Illinois Broadband Advisory Council Meeting Highlights Telehealth Expansion

1. Balanced scorecard slide 1 Illinois Broadband Advisory Council Special Meeting: Monday, October 21, 2019

2. Balanced scorecard slide 2 WORKING GROUP FOLLOW UP TELEHEALTH Economic Development Access Education Technology & Infrastructure

3. Balanced scorecard slide 3 TELEHEALTH • $420 million investment in broadband infrastructure through Connect Illinois • Governor Pritzker named telehealth as one of the priorities of the investment • Governor Pritzker and DCEO highlighted telehealth in the recently-released five-year economic plan • Infrastructure Focused Recommendations • Prioritize and incentivize grant applications that expand telehealth • Allow applicants to partner with anchor institutions on the grant application • Leverage existing technical assistance programs to aid applicants • Maximize federal funding opportunities available • Explore including healthcare institutions on the Illinois Century Network (ICN)

4. Balanced scorecard slide 3 TELEHEALTH Partnership for a Connected Illinois Broadband is the Lifeline

5. Balanced scorecard slide 3 TELEHEALTH • What is Telehealth? • Telehealth: The practice of medicine over a distance, in which interventions, diagnostic and treatment decisions and recommendations are based on data, documents and other information transmitted through telecommunication systems (World Medical Association) • Illinois defines telehealth and telemedicine separately: • Telehealth is the use of a telecommunication system to provide medical services between places of lesser and greater medical capability and/or expertise, for the purpose of evaluation and treatment. [IL Dept. of Healthcare and Family Svcs., Handbook for Practitioners.] • “Telemedicine” is the use of a telecommunication system to provide medical services for the purpose of evaluation and treatment when the patient is at one medical provider location and the rendering provider is at another location. [IL Admin. Code, Title 89,140.403(a)(9) (2012).] • Telehealth as a modality can provide a variety of services • Modalities: store-and-forward, video-conferencing, remote-patient-monitoring

6. Balanced scorecard slide 3 TELEHEALTH • The Need for Telehealth • Shortage of primary care physicians and mental health professionals in IL • Patient access to infrastructure is lacking both in-the-home and at local healthcare anchor institutions • Access and equity issue • More and more companies or private payers are looking at opportunities to provide access to care via telehealth for their employees or beneficiaries • Broad interest in the issue at the federal level – numerous funding opportunities • Telehealth is the wave of the future in healthcare

7. Balanced scorecard slide 3 TELEHEALTH The Burning Platforms • Rural and urban underserved communities • Opioid addiction recovery • Behavioral health for students in schools

8. Balanced scorecard slide 3 TELEHEALTH Rural/Urban Underserved Communities • Nationally, 25% of people live in rural communities • 10% of physicians practice in rural areas

9. Balanced scorecard slide 3 TELEHEALTH Opioid Addiction Recovery • In Illinois, overdoses have killed 11,000 since 2008 • Last year, 2,000 died—twice the number of fatal car accidents • This epidemic is most significant public health and public policy crisis facing Illinois

10. Balanced scorecard slide 3 TELEHEALTH Behavioral Health for Students • A total of 13–20 % of children living in the United States experience a mental disorder in a given year • 70% of students are NOT receiving treatment for their mental illness • Illinois has 185,000–290,000 students at risk. Chicago has 37,000–60,000

11. Balanced scorecard slide 3 TELEHEALTH • Applications • Rural and urban underserved communities • 25% of people live in rural communities, 10% of physicians practice in rural areas • Opioid addiction recovery • In Illinois, overdoses have killed 11,000 since 2008 • Behavioral health for students in schools • 13–20 % of children living in the U.S. experience a mental disorder • 70% of students are NOT receiving treatment for their mental illness • Examples of Telehealth • Telestroke, telepsychiatry, telebehavioral health in schools, specialist services

12. Balanced scorecard slide 3 TELEHEALTH • Federal funding opportunities • Health Resources and Services (HRSA)’s Telehealth Network Grant Program – $8.5B • Focuses on bringing telehealth to hard-to-reach places • FCC Connected Care Pilot – 3-year program, $100 million • Supports brining telehealth services directly to low-income patients and veterans

13. Balanced scorecard slide 3 CONNECT ILLINOIS BROADBAND STRATEGY – OVERVIEW –

14. Balanced scorecard slide 3 CONNECT ILLINOIS VISION • To provide ubiquitous broadband connectivity that is reliable and affordable to all homes, businesses, and community anchor institutions throughout Illinois • To promote digital literacy and adoption • To drive economic development and expand opportunity and innovation in such areas as education, health care, and agriculture

15. Balanced scorecard slide 3 CONNECT ILLINOIS MISSION • Expand broadband connectivity across the entire state • Provide all Illinois public K-12 students access to high-speed broadband at no charge • Create $400 million broadband grant program • Invest $20 million in Illinois Century Network, a high-speed broadband network serving K-12 and higher education institutions, among others • Convene the Broadband Advisory Council to inform strategy, promote opportunities and successes • Create the Illinois Office of Broadband within Department of Commerce & Economic Opportunity

16. Balanced scorecard slide 3 CONNECT ILLINOIS APPROACH • Set specific speed goals & track progress over time • Make state investments that leverage external resources • Federal government • Private providers • Local matching funds • Target investment to promote broadband applications & adoption • Adopt policy to optimize investment impact

17. Balanced scorecard slide 3 BROADBAND STRATEGY ANCHORED BY SPEED GOALS • Short term ubiquitous service goal … ensuring that all Illinois homes, businesses, and community anchor institutions can use broadband at basic service levels • Longer term competitiveaccess goal … ensuring that all Illinois homes, businesses, and community anchor institutions have direct access to a provider with service levels necessary for advanced applications or heavy bandwidth use

18. Balanced scorecard slide 3 KEY NEXT STEPS TO MOVE STRATEGY FORWARD • Develop a more accurate map of service level and access across Illinois to be updated annually • Supports goal setting and progress marking • Provides baseline for grant eligibility • First wave of investments anticipated through early 2020 NOFO(s)

19. Balanced scorecard slide 3 KEY CRITERIA FOR GRANT FUNDING • Competitive matching grants • Score based upon merit • Require a certain non-state match • Technology neutral • Open to a diverse range of providers and related technology • Scalable service • Future upgrades to ensure long-term return on state investment • Applicant inclusive • Encourage a wide variety of proposals, including but not limited to those from providers, cooperatives, municipalities, tribal entities, nonprofits, and P3s

20. Balanced scorecard slide 3 • KEY CRITERIA • FOR GRANT FUNDING, cont’d • Community driven approach • Create incentives for direct engagement with local communities, various stakeholder groups, and/or inclusive community technology goals • Balanced challenge process • Providers, communities, and other stakeholders to challenge the accuracy of broadband mapping, service levels, and grant eligibility • Additional scoring for alignment with Five-Year Economic Plan and policy goals including telehealth and education • Invite applicants to identify how proposed projects align with related opportunities

21. Balanced scorecard slide 3 STATE MAPPING AVAILABLE SERVICE • Invest in state mapping to measure: • Where we are • Where we want to go • Progress made over time • RFP for state mapping pending, to be updated annually • Interactive mapping housed at Connect Illinois webpage

23. Balanced scorecard slide 3 QUESTIONS?

24. Balanced scorecard slide 10 NEXT MEETING MONDAY, NOVEMBER 18

25. Balanced scorecard slide 10 ADJOURNMENT