1. Then and Now 15 Years of Telemedicine Services

2. Who we were Culbertson Culbertson Sidney Sidney Glendive Glendive Miles City (2) Miles City (2) Billings Billings

3. Who We Are Now

5. Technology Then The Fridge The Fridge Roll-about unit the size of a side by side frig that weighed 500 lbs and cost $65,000 Couldn’t fit in a exam room if you tried

6. Technology Now

7. What We Did Then 70 conference a month 70 conference a month 95/96 1284 95/96 1284

8. What we do now 2008 – 3498 2008 – 3498

9. Who Made Us Successful Them Handful of pioneers set out to make telemedicine successful

10. Who Makes Us Successful Today 52 Site facilitators 52 Site facilitators 18 Clinical Presenters 18 Clinical Presenters 80 Providers 80 Providers 4 Network Staff 4 Network Staff 1 Network Engineer 1 Network Engineer 1 Medical Director 1 Medical Director Multiple Technical Partners Multiple Technical Partners

11. What Makes us Successful Today Dedicated partners Dedicated partners A desire to provide the best care we can for our patients A desire to provide the best care we can for our patients Understanding of the power of telemedicine Understanding of the power of telemedicine A commitment to excellence A commitment to excellence