2. Rural Health Partnership ✓ Federally-designated Rural Health Network incorporated in 1996. ✓ Quasi-governmental 501c(3) charged with coordinating rural healthcare delivery systems and ensuring financial viability of rural healthcare facilities [F.S.381.0406] ✓ Since 2009, works with 50+ organizations to ensure that rural-urban landscape medical communities remove the barriers that slow HIT adoption

3. Counties with Poor Broadband Access (speeds below FCC’s 25/3MBPs broadband standard) All 17 counties in RED are designated medically underserved areas (MUA) In general, these communities have higher mortality rates, poorer health, and lower incomes (2015 Robert Wood Johnson Foundation & The University Of Wisconsin Sixth Annual National County Health Report) Rural consumers adopt broadband just as quickly as urban counterparts when available FCC Section 206 Report, Gn. Docket No. 14-126, at Pargraph 4. (Feb. 4, 2015) – FULL REPORT AT Https://Apps.Fcc.Gov/Edocs_public/Att achmatch/FCC-15-10A1.Pdf Https://Apps.Fcc.Gov/Edocs_public/Att achmatch/FCC-15-10A1.Pdf

4. CommunityHealth IT’s Purpose “HIT Soup to Nuts” “Activated” Community HIE EHR Implementation High-speed Internet Connectivity FCC/US AC MU VA Engaged Patients

5. ✓ FCC-approved CommunityHealth IT Consortium (CRN# 38493) works formally with broadband and telecom specialist G2 Telecom (CRN# 16080804) ✓ MyHealthStory (operational 2011) selected to exchange electronic veteran data with civilian providers for national VA:ONC:HHS project (White House Rural Council) ✓ Appointed to OneFlorida Consortium and Data Trust Program ✓ Provides cost-conscious on-ramp to the Florida HIE and eHealth Exchange. Shares data with Georgia ✓ Partners with Florida Hospital Association (CommunityHealth IT @ FHA) ✓ Connects residents to community health resources, medical providers, and behavioral health

6. Health-ready Connectivity: The Business Case for Spurring Coordinated Community Healthcare Delivery with Broadband The “Health-ready Connectivity” model was developed by CommunityHealth IT’s leadership in 2012 and was presented to the FCC, National Telecommunications and Information Administration (NTIA), HHS, and White House Rural Council

7. Health-ready Connectivity Model Healthcare places large demands on reliable, ubiquitous, and ample broadband. Healthcare professionals must be able to handle HIT use at the POC. Because of this dependence on connectivity, broadband can be looked upon as a connected community healthcare utility when partnered with a true community health information exchange and population health tool.

8. Health-ready Connectivity Model provides the meaningful use (REAL meaningful use) of broadband capabilities for the future of healthcare spurs job creation saves $$$ CONNECTS healthcare A partnership between broadband stakeholders and CommunityHealth IT easily services interdependent rural and urban communities through Health-ready Connectivity.

9. Health-ready Connectivity Model: Vision To reach full value—for patients wherever they may live or work—connecting broadband and healthcare delivery must be allowed to expand throughout rural AND urban areas, covering the entire healthcare delivery network in a given community.

10. countyhealthranking.org/our-approach Why Does Health-ready Connectivity Involve Patients?

11. Patient-centered, community- based health, with a focus on positive outcomes/wellness Provider-centric, episodic care Recognizing A BETTER Healthcare Ecosystem

12. MyHealthStory Healthcare Ecosystem Engagement Patients Physicians, PAs, NPs EMS Services Hospitals Behavioral Health Social Services Hospice Home Health Care Healthcare Therapies: PT/OT/ST Patient Advocacy Groups: disease management Patient Communities: population wellness Public Health Employers: worksite wellness MyHealthStory promotes ACTIVE and APPROPRIATE involvement of these groups

13. New Patient Case Study 83 year old African american male First civilian visit Daughter is primary caregiver At least 6 VA providers Lung cancer, one kidney, anemia, etc. Unsure of medicines

14. Enrolled in MyHealthStory Exchanged VA CCD –16 pages –25 encounters in the previous 4 months –27 medications –33 problems First Civilian Care Visit Accomplishments

15. Exchange provided a complete picture of patient’s condition Medication adjustments and follow up treatments were arranged that day and not delayed The VA medical information is now available for all civilian providers through MyHealthStory and those on the Florida HIE Benefits of Veteran Mediated Exchange

16. FOLLOW MyHealthStory! On Twitter: CommunityHealth IT @CommHIT #MyHealthStoryHIE On Facebook: My Health Story On LinkedIn: MyHealthStory Websites: Communityhealthit.org Kendra Siler-Marsiglio, PhD, HCC Rural Health Partnership Director CommunityHealth IT President kendrasm@wellflorida.org 904.318.5803 (call or text)