fund (CETF)

The California Public Utilities Commission (CPUC)

The California Department of Managed Health Care (DMHC)

The California Telemedicine & eHealth Center (CTEC)

Rural Telehealth Networks

The UC Office of the President

University of California Davis Health System

The Office of Statewide Health Planning and Development (OSHPD)

California Health & Human Services Agency (CHHSA)

The Corporation for Education Network Initiatives in California

The California Office of Emergency Services (OES) 

The California Institute for Telecommunications and Information Technology

The California Hospital Association (CHA)

The California Health Foundation and Trust (CHFT)

The California State Rural Health Association (CSRHA)

The California Primary Care Association (CPCA)

fcc rural health care pilot program california s goals summarized
FCC Rural Health Care Pilot Program: California’s Goals Summarized
  • Goal 1: Create statewide broadband network dedicated to health care with explicit QOS, privacy and security
  • Goal 2: Link the California Telehealth Network (CTN) to a national backbone
  • Goal 3: Leverage and build upon recent investments in telehealth
  • Goal 4: Utilize CTN for ongoing disaster preparedness training
technical goals
Technical Goals
  • Extend broadband connections to 300+ rural health care providers in 3 years
  • Address technical and cost constraints
  • Facilitate use of state-of-the-art telehealth services
    • Telemedicine
    • Continuing Medical Education
current status of the ctn
Current Status of the CTN

Award of $22.1M from FCC

California Emerging Technology Fund (CETF) providing $3.6M for 15% match and start-up funds

Letter of Agency process (completed)

Original goal was 319

Nearly 1000 locations represented in the received letters of agency

USAC has qualified over 730 sites

RFP has been submitted for posting on the USAC RHCPP web-site

current state25
Current State

MAYERS MEMORIAL

HOSPITAL

FREMONT-RIDEOUT

CANCER CENTER

UCDAVIS

HEALTH SYSTEM

TAHOE-FOREST

HEALTH SYSTEM

ROUND VALLEY

INDIAN HEALTH CENTER

slide29

This effort has not only led to the next generation of telecommunication for under served areas but has also led to a new focus on telehealth in the State as well as a new level of collaboration among stakeholders

slide32

The FCC Rural Health Care Pilot Program:Improving Access and Quality of Health Care throughout California

Thomas Nesbitt, M.D., M.P.H.

Executive Associate Dean, School of Medicine

Director, Center for Health and Technology

University of California, Davis