nsf - us ignite workshop slide presentation
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© 2011 IBM Corporation
Let’s build smarter healthcare: Healthcare Consumer Portal – Tony Amaddio – IBM Healthcare Industry Solutions
Smarter healthcare is: Extending care through existing and emerging channels and activating consumers, to deliver coordinated, integrated care.
Patient Networks• Self Reporting• Remote Diagnosis• Video Visits• Collaboration with Care Team• Education• Participation in Wellness Groups
Information
Insights and clinical knowledge
Real-time communication and information sharing means patients gain better access to care and increased convenience and choice.
Other Participants Research Organizations Government Health Organizations Pharmacy Benefits Managers Pharmaceutical Companies Medical Device Companies Private and Public Payers Government Regulatory Agencies
Care Teams Physicians Specialists Nurses Nurse Practitioners Physician Assistants Medical Assistants Pharmacists Therapists Case Managers Community Health Workers Support Groups Coaches and Mentors
ConsumerChannels
Advanced User Interface Services
Application Engines
Data Services
Operations
Hospitals User Profiles Google MapsFederal Govt.
SourcesCommercial
SourcesNon-Profit SourcesState Agency
SourcesHealth DataWarehouse
PCPC MacMac Smartphone/Mobile
Smartphone/Mobile Dr. OfficeDr. Office ClinicsClinics LibrariesLibraries
XHTMLXHTML CSSCSS AJAXAJAX FlashFlash
ContentManagement
ContentManagement
Search ForCare EngineSearch For
Care EngineOpen SourceFrameworksOpen SourceFrameworks
DecisionSupport Tools
DecisionSupport Tools
GeographicMapping
GeographicMapping
RecommendationEngine
RecommendationEngine
DataTransformation
DataTransformation Web ServicesWeb Services
IBM Fully Managed HostingIBM Fully Managed Hosting IBM DB2 Database SoftwareIBM DB2 Database Software IBM InfoSphere SoftwareIBM InfoSphere Software IBM AIX and Enterprise LinuxIBM AIX and Enterprise Linux
Open Network Service Exchange “ONSE”• Leverage existing national and regional grants to create open network service exchanges that
enable communities, network, application and content providers the ability to access and provide;
– Open Ethernet Transport– Open IP Transport– Infrastructure sharing– Cloud/Application Sharing– Media Service Gateway for OTT Applications
Open Network Service Exchange (ONSE)
Leverage Public Investments by enabling local “ONSE” to connect to regional and national Open
Network Transport “ONT”
Enable Public‐Private Partnerships (P3s) to invest and create certified local/regional “ONSE” centers through
shared infrastructure services to enable the development, sharing and cost effective delivery of innovative commercial and community application services.
Digital Economic Development
Our vision for a brighter future for Colorado ... affordable broadband connectivity - at school, at work, at home
With ifJ.ffordable Broadband . ..
Top-notch learning opportunities- for a skil led and competitive workforce
A vibrant business community- for a strong and growing economy
Leading-edge community services - for better health care and public safety
A desirable place to livewith access to the best life has to offer
Without Affordable Broadband . ..
Our children struggle- unable to keep pace with the rest of the world and unprepared to compete in the workplace
Our economy weakens- as businesses die or move to areas with better infrastructure and a skilled workforce
Our residents suffer- from outdated and insufficient healthcare and public services
Our rural communities become ghost towns- as residents seek a better life elsewhere
“In a nation as culturally, ethnically, and racially rich and diverse as the United States, there is an imperative to ensure that the broadband benefits described here are available to all. To this end, the Benton Foundation envisions an inclusive digital society in which all members, especially the underserved, have access to the latest technology and the training necessary to make the best use of it, at home, in school and in the workplace.
Broadband, and policies that ensure equitable access to it, can help make this vision a reality.”
UNIVERSAL AFFORDABLE BROADBAND FOR ALL AMERICANS
By Jim Kohlenberger, Senior Fellow, Benton FoundationSeptember 2007
14Corning Incorporated
Telecom: Optical Fiber PenetrationTelecom: Optical Fiber Penetration
Global Nation Metro Access Campus Premises
10,000 1,000 km 100 km 10 km 1 km 100 m 10m 1 m
10 and 40 G Established100 G Emerging
Growing Starting
108
USERS PER FIBER106
USERS PER FIBER103
USERS PER FIBER1
USER PER FIBER
Nancy DavenportDirector of Library Services
Chris TonjesDirector of Information Technology
DC Public Library
Gigabit BroadBand Vision• Connecting people to content at the speed of light
– Libraries can deliver media rich, interactive content on any device. Collaboration and discovery are enhanced by fast broadband!
