1. The Palmetto State Providers Network an RHC Pilot Program Network W. Roger Poston, II, Ed.D. Associate Program Coordinator

2. Palmetto State Providers Network (PSPN) A statewide broadband network reaching all 46 counties in South Carolina Created under an FCC Rural Health Care Pilot Program Grant Total funding approximately $9,500,000 Designed and dedicated to support healthcare 2

3. PSPN Goals and Objectives Goal: “Improving the health and well being of the citizens of South Carolina” Objective: Connect large tertiary centers, academic medical centers, regional hospitals, rural hospitals, community health centers, and rural office-based practices over a broadband network for the delivery of health care throughout South Carolina. Objective: Support telemedicine, telehealth and Health Information Exchange state-wide 3

4. PSPN Sites 57 Hospitals 5 AHEC Centers 89 Federally Qualified Health Centers Installations in planning or proposed: – SC Department of Health and Environmental Control – SC Department of Mental Health – SC Division of Prisons – SC Department of Health and Human Services – SC Department of Disability Services – SC School Based Clinics

6. PSPN – Network Uses Telemedicine Telehealth Health information Exchange Secure data and image transfer for PHI Meaningful Use requirements for hospitals AHEC Resident Training and CME 6

8. Meaningful Use: Core Objectives Supports at least 5 of 14 objectives: 10. Report hospital clinical quality measures to CMS or States 11. Provide patients with an electronic copy of their health information, upon request 12. Provide patients with an electronic copy of their discharge instructions at time of discharge, upon request 13. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically 14. Protect electronic health information

9. Meaningful Use Public Health Objectives Supports at least 3 of 10 objectives: Capability to provide electronic data to immunization registries/systems Capability to provide electronic submission of reportable lab results to public health agencies Capability to provide electronic syndromic surveillance data to public health agencies

10. Private Broadband Supports at least two concurrent telemedicine or telehealth sessions or two full motion high definition videoconferences May be used to transmit PHI data files through VPN or VPLS PSPN video bridge – 40 Concurrent HD full-motion videoconferences – 160 Desktop HD full-motion videoconferences – Firewall traversal capabilities – Modulates all videoconferencing 10

11. Commodity Internet Bandwidth Symmetrical Bandwidth uploads and downloads data at the same speed. Supports web-based telemedicine Supports patient data transfer including images Supports Health Information Exchange requirements Supports access to the National Health Information Network (NHIN) 11

12. Security Ability to build Virtual Private Network connections Ability to build Virtual Private LANs HIPAA Compliant Business Associates Agreement Commodity Internet contained in SC Layer 3 Capabilities

13. PSPN 1.Private Ethernet 2.Symmetrical Commodity Internet 3.Internet 2 4.NHIN 13

16. Requirements to Participate Health Care entity-single requirement Rural Health Care eligible entities – FCC subsidy for Internet and Broadband (MRC) – FCC subsidy for Local Connections (MRC) – FCC funded connectivity to network (NRC) Rural Health Care non-eligible entities – Pay ‘Fair Share’ installation and monthly costs

17. QUESTONS?