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A Team of E.A.G.L.ES. On Behalf of Bestin Broadband and the AATCHB Regional First Responder’s Network Network Design Plan Outline to meet the Immediate critical demands and lay the foundation of a National Demonstration for Telehealth as a Solution to the Health Care and Economic Crises
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A Team of E.A.G.L.ES. On Behalf of Bestin Broadband and the AATCHB Regional First Responder’s Network Network Design Plan Outline to meet the Immediate critical demands and lay the foundation of a National Demonstration for Telehealth as a Solution to the Health Care and Economic Crises
PURPOSE: AATCHB Inter-Operability, React Ability & Sustainability • The first responders of the AATCHB consist of multi-agencies within each separate tribe. • Currently each radio system is separated by Frequency Use. (Radios only talk to radios on same Frequency) • No Interoperability currently exists between tribe’s internal agencies (Eg Police to Fire to Forestry to State and others agencies). • No Interoperability currently exists between Tribes & States with the Aberdeen Area • Indian Country still remains far behind in all technical areas ASSUMPTIONS:
Inter-Operability • In December 2004, the Commission ruled that all private land mobile radio users operating below 512 MHz must move to 12.5 kHz narrowband voice channels and highly efficient data channel operations by the end of the year of 20122. The rule implies mandatory narrow banding implementation by not allowing any new licenses for devices and equipment with 25 kHz wide channels after January 1, 2011. By the end of 2012, all legacy communications systems below 512 MHz should convert to narrowband operation. The rule change has considerable impact because most current public safety radio systems below 512 MHz still use 25 kHz voice channels. Thus, all municipal government and state and local public safety systems using 25 kHz radio systems must migrate to 12.5 kHz narrowband voice channels by the end of 2012. This does not necessarily imply that any public safety agency is automatically guaranteed two 12.5 kHz channels from a previously licensed 25 kHz channel. To migrate to narrowband operations, public safety agencies must apply for new narrowband licenses or modify existing licenses while justifying channel requirements by that deadline. • In response to the FCC narrowbanding initiative, industry began a process to develop a set of standards for use on public safety land mobile radio channels. Under a program called Project 25 (P25), the Telecommunications Industry Association (TIA) along with the Association of Public Safety Communications Officials - International, Inc. (APCO International), a public safety communications advocacy organization, have been instrumental in development of a standardized digital voice trunked system that accommodates and manages multiple signal channels for the digital LMR services for local, state and federal public safety communications3. The standard is based on a 12.5 kHz channel bandwidth utilizing a digital modulation technique called constant envelope 4-ary frequency modulation (C4FM) and frequency division multiple access (FDMA) as a channel access methodology. The development of the standard will eventually evolve to 6.25 kHz channel bandwidth with continuous quadrature phase shift keying (CQPSK) modulation and time division multiple access (TDMA) in the future. At present, the aggregate data rate for a 12.5 kHz channel is 9.6 kbps while covering a typical cell radius of 5 to 20 miles. • Our goal is to bring the AATCHB Tribes into compliance with these Directives
Multi-Agency / Jurisdiction • DHS Now requires agencies applying for grants to work with all other affected agencies including States, Locals & Tribes • DHS, USDA, and IHS have several supporting programs • IHS Now has resources • Tribes must work ‘Internally’ and ‘Externally’ to have access to the ‘State Run’ Resources and Fed Grants and Loans • Coordination of the processes will be conducted by Native Technologies and NewTel Wireless • Combined Agencies = Regional Network • Regional Network = National Model of I.C. Back Haul
LMR Network Design • The Network Design for the LMR Network is the Base: 1st Step in designing a regional network • LMR is Tower based and all wireless • AATCHB Regional LMR needs more Towers and Repeaters • So do the States and Other Tribes • AATCHB Network will upgrade Public Safety in entire area • By upgrading the basic network to Public Safety the Tribes can move to a more advantageous position in Healthcare • A Robust Regional First Responders Network can prove a shared model to a National Indian Country Back Haul
Native Tech Inc as General Cont. NTI is Experienced Prime NewTel is Best in LMR Successful Grad of SBA 8A Successful BIA OLES Prime Contractor in 2004-2006 Successful DoD Contractor Successful GSA Scheduler Current National .GOV Traffic Manager Can Map any Legacy System Pres. Bush’s 2005 Best Small Business Country’s #1 LMR Consultant Designed DoJ, DoI & Army’s LMR Network Architecture Project Mgr forDoJ, DoI LMR Network Design and Deploy Project Mgr for BIA OLES LMR
