Telehealth Alliance of Oregon -- Quality healthcare everywhere through telecommunications!


 

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Oregon Health Network Frequently Asked Questions

  1. What is the Oregon Health Network (OHN)?
  2. Who is involved in the Oregon Health Network
  3. How much money did the FCC award to Oregon?
  4. Where does the money for the FCC pilot program come from?
  5. What can the FCC funding be used for?
  6. How is the OHN funding distributed?
  7. What communities & organizations are responsible for delivering the
       objectives of the Oregon Health Network?

  8. What are the goals of the OHN?
  9. How will the OHN implementation be accomplished?
10. Who provided in-kind or financial support for the preparation of the FCC
       application?

11. Which elected officials provided support for the application?
12. Who are or can be members of the OHN?
13. What are the next steps?
14. What are the benefits of a telehealth network for Oregon and Oregonians?
15. Why is Oregon receiving funds from the FCC?
16. Who is involved and/or impacted by the FCC award?
17. When does the FCC award take effect?
18. Where can I find more information?

  1. What is the Oregon Health Network (OHN)?

The Oregon Health Network is an organization created to address the need for a seamless telehealth network throughout the state of Oregon through which the potential of telecommunications for health care delivery and health care education can be realized. Upon full realization, the OHN will interconnect all Oregon hospitals, clinics, county public health offices, physicians, mental health, dental and optical clinics, and health education institutions with a level of interactive service delivery and access to resources once only imagined in rural and underserved communities. The OHN is designed to be inter-operable with Oregon Public Safety and Emergency Management networks, and Oregon government and education networks. It will also connect with both the Internet and Internet2/National Lambda Rail assuring access to all sites on these networks, a critical first step toward a national communications highway.

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  1. Who is involved in the Oregon Health Network

More than 150 Oregon individuals and organizations, led by the Oregon Association of Hospitals and Health Systems (OAHHS) and the Telehealth Alliance of Oregon (TAO), collaborated in the development of the Oregon Health Network plan and proposal. The OAHHS Research and Education Foundation (OREF) is the applicant for Federal Communications Commission (FCC) funding, and will serve as the administrative and fiduciary agent for the for the Oregon component of the FCC pilot program. The OAHHS will draw upon the expertise of TAO. The intention is to create a self governing OHN that will chart its own course as an independent charitable non-profit organization, fully able to advance and support the expansion of telehealth across Oregon as well as to manage the strategic and operational oversight of a complex and inclusive OHN.

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  1. How much money did the FCC award to Oregon?

The FCC awarded OHN $20,182,625 over a three year period ($6,727,541.67 per year).

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  1. Where does the money for the FCC pilot program come from?

The money is not congressionally appropriated tax funds. It comes from the Universal Service Fund surcharge on our telephone bills. The purpose of the Universal Service Fund is to make telecommunications services available and affordable for everyone. Four components of the Universal Service Fund are: the schools and libraries fund, the low income fund, the rural health care fund and the high cost fund. OHN funding comes from the rural health care component of the universal service fund.

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  1. What can the FCC funding be used for?

The FCC award can be used only to pay up to 85% of the costs of constructing and using the physical network. It does not provide funds for administration, for applications development or other functions and services that OHN hopes to provide or facilitate.

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  1. How is the OHN funding distributed?

Unlike grant funds that are typically distributed to the grant recipient to achieve the purposes of the grant, OHN funds will be paid directly to telecommunications service providers by the Universal Service Administrative Company (USAC), which is tasked by the FCC to administer the funds. OHN will send vendor invoices to USAC monthly along with certification that the services and beneficiaries meet the eligibility requirements, and that the 15% matching fund requirement has been paid for each invoice. USAC will then pay the remaining 85% of each invoice to the appropriate telecommunications service providers.

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  1. What communities & organizations are responsible for delivering the objectives of the Oregon Health Network?

The non-profit corporation OAHHS Research and Education Foundation (OREF) is the applicant organization to the FCC Pilot Program. Administrative and fiduciary governance of the Oregon Health Network will be contracted to OREF for a minimum of two years. Operational leadership and organizational management for the first two years will be provided by the non-profit corporation Telehealth Alliance of Oregon. During this period, a non-profit corporation, the Oregon Health Network, will be established to manage the operation in subsequent years.

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  1. What are the goals of the OHN?

Four primary goals have been established to inform and guide the implementation of the OHN:

  1. Oregon will achieve significant advances toward parity in its health related services across its urban, suburban and rural regions through the deployment of the OHN as an independent member organization.

  2. The proliferation of successful telehealth applications across Oregon’s most underserved areas will be attained through the active involvement of rural stakeholders, and a comprehensive program of education and technical support of rural network users.

  3. The active and ongoing participation of rural providers in telehealth applications will be sustained by a sliding scale fee system.

  4. OHN will establish a statewide broadband network and network applications that improve access to and quality of care in Oregon, as well as participate in development of a national health network that more fully serves the healthcare needs of all U.S. citizens.

