User Experience with The High Performance Internet Infrastructure

1. User Experience with The High Performance Internet Infrastructure A National Library of Medicine and Internet2 Collaborative Effort Internet2 Users Conference

2. National Library of Medicine Perspective Dr. Elliot Siegel, NLM Internet2 E2Epi Perspective George Brett, Internet2 E2Epi Pilot Study Status Dr. Frank Connolly & Dr. Daryl Nardick, ConseQ Associates, LLP Open Discussion Agenda Internet2 Users Conference

3. Even with high bandwidth network links, the Internet2 community often does not see expected performance Context for E2Epi Internet2 Users Conference

4. True End-to-End Experience • User perception • Application • Operating system • Host IP stack • Host network card • Local Area Network • Campus backbone network • Campus link to regional network/GigaPoP • GigaPoP link to Internet2 national backbones • Internationalconnections EYEBALL APPLICATION STACK JACK NETWORK . . . . . . . . . . . . Internet2 Users Conference

5. Announced we wanted to collect stories of user experiences. (Call For Stories) Found common ground with National Library of Medicine using the Critical Incident Technique. Worked with ConseQ Associates to develop and do the Pilot Study. What we have done... Internet2 Users Conference

6. Pilot Study Status PROCESS • Internet2 Conference nomination • Selection • NLM PIs & Regional library directors • Respondents to NLM announcement • Telephone • Interview • Critical Incident technique • 30 - 90 minutes • Case Report Internet2 Users Conference

7. Person Interviewed Population Served Services / Support • Incident Technology Institutional Issues Case Report/Taxonomy Internet2 Users Conference

8. Taxonomy Technology Access type Data type Application Problem Solution Internet2 Users Conference

9. Problem Availability Reliability Security Firewalls Adoption rate Network architecture Patient information access Access grid (multimedia) Remote location access Archival access over time Locus Solution Middleware Enhanced QOS Access Commodity Internet High speed Internet Bandwidth Reservation Increase Universal connectivity (last mile) Alternate network Training/Education IT staff Users/Potential users Providers End-to-End tracking Technology (continued) Internet2 Users Conference

10. Interviews . . . . 76 41% Administrators 30% Researchers 7% IT Staff 10% Educators 4% Health Care Providers 8% Librarians INTERVIEWEES Contacts . . . . . 222 Internet2 Users Conference

11. What did we find? Internet2 Users Conference

12. Education & Training . . 25% Clinical Consultation . . 18% Information: Research . . 15% Information: Public Health . . 14% 200 INCIDENTS Service or Support Provided Internet2 Users Conference

13. 200 INCIDENTS Types of Activities • Discrete • Ongoing • Discrete Activity/Ongoing Occurrence Internet2 Users Conference

14. Low/Medium speed . . 46% 38% High speed . . . . . . . Indeterminate. . . . . . 16% 200 INCIDENTS Connectivity Internet2 Users Conference

15. International . . . . . . 14% 37% Rural/Remote . . . . . Urban . . . . . . . . . 49% 200 INCIDENTS Location of Population Served Internet2 Users Conference

16. Positive . . . . . 50% Negative . . . . . 32% Mixed . . . . . . 19% 200 INCIDENTS Overall Valuation Internet2 Users Conference

17. Real-time interaction . 21% Data base . . . . . . . 18% Graphics . . . . . . . 17% 12% Email . . . . . . . . . 200 INCIDENTS Applications Reported Internet2 Users Conference

18. Access limitation . . . 16% Reliability . . . . . . 13% Network access . . . 13% 9% Security/Firewall . . . 200 INCIDENTS 135 Problems Reported (% of the 135 Reported Problems) Internet2 Users Conference

19. What did we learn? Internet2 Users Conference

20. It’s like air . . . without networks we couldn’t do what we do. • Collaboration • Research • Health care delivery • Medical intervention Internet2 Users Conference

21. Barrier > Cross organizational lines > Inter-organizational Institutional Policies • Point of contention Internet2 Users Conference

22. Lowest common denominator > Limits development/adoption • Standardization - Limits creativity + Foster adoption Application Development • Publicity Internet2 Users Conference

23. In interim reduce frustration > Improved error messages > Recommend protocol for users End-to-End (QOS) Always a concern • On-going effort Internet2 Users Conference

24. Internet2/Health Community • Add implementation to mix • Consider limited dot com access • Health Care and Health Sciences want increased voice in Internet2 community Internet2 Users Conference

25. CONCLUSIONS FROM PILOT STUDY NLM dollars have advanced network use in Health Care and Health Sciences communities. No doubt, networks enhance capabilities of Health Care and Health Sciences communities Digital divide limits the potential networks offer. Internet2 Users Conference

26. CONCLUSIONS FROM PILOT STUDY 1. NLM dollars have advanced network use in Health Care and Health Sciences communities. 2. No doubt, networks enhance capabilities of Health Care and Health Sciences communities. 3. Digital divide limits the potential networks offer. Internet2 Users Conference

27. Elliot Siegel <siegel@nlm.nih.gov> George Brett <ghb@internet2.edu> Frank Connolly <Frank@ConseQAssociates.com> Daryl Nardick <Daryl@ConseQAssociates.com> http://e2epi.internet2.edu/NLMe2e.html Contact Information Internet2 Users Conference

28. Internet2 Users Conference