Geiger Law Firm LLC & Bestin Broadband Inc. • Highly Experienced in all phases of technical, legal, and financial oversight • Consultant to Tribes and Tribal Members • Experience at Presidential Level • Harris Corp: Pres. Clinton’s Highest Poll – Geiger • Ran Mayor Giuliani's Pres. Campaign Funds 08’ • Experience in Healthcare Agreements • Experience in Network Deployments Bestin Broadband remains as Consultant to the Project to foster its potential throughout the markets and political arenas
Indian Senate Select Committee Introduces Indian Law & Order Bill • Senate Bill – States the case for Regional Network Ops • Sets up resource pool to establish, design and deploy a network that meets the needs of Tribal Issues • New LMR Network greatly increases Tribal Public Safety • Requires Memorandum of Agreements between all Feds, States, Tribes and Local Entities • If Bill is agreed to by tribes and passed by Congress a foundation for a Regional Network will be required; If Bill not passed by Congress a Regional Network is still required • Legislation Opens up for other supporting legislation to support Indian Country diversification efforts to healthcare
Tribes on Same Page W/ 44th Admin • Inter-Governmental Consultations will bring results • Stage Set for AATCHB to finalize the entire network design and deploy Tribal Inter-Operability Sharing Project (needs study) • NTI fully capable of delivering all stages of Network Turn Up • NTI must gain Tribes Approval to buy on their behalf- According to GSA Policy, Yes! But! Tribes will gain best volume pricing available, while utilizing best avenue towards global deployment of Telehealth Services into Allied NGO’s, etc… • Once purchasing avenue is developed by Tribal Pool (AATCHB) a model to deliver a robust 1st Responder’s Network will become national Indian Back Haul model for delivery to all other Indian Health Boards. • AATCHB initiates Turn Key MT²Global Telehealth Demo
Volume Leveraged Healthcare • NTI will manage purchasing process to build regional network • Tribes will pool together to gain best volume pricing for network • Telehealth Sub-Contractors will utilize IHS Consulting Svs. To deliver Telehealth over Regional Network to Tribal Members • Tribes / Telehealth Sub-Contractors will form Telehealth Distribution and Insurance Company to better serve the tribal membership via Federally Chartered Health Company as TPA / Provider • Federally Chartered Company becomes national delivery point to Indian Country Telehealth Delivery Channel serving all people within Tribal Areas • National Indian Health Care Company is model for USA
Design Plans and Feasibility Studies • $455K LMR Design By NTI and NewTel Wireless • Narrow banding Design plans • Frequency Compression Recommendations • Spectrum Management Policies • Equipment Mapping / Purchasing Map • Cost Estimating in National Scenario • Cp-Develop Grant App Productions • Self-Sustained Power Map as Green Project • E-911 Feasibility Study for Regional BackHaul • $500K Sharing Project • Research into Feasibility • Research Drives Business Planning and Chartering of Federal / Indian / Private Section 17 Co. • $100K In-Kind DATA Design from CCI Inc • CCI is national Plant & Broadband Services • Application Analysis • Bandwidth Reqs. • Equipment Mapping • Cost Estimating • Co-Development Grant Reqs Productions • Supplements LMR with Voice and Data • Supplements Telemed with 1st Responders Camera • $300K In-Kind From CNIC • CNIC Health Solution will provide feasibility study for tribal based Health Care Insurance Program Numbers • Project becomes USA Model
Final Designs, Studies = Final BP • Regional Technical Plan directs Regional Model for Business • Final Design Will Determine All Factors • Analysis of Design will be integrated with remaining goals: (I.e. Augmented Telehealth Services, Medical Facilities, Mobile Services & Portal Services) to Become a Company • Final Business Plan Processing for Telehealth Demo will utilize ALL Tribal Political, Economic and Social Advantages to become National Player in Health Care (I.e. Tax Credits, Tax Exempt Bond, Tax Exempt Company, Exercise Federal Treaty Power to Healthcare Re-Negotiations) for National Indian Health Company to serve all Indians, the Non-Insured and Under-Insured to bring Affordable Health Insurance, Innovative Preventative Services and localized Primary Care
The Big Questions? The United States cannot consider reforming Healthcare to provide a “National Service” without first considering Indian Country’s Perspectives and Directives in Regard to ‘Tribal First Rights’ and the IHS as a Case Study of Satisfaction? Indian Country must Diversify away from Gaming, what are options? The United States cannot move forward without Tribal Participation (Treaties); Tribes cannot move forward without IHS “Reform” (Post to Preventative Care); Thus, the 44th Admin cannot move forward without Bi-Partisan & Tribal Support; What’s to stop the Indians from taking the lead nationally for healthcare reform? Would the world better accept a Telehealth Model based on U.S. Driven Factors or Would the world better accept a Telehealth Model based on American Indian Factors? Will the United States consider reforming Healthcare to provide a “National Service” by considering Indian Country’s Demonstration in Telehealth Project as the ‘Tribal First Rights’ using the IHS as the Case Study and combined in a Hybrid Public / Private / Tribal Business to become a model that can be both studied and put into legislation solving the crises of the day? How is the United States Going to Pay for a National Healthcare Plan?