• Connecting people to each to each other at the speed of conversation– Library programs can be delivered to anyone, anywhere.
Blended forms of content and learning, including group interactions and targeted evaluations, are possible with fast broadband!
• Connecting to the future– New forms of media, social technology, data visualization, and
customer to library interactions can be imagined and made real using fast broadband!
The Philadelphia Orchestra Concert Series www.philorch.org/internet2
• Live concerts from Verizon Hall at The Kimmel Center for the Performing Arts
• Over 57 campuses across the world participated
• Auditoria – shared, community experience
• HD multicast
Cultivating Communities: Dance in the Digital Age
21
Case Western Reserve andCleveland Institute of Music:
The Bing Theater, University of Southern California
Bradley University: The Adding Machine
(Elmer Rice's 1923 classic play)
•Bradley University•University of Central Florida•University of Waterloo •Multicast DVTS
,
• Stop f alkit1g at1d Start Poit1g • lt1vet1tory Pigital Cot~ttMUt1ities • ldettlifv Applicatiot1s Pevelopers • EartMark Sources of Support
(Public, Private) • Establish Price to Participate:
Sharit1g ot1 a Cost-Plus Jasis
Sari FeldmanExecutive DirectorJames Haprian
Information Technology Director
Cuyahoga County Public Library
Public Libraries: Community Technology Hubs
• Bridging the Digital Divide– Equity of access to technology brings value to communities
• Computer training classes • Access to and assistance with e-government • Sharing research and information
• 21st Century Learning Tools • Afterschool enrichment programs• Lifelong learning opportunities • Tools for image, video and music creation• Cloud computing
Public Libraries: Community Technology Hubs
• Distance Learning– “Graduate” from the Library
• High school and higher education classes – Partnerships with schools, universities, colleges
• User Generated Content– Active e-citizenship – Personal and community histories– Multigenerational learning tools – Classrooms projects
Public Libraries: Community Technology Hubs
• Supporting Community-Based Entrepreneurship – High speed connections – Technology resources and information– Market research – Business centers– Wireless connectivity
IndustryInvolvement
FoundationPhilanthropy
Non Profit Services
Education and Outreach
Consumer Enabling
Developing the Digital Economy
Engagements that Create Resources
A Sustainable Development Model
Lev GonickVice President for Information Technology Services and CIO
Case Western Reserve University
Te Yilrion win ""'k• it _. a1blt" far en employer 1n Bueno~ AtrH to1nl,.rY1ewajob .,kor in Phol d •lphoo. New Yorkor Felix Cuervo has olrelldy poo-
=~~~ an8:~~~C:~~cll;;· ~~~:~~ &<;~.~-J:!~:----:-,:~::.::::::~~~-_j~..ll··~ Aen>Mutia Adm1n11tr.Uon po&itiom OY!l"r a '2-waycloaed circuit. Sa~d Cuervo: "Dress. be.uin~t. nan~r and abouty can be a•ua:ed over televllion obout u ..:cur tely u on pei'IC1l&l uoter· \l'iift\tt .. ""
Ne>IWMir:Wa!/i,the $ 1f:y
LUNAR MAILBAG
ChrinmN cards of the future may be tnl.mmined electronicelly. The post omce is studying the us.e of spaee te-ch nolo y for quickmovementofendle»quen• titiH · or mail betv.-een widely separated points.
To do thil, microwave $UIIIons would beset up. Envelopes would be opened mc."chanit lly. nd au· tomatic -fingers" would rcmov the contents and e pose thorn to a~eanner. Impulses r rom the card or letter might be beamed to a postals.atellite or e••en the moon. bounced back to tfi de-stination point. r produced th r in the on9nal ptinton or handwriun~:. sealrd in o cap~ule and deliv r d . All thi rrught be done minute!S from the time the communication fil'$1 arrived at a post office thou· sends of mile-s away.
Nut week: Atomic SealreiShter
~Per$0nal" tel vi ion ;, nOt far orr. thanlct to printed circuit$. mlnietu:te tra.Miston e1d other developments.
A small set that can book up to you.r telephon has el..,..ty been devised by Bell Lloboratories. But the Army i going th l one better. According to Mllj, O..n. Robe" J. Wood, deputy dlier of reieetch and develop-men!, TV setsth oize of pootage 1 l .tarr\J>S will ooon be worn on the 1 wriu. eech with a personal dialinK number. One man mi&ht be able to communie~ne with another-anywh.ere in !he world. And it won't be lontr either before such d vice$ are adapted t.o civili•n ute.