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  1. How will the OHN implementation be accomplished?

The Oregon Health Network will be an independent member-based Oregon non-profit corporation with broad representation of all Oregon stakeholders with an interest in improving Oregon’s telecommunications infrastructure for health care and health education. The Research and Education Foundation of the Oregon Association of Hospitals and Health Systems is the fiscal agent for OHN. The OHN team will work to interconnect Oregon’s existing hospital networks and make technical and management plans for a Network Operations Center that will monitor network performance to ensure that the quality of service meets the standards required for critical medical applications.

OHN will conduct a competitive procurement to select the most cost-effective telecommunications providers to bring high quality broadband network services to currently under-served rural hospital, clinic, public health and health education locations throughout Oregon.

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  1. Who provided in-kind or financial support for the preparation of the FCC application?

Oregon Association of Hospitals and Health Systems
Telehealth Alliance of Oregon
Allied Healthcare for Oregon: Seeking Solutions Through Technology (AHOSST)
Asante Health System
Blue Mt. Community College
Easy Street
Frontier TeleNet
Health Future
Link Shadley
LS Networks
Oregon Medical Association
Oregon Office of Rural Health
PolyCom
Providence Health and Services
Regence Blue Cross Blue Shield
State of Oregon, Dept. of Administrative Services
Southern Coos Hospital

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  1. Which elected officials provided support for the application?

  • Governor Ted Kulongoski provided a letter of support that was included in the application.

  • The 2007 Legislature passed a Joint Resolution (SJR 20) supporting the application that was included in the application.

  • Each member of Oregon’s Congressional delegation—Senator Smith, Senator Wyden, Reps. Blumenhauer, DeFazio, Hooley, Walden, and Wu—provided a letter of support for the application and kept in close contact with the FCC during the review of the applications.

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  1. Who are or can be members of the OHN?

Organizations involved in health care or health education are eligible to join OHN.

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  1. What are the next steps?

OHN will interconnect Oregon’s existing hospital networks into a “network of networks” for the exchange of medical information. This will also permit the rural hospitals and clinics that are the primary beneficiaries of the FCC funding to connect with any of the major hospital systems in Oregon.

OHN will develop and implement plans for monitoring the network to ensure that end to end performance across multiple telecommunications vendors meets the quality required for medical applications.

OHN will conduct a competitive procurement to select the most cost-effective telecommunications provider for each rural location to be served.

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  1. What are the benefits of a telehealth network for Oregon and Oregonians?

The OHN will serve all Oregon citizens. The Oregon Health Network (OHN) pilot project has the potential to provide important services to Oregon’s 3.6 million citizens and 482 towns and communities throughout the state. Of those, 396 are rural or underserved towns and communities.

The OHN will improve access to health services. The OHN pilot project funds the creation of a “communications highway” that will fundamentally change the face of rural health care by facilitating patient access to services among local, regional and state networks. Oregon hospitals and clinics, health care providers, health plans, educators, state and federal elected leaders and organizations are committed to advancing access to health care services across every corner of the state through the OHN pilot project. The OHN pilot project is the first step toward building a national communications highway connecting providers and facilities across the country.

The OHN will improve health service quality. Health care providers, health plans, patients, communities and education programs all benefit from the OHN pilot project. Patients receive access to state of the art health care in otherwise under served areas, such as rural communities. Telemedicine improves collaboration among providers by sharing secure and confidential access to electronic medical records.

Telecommunications programs enable rural communities to retain well-educated and specialty health care professionals. In order to do so, these programs need high-quality videoconferencing, web-based programs and other emerging electronic technologies. OHN will enhance Oregon’s community colleges and university systems’ current programs and expand their abilities to develop distance technologies for health care professional education.

The OHN pilot program will provide the foundation for improved emergency preparedness applications for hospitals, clinics, private practitioners, public health, emergency management and tribal partners who currently cannot communicate across jurisdictions during day-to-day operations and large-scale incidents.

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  1. Why is Oregon receiving funds from the FCC?

To significantly increase access to acute, primary and preventive health care in rural America, the Federal Communications Commission on November 19, 2007, dedicated over $417 million for the construction of 69 statewide or regional broadband telehealth networks in 42 states and three U.S. territories under the Rural Health Care Pilot Program (RHCPP).

 

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  1. Who is involved and/or impacted by the FCC award?

The Federal Communication Commission’s RHCPP will support the connection of more than 6,000 public and non-profit health care providers nationwide to broadband telehealth networks. The health care facilities participating in the Pilot Program include: hospitals, clinics, universities and research centers, behavioral health sites, correctional facility clinics, and community health centers.

 

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  1. When does the FCC award take effect?

The FCC Order was adopted November 19, 2007 and will become effective on publication in the Federal Register.

 

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  1. Where can I find more information?

Additional information can be found on the Telehealth Alliance of Oregon Web site www.ortelehealth.org.

 

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Revised: June 18, 2008