Aberdeen Area Tribal Chairmen's Health Board Solution to the Crises National Demonstration for Telehealth as a viable solution to the Health Care & Economic Crises via co-operative agreements to demonstrate in both the Public and Private Sectors within Indian Country in conjunction with all Federal, State and Local Entities how to meet the Public Safety, Health Care Reform and Economic Development opportunities outlined herein this Unsolicited Proposal to the 44th Presidential Administration via Indian Senate Select MOU
Indian’s Have the First Right! • U.S. Provides Health Care Services: Through ‘Treaty Right’ with the Sioux Tribes that helped to found the United States of America • Indian Health Service Established to fulfill those Treaty Obligations • Only Federal Agency that provides complete health care services to Americans besides Medicare / Medicaid • These were established in ‘Roosevelt’s – New Deal’ or • Are our Veterans, who served honorably • Indian Country must Diversify from Gaming into HealthCare • Indian Country has been in a deep Health Care and Economic Crisis • Indian Country has unused unique powers to meet all levels of crises • Indian Country has “Exclusive” agreements in Telehealth Patents • Indian Country is the political power to reform HealthCare
Daschle’s Book: ‘Critical’ Outlines It! Daschle’s Idea = AATCHB’s Idea Federally Chartered Entity to lead the way to “Reform” via a National Health Board (Requires Bipartisan Support) Requires Public & Private Cooperation Requires Regional Health Boards to represent people Utilizes Telehealth Technology to Solve Issues Requires Telecom / Data / Public Safety to work together in solution Creates Jobs AATCHB Tribes currently don’t Utilize Section 17 of IRA (Fed Charter & Tax-Exempt) But has National Health Board Established Already has established Public / Private Model (USDA DLT App) Already has established Regional Health Boards (I.e. AATCHB) I.C. “Exclusive” Agreement to new Telehealth Patents & Tax Credits, Tax Exempt Bonds, Jobs Needs, AATCHB Resolution to Design the supporting Network (Dec 08) Telehealth Demo Creates 2400 Jobs
Economic Feasibility By combining Tribal Powers to confront the Healthcare and Economic Crises, the United States of America will confront the political obstacles with a solid solution that brings people, ideas, technologies, agencies, tribes, private industry, insurance providers together under an umbrella of services. • Tax Exempt Federal Chartered Tribal Company becomes “National Keepers of Health Board” contracts with private industry • Tax Exempt Bonds developed to securely support company to create infrastructure • IHS Used as reformed Agency to fall under the jurisdiction of the National Health Company, just as all other HHS are reformed to better serve National Umbrella Company. • Company Stocks become Health Access Pass providing Preventative and Primary Care with subsidized costs from Company
Circumstances Require Change • With the ‘Political Will Power’ to achieve the goals the Healthcare and Economic Crises will be met head-on with a sound foundation for community based solutions that result in both capital and social benefits. • The American Indian is owed the opportunity to take the lead regarding their own health care, The United States must consider these solutions as real-time solutions that will allow the American Indian the opportunity to re-connect with themselves and the outside world in a way that supports Tribal views towards personal and world health. • Together Indian Country and the United States will Unite to Resolve the Social Misconceptions about American Integrity