1. Rural Utilities Service Distance & Learning & Telemedicine Grant Application (RUSDLT) Overview NIMIIPUU HEALTH Leslie Smith, PHN

2. Our Goal : Secure a Federal Grant (Department of Agriculture) to implement a Live Collaboration platform that extends access to critical programs for the Nimiipuu people. Our Mission: Enable residents to access health specialists without having to drive for hours, students to connect with more mental health & education professionals, and community members to access continuing educational programs.

3. The Tools We Need  Technology ‘Core’ Infrastructure : A video, audio & collaboration infrastructure that enables traditional video conferencing rooms, mobile video conferencing carts, software clients, tablets, smartphones and client-less agnostic web browsers to join multi-party meetings. Whether meeting participants are on the Nimiipuu network or joining as a healthcare provider in another city via a public internet connection, the technology core brings these disparate entities together with little user training or preparation.  Technology End-Points : Clinical healthcare rooms will be equipped with movable video carts. Classrooms will be equipped with a more stationary cart that can also be moved from classroom to classroom when needed. A handful of small meetings rooms will be equipped with fixed video and camera systems mounted to the back of TV’s. Individual users can use laptops (Windows or Mac), tablets (iPad, Android, Windows) and smartphones. Those without software can simply click on a URL in an email invite to join a video collaboration meeting to which they have been invited.

4. The following slides show sample use- cases and collaboration technology end-points

5. Scenario # 1: Nimiipuu Patient Care Collaboration Internet Family member on smartphone Seattle: Specialist Spokane: Primary Care Provider Nimiipuu Network Lapwai: Video cart at patient-side with local PCP Seattle: Specialist Nimiipuu Video Infrastructure

6. Scenario # 2: Nimiipuu Mental Health Services Internet iPad, PC, MacBook, Android Device: Mental Health Specialist Nimiipuu Network Nimiipuu Video Infrastructure Lapwai: Patient at school or health clinic

7. Scenario # 3: Distance Education Internet Live music lesson with professional musician or instructor Visit a zoo on the other side of the world Nimiipuu Network Nimiipuu Video Infrastructure Nimiipuu Classroom: video systems (cart or installed)

8. Scenario # 4: Job Training & Continuing Education Nimiipuu Network Internet Nimiipuu Video Infrastructure Remote job interview, job training, job shadowing, externship Nimiipuu Classroom: video systems (cart or installed) Community College, university, vocational school, etc…

9. What’s in it for you? - Quickly connect your primary, specialty and mental health providers with elderly or disadvantaged Nimiipuu tribal members who struggle to make the 2+ hour drive to their care providers today. - Meet via video with the Nimiipuu people and provide pre/post operation consultation, education and align with future telemedicine initiatives. - Build relationships and referral business with the Nimiipuu through the use of technology. - Maintain and grow relationship as preferred provider to tribal members.

10. Thank you in advance for your support in pursuit of the Rural Utilities Service Distance Learning & Telemedicine Grant. Leslie Smith, PHN 208-843-2271 Extension 2923