Welcome

1. Welcome • Please mute the microphone on your unit until the Q&A session. (Yellow button top left of circle on your remote) • Questions and Answers will follow the presentation. • All Questions and Answers will be posted on www.arkansaselink.com. • If you have additional questions, please email them to arkansaselink@uams.edu. • One of the three sessions (Nov. 5,6,7) will be recorded and posted on www.arkansaselink.com

3. Your Arkansas e-Link Team • Alan Faulkner – Program Manager • Brenda Pick – Program Manager • Stephen Sample – Program Manager • Michael Wallace – Program Manager • Malinda Sandlin – Program Specialist • Debbie Green – Project Director

4. What is it? Why is it important? How will it be sustained?

5. Linking Health, Education, Research and Public Safety

6. Distribution of Grant Funds

7. Arkansas e-Link Project Completion AFTER BEFORE

8. Telemedicine Overview Sustainability Completion • Sustainability • Full Broadband Funding through June 2016 • FCC Healthcare Connect Consortium • Migration of BTOP Sites to Consortium by July 2014 • Migrate FCC Sites to Consortium by July 2014 (except broadband continues under Rural Health Pilot - April 2015) • Telehealth Services/applications Development • Coordinate Interactive eLink Member Share Meetings • Begin Membership Fees January 2014 2013 Phase 2: Equipment/ Broadband Roll-out Phase 1: Equipment Roll-out 2012 2011 2010

9. Letter

10. Healthcare Connect Fund(HCF) Program • Newest Component of the Rural Health Care Program • Funding begins January, 2014 • Funding year July 1, 2014- June 30, 2015 • Provides a 65% discount on eligible expenses related to broadband connectivity to both rural healthcare providers (HCPs) and Consortium (include non-rural HCPs if the consortium has 51% HCPs) • Replaces existing Telecommunications and Internet Access program (ends June 30, 2014) • Replaces Rural Health Pilot Program (ATN ends April, 2015)

11. Benefits of Healthcare Connect Fund Program • Using BTOP funds allowed an additional 12 months of funding for broadband through June 30, 2016 for BTOP and FCC sites. • Assist in sustaining the Arkansas e-Link network • Increase Telehealth and Education Access • Eligible organizations within the Consortium • receive 65% discount for allowable expenses • Consortium Expenses Allowable for discount • Broadband services • Membership fees • Network equipment • Upfront payments

12. Arkansas e-Link Broadband Funding Migration from BTOP Grant to FCC Healthcare Connect Consortia

13. Consortium Member Eligibility • Not-for-Profit hospitals • Post-secondary educational institutions offering health care instruction, including teaching hospitals or medical schools • Community health centers or health centers providing health care to migrants • Local health department or agencies • Community mental health center • Rural Health Clinics

14. Consortium Eligibility Continued • Dedicated emergency room of rural, for-profit hospitals • Non-rural HCPs are eligible for support only as a member of a consortium made up of more than 50 percent rural HCP sites. Support for non-rural hospitals with more than 400 beds is capped at $30,000 annually for recurring charges and $70,000 over a five-year period for non-recurring charges. • HCPs(rural or non- rural) that are not eligible for the discounts will benefit from consortium membership through negotiations of services, contracts, support, access to members, etc.

15. Consortium Requirements • LOA’s (Letter of Agency) • 460 – Eligibility & Registration Form – FCC/HCF (will submit for all current e-Link sites) • Contract for Arkansas e-Link membership (consortium) • 35% funding commitment for eligible costs related to the consortium (broadband, e-Link membership)

16. Letter of Agency • LOA (Letter of Agency) • Letters of Agency provide a Consortium leader with the authority to act on behalf of the HCPs in its network. • Anticipated date to be sent is December 20, 2013

17. Form 460 – Eligibility & Registration Form: Anticipated completion by April, 2014

18. Arkansas e-Link Contract Contract between UAMS (Arkansas e-Link) and the member organization. Anticipated date to be sent: December 20, 2013

19. e-Link Annual Membership FeesPer End-UnitJanuary 2014 • Clinical Membership………………………………………..$2500 endpoint used for patient care/consultation Effective July 2014, FCC HCF discount applied ………………$875 yr./$72.92 mo. • Educational Membership………………………………….$1250 endpoint used for administrative meetings/education Effective July 2014, FCC HCF discount applied…………......$437.50yr./$36.46 mo. • Jabber Membership…………………………….............$1700 Mobile software application for individual Effective July 2014, FCC HCF discount applied……………….$595yr./$49.58mo. Email coming with specifics for your organization soon

20. Consortium Membership Fee • Maintenance Support for Video Network • Infrastructure Equipment/Software • Network Redundancy • Network Administration and Management • Fiber Backbone network co-location facility, rack space, power and inter hub connectivity • e-Link Interactive video maintenance contract • Video Technical Support • Access to Self Scheduling application – Renovo

21. Single Funding Request by HCP • HCP may be a consortium member and a single member of the HCF, as long as the eligible services are not duplicated for funding • The single member or non e-Link consortium are responsible for all applicable HCF requirements for funding requests. • HCP may belong to more multiple consortia, as long as the eligible services are not duplicated for funding.

22. June 2012 For additional information: http://www.arkansaselink.com http://www.usac.org/rhc http://learntelehealth.org http://www.americantelemed.org http://www.broadbandusa.gov