Indiana Telehealth Network

1. Indiana Telehealth Network

2. USAC Rural Health Care Pilot Program September 26, 2006 FCC Announced establishment of pilot program for public and non-profit health care providers to build state and region-wide broadband networks dedicated to the provision of health care services Pilot program will fund up to 85% of the cost

3. Indiana Telehealth Network May 2007 Grant application filed November 2007 $417 million dedicated by FCC $16 million for state of Indiana June 2008 RFI released June 2009 RFP#00 released March 2010 Contracts awarded

4. Indiana Telehealth Network (cont’d) IRHA is the lead entity Initial goal Connect 35 Critical Access Hospitals (CAHs) and rural health care facilities throughout Indiana with high speed fiber optic connections 10 megabit – 1 gigabit fiber connection* Cost Split 85% = FCC Pilot Program 15% = Individual Participant Match USDA Community Facilities Program can assist with grant/loan funds for facilities in towns with general populations under 20,000 http://www.rurdev.usda.gov/rhs/cf/brief_cp_grant.htm Local Economic Development Chapters may offer assistance FCC Pilot Program Funds cover construction costs Healthcare Participants will be anchor tenants in their communities Telecommunications providers will be tasked with continued residential and business build out * Note: A T1=1.5 megabits, a T3=45 megabits

5. ITN RFP #00 Participants as of November 2010 • Bedford Regional Medical Center (CAH) • Clarian Health – Data Center (Urban) • Community Health Network – Data Center (Urban) • Community Hospital of Bremen (CAH) • Davies Community Hospital (Rural) • Decatur County Hospital (CAH) • Greene County General Hospital (CAH) • Hancock Regional Hospital (Rural) • Henry County Hospital (Rural) • Jasper County Hospital (CAH) • Jay County Hospital (CAH) • Logansport Memorial Hospital (Rural) • Margaret Mary Community Hospital (CAH) • Perry County Memorial Hospital (CAH) • Pulaski Memorial Hospital (CAH) • Putnam County Hospital (CAH) • Rush Memorial Hospital (CAH) • St. Mary’s Warrick Hospital (CAH) • Sullivan County Community Hospital (CAH) • Tipton Hospital (CAH) • White County Memorial Hospital (CAH) • Woodlawn Hospital (CAH)

7. ITN Phase I Scope and Benefits • Phase I - Construct Fiber-Optic Connection • Participating healthcare entity’s Network Interface Device (NID) to nearest Point of Presence (POP) • Statewide Average Construction cost from winning bidders • $47,000 • Monthly Recurring Internet Access - Average statewide costs from RFP#00 • Bids received for 10 mbps, 50 mbps, 100 mbps, or 1 gbps fiber-optic connection • 10 mbps Internet Access - $1,100/month • 50 mbps Internet Access - $2,300/month • Ability to transmit digital images (X-rays, CT Scans, etc. within seconds instead of minutes or hours) • A 750 Megabit CT scan transmits in 1 hour over a T1 line versus 1 minute with 100 megabit connection • Improved economic opportunities for the local community around the healthcare facility • Broadband can expand access to jobs and training, support entrepreneurship and small business growth and strengthen community development efforts

8. ITN Phase II Scope and Benefits • Phase II - Connect participating hospitals to common meet point (Shared Platform) on West Henry Street, Indianapolis • Bids received for monthly recurring dedicated connections • 10 mbps, 50 mbps, 100 mbps, or 1 gbps fiber-optic connection • Dedicated transport to common meet point/shared platform – Average statewide costs from RFP#00 • 10 mbps dedicated transport - $1,000/month • 50 mbps dedicated transport - $1,500/month • ITN Shared Platform • All common costs divided equally among all participants • Year One costs for RFP #00 Participants - $1,406.25 • Network Maintenance/Support • Provided by the Indiana Fiber Network • Aggregated Internet Access • Provided by the Indiana Fiber Network for $25 per mbps • Telehealth Opportunities • Ability to conduct telehealth encounters over a dedicated health care network • Higher satisfaction for local patients and physicians • Reduced travel costs • Specialists could gain as much as 6 additional hours of productivity on days currently spent traveling to remote sites, in addition to saving drive miles and travel costs • Remote patients would not have to lose as much as a full day’s work or pay • Medicare/Medicaid patients could save as much as $600 per visit in round trip cab fares • Ability for rural healthcare facilities to retain ancillary charges

9. Additional Benefits and ServicesProvided by the ITN • Teleradiology • Clarian Health • Community Health Network • Disaster Recovery • IFN powered by Bolt Data Systems, Inc. • Access to offsite data storage, backup, and recovery services • Video Conferencing • IRHA has contracted with Sensory Technologies • IRHA has a 12 port Tandberg bridge • IRHA has 500 MOVI licenses • Video Conferencing Pilot Program launching 4th quarter 2010 with 6 CAHs • E-Learning • Future IRHA project (target implementation September 2011) • Access to accredited continuing education courses for hospital staff via dedicated e-learning portal • Average savings of $2,300 per trip per employee in reduced travel costs for off-site class • Access to patient education courses via dedicated e-learning portal

10. Expected Outcomes • Healthcare facilities will become anchor tenants in their communities • Telecommunications providers will be tasked with continued expansion of broadband services to businesses and residential homes

11. Participants for Next RFP #01 • 45 Participants • Community Mental Health Centers • Federally Qualified Health Centers & Community Health Centers • Rural Health Clinics • Additional rural and urban hospitals • RFP#01 currently being reviewed by USAC and the FCC • Anticipated release/posting of RFP • January 2011 Note: All funds allocated by the FCC to the Indiana Telehealth Network must be committed by June 30, 2011 (contracts must be signed and submitted to USAC, but not necessarily approved)

12. Questions? Becky Sanders bsanders@indianarha.org 317-517-3961