the fcc rural health care pilot program: improving access and quality of health care throughout...
TRANSCRIPT
![Page 1: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/1.jpg)
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 TechnologyUniversity of California, Davis
![Page 2: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/2.jpg)
The explosion of new knowledge and information in the health sciences is ironically creating greater disparities in the quality of health care services.
![Page 3: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/3.jpg)
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
![Page 4: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/4.jpg)
Advances in telecommunications and
information technologies can help to redistribute health care
knowledge and expertise to where and when it is needed
![Page 5: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/5.jpg)
These technologies can help facilitate a new, more efficient
model of care across the economic and geographic
spectrum.
![Page 6: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/6.jpg)
The role of information and telecommunication technology in
health care
![Page 7: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/7.jpg)
TelemedicineTelemedicine
• 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
![Page 8: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/8.jpg)
UC Davis Telemedicine ServicesUC 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
![Page 9: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/9.jpg)
Medical PeripheralsMedical Peripherals
General Exam Camera
Otoscope
Nasopharyngoscope
Electronic stethoscope
![Page 10: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/10.jpg)
Outpatient Telemedicine Outpatient Telemedicine
![Page 11: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/11.jpg)
Outpatient Telemedicine Outpatient Telemedicine
![Page 12: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/12.jpg)
Telemedicine in the Hospital SettingTelemedicine 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
![Page 13: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/13.jpg)
Emergency Room TelemedicineEmergency Room Telemedicine
![Page 14: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/14.jpg)
Redistributing Expertise in the Inpatient SettingRedistributing Expertise in the Inpatient Setting
![Page 15: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/15.jpg)
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
![Page 16: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/16.jpg)
Proposition 1DProposition 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.”
![Page 17: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/17.jpg)
California’s Proposition 1D PassesCalifornia’s Proposition 1D Passes
“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 UC Davis Pediatric Telehealth Colloquium
![Page 18: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/18.jpg)
The California Telehealth Network:A digital health care highway
![Page 19: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/19.jpg)
Current StateCurrent State
![Page 20: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/20.jpg)
FCC Rural Health Care Pilot ProgramFCC 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!
![Page 21: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/21.jpg)
Consortium MembersConsortium 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)
![Page 22: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/22.jpg)
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
![Page 23: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/23.jpg)
Technical GoalsTechnical 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
![Page 24: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/24.jpg)
Current Status of the CTNCurrent 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
![Page 25: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/25.jpg)
Current StateCurrent State
TAHOE-FORESTHEALTH SYSTEM
FREMONT-RIDEOUTCANCER CENTER
UCDAVISHEALTH SYSTEM
MAYERS MEMORIAL HOSPITAL
ROUND VALLEYINDIAN HEALTH CENTER
![Page 26: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/26.jpg)
Current ModelCurrent Model
![Page 27: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/27.jpg)
California Telehealth
Network
California Telehealth
Network
![Page 28: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/28.jpg)
California Telehealth
Network
California Telehealth
Network
![Page 29: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/29.jpg)
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
![Page 30: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/30.jpg)
How will all of this benefit Californians?
![Page 31: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/31.jpg)
![Page 32: 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](https://reader036.vdocuments.mx/reader036/viewer/2022062518/56649c9e5503460f9495e6cf/html5/thumbnails/32.jpg)
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 TechnologyUniversity of California, Davis