Nettweel<: · Robot RllilrO<Jdin~
Synaptic Information Device (SID) 2005: Wireless Content Direct to the Brain:
Text, Audio, and Video
Bluetooth wireless transmission
RFID receiver implant
Paul Kobulnicky ‐ Library Director
A Gigabit World supports local, sustainable communities
1. Enables more effective remote work ‐more time at home2. Enables more effective virtual meetings ‐ less travel3. Connects common‐interest communities together4. Enables distance education that mimics F2F5. Improves delivery of multi‐media information
VISION
Leverage recent public investment in broadband and work with incumbents to assure everyone has access to affordable broadband.
John L. LewisAssociate Vice PresidentOutreach, Engagement, and Information Technologies
Parents are at the nexus of where broadband intersects with K-12, community, health, government and social services.
Broadband enabled parent’s; CommunicateCollaborateParticipateLearnEarnand Prosper
and digitally literate parents will raise digitally literate children
Tom MillerCommunity Technology Executive
OneCommunity
Ultra Broadband Cloud
“Connection through the Giga‐Cloud enhances the economic prosperity and personal well‐being of every citizen.”
Photo Courtesy: NCIH
1 million new JOBS created by GigApps companies
20 million at-risk students are High Achievers by eMentoring
10 X more chronic disease patients served at home
Graham Richard
Municipal Infrastructure HistoryIN
FRA
STR
UC
TUR
ETY
PE
1870 1910 1950 1960 2006
Port Authority
Union Station
Distribution HighwayInternational Airport
Broadband and Wireless
Equipped with a clear set of actionable items and next steps from The Kansas CityBroadband Governance Leadership Summit, in 2012 I see cities boldly moving forward andestablishing metropolitan Internet economic development organizations which ultimatelywill herald the arrival of the gigabit economy with benefits for all sectors of the economy.
NOW G‐Bit World
My BW Capacity
What I can find/access
What I can use/needDegree
of D
ifficulty
Easier
Harder
Diagram Not to scale!!!!!!
Miracles Happen Here
“If you build it...he will come.”
“Go the distance.”
Mike Sherman - 2011
Ray Kinsella - 1989
“If you connect Anchor Institutions to each other and to the local community with fiber at Gigabit speeds, they will leverage that connectivity to better fulfill their missions and serve the community.”
Ultra‐Broadband is an opportunity to re‐think co‐existing infrastructure potential based on
requirements• Proposition: Energy,
Healthcare, Public Safety and Home Security will all require high‐availability and security.
• Solution: Ultra‐broadband can provide co‐existing virtual private networks that provide large, partitioned, impregnable channels between the end‐user environment and up‐stream provider.
• Premise: Without these broadened, hardened channels, adoption will be slowed / limited.
Healthcare
Energy Management
Public Safety
Home Security
Communications
•Applications – Video/Telemedicine; Remote Sensing; multi‐device CRM
•Applications – demand response, price responsive demand, heuristics, integrated access to middleware.
•Applications ‐ emergency access, integrated video and other sensing, remote devices.
•Applications – remote sensing and video control, instant‐on audio and video, remote actuation
•Applications – VoIP, Video Conferencing, multi‐device access, streaming content delivery
All require some level of ‐ Security, Encryption, QOS, Multiple data streams
5‐50 meg sync
5‐50 meg sync
5‐50 meg sync
5‐10 meg sync
5‐50 meg sync
+ management?
25‐250 meg sync?
Opportunity –efficiency‐based approaches to critical communications (Compression, CSMA / CD –driven architecture) in favor of secure, high‐demand / availability requirements with little or no latency.
Public Service in a Gigabit World
Dedicated Bandwidth+
Dedicated Funding=
Public Service to help change lives for the better
In a Gigabit World of knowledge creation and collaboration…
…we need a next generation model for a long-standing need.
How do I make it work for me?
AnytimeAnyone
Any Content
Anyplace
Content Creation
DiscoveryValidation
Access
Curation
Preservation
Sharing
jmw
The Schools, Health & Libraries Broadband
Coalition
John Windhausen, Jr.Coordinator, SHLB Coalition
www.shlbc.org(202) 256-9616
jwindhausen@telepoly.com
73
SHLB Coalition Members (examples)
Schools (CCSSO, ISTE, CoSN)
Community Colleges (AACC, ITC)
Health (AHA, NRHA, HIMSS)
Libraries (ALA, COSLA, ULC)
Higher Education (EDUCAUSE, ARL)
National R&E Networks (Internet2, NLR)
State R&E Networks (The Quilt, Merit, NYSERNET, NCREN)
Municipalities (NATOA)
Public Media (Access Humboldt)
Public Safety (NENA)
Private Sector (Microsoft, Google, Sunesys, Zayo, ENA)
Public Interest (New America Foundation, Public Knowledge)
Foundations (Gates, Benton, Knight)74
SHLB Coalition Mission
Toensurethatschools(K‐12andhighereducation),libraries,healthcare
providers,publicsafety,publicmedia,andotheranchorinstitutionshaveaffordable,high‐capacity broadband.
75
76
Anchor Institutions are unique: Neither residential nor business.
Anchor Institutions provide essential services:Digital literacy, distance education, remote
telemedicine, job-training, e-government services, basic research.
Anchor institutions serve diverse and often vulnerable community members:
Elderly, low-income, disabled, homeless, travelers, youth and even residential.
SHLB Advocacy 2009-2010• BTOP: SHLB asked for Infrastructure
projects to focus on anchor institutions. Success.
• UCAN: SHLB supported creating a Unified Community Anchor Network to aggregate traffic and broadband resources to serve all anchor institutions. Success
• E-Rate: SHLB asked for inclusion of dark fiber and lit fiber. Success
77
SHLB Advocacy 2011
• Rural Universal Service Fund/Connect America Fund: SHLB has asked the FCC to fund broadband to anchor institutions in rural, high-cost regions. Pending
• U.S. Ignite: SHLB is engaged in discussions with Obama Administration on next-generation broadband platform and applications. Pending
78
SHLB Advocacy/Our Goal:
National Broadband Plan Goal No. 4: Every American community should have affordable access to at least 1 gigabit per second broadband service to anchor institutions such as schools, libraries, hospitals and government buildings.
79
Priorities for Public Policy How to Engage/Educate Public Officials
• Reinvent right of way (ie federal transportation right of way is a prime opportunity for reinvention for broadband)
• Clearly define a way to talk about needs for applications vs. current capacity
• Reinvent private easement • KISS (don’t make it complicated)
• No laws against BB but laws/policy encouraging BB • Counter special interest arguments
• Encourage the development of integrated state, local and regional BB plans and visions developed with public, private, nonprofit community and government involvement
• Know your audience
• Reframe Universal Services Fund and concept • Establish BB standards baseline
• Universal service BB plan especially for rural America • Define a specific role for government/How does government fulfill that role
• Dedicate portions of current taxes andfees on telecommunications for BB and BB services
• Engage government officials and the broader community in an official process to define best practices in BB. Include legislative and executive levels of government and a broad range of community leaders.
• Encourage (require) all state, local, regional plans (ie: economic development, health care, infrastructure or whatever) to address BB development
• Define clearly the position of the US v. other nations regarding BB development
• Establish BB capacity as a national priority
• Answer the question: What is an appropriate public policy/regulatory framework for BB as fundamental essential infrastructure?
Creating a framework to bring anchor institutions together: Summary: Create a communication channel that can be used to share content Education is a big piece of everyone’s role. Utilize research institutions and existing frameworks
Challenging to bring them together – discussion about things that have worked
Public libraries really need to be a piece of this because the residents need to see themselves as part of the process. People can identify with the library – Nancy from DC. People see that if their library is involved they are involved.
Challenge everyone has is finding channels to get our messages out to each of our markets. –Lyrasis. Demonstrate that it gives an institution a channel to get their message to their market.
Provide evidence use cases that there is positive impact. Library could partner with a university to make research that the university is doing consumable at the library user level. Ability for students to interact with university data and projects. Why couldn’t the community create meta data for the university projects? Makes product of federal funding accessible to the public.
Sari shared collaborative programs that CCPL does with CWRU
Do universities need to create the framework to bring the other institutions together?
Scot from One Community shared that OC views this as change management. Helping to define and articulate a vision. Tom from OC shared that he is able to communicate the value to schools because of his dual roles.
Sari wonders if the framework is about education? Be more deliberate about education. Cuts across all areas. Delivering education .
Education and awareness of what could be. Cross collaboration through people that are trusted brokers to institutions.
Jim B. it would be valuable to have a way to capture statics and determine value that a common person can understand. Should there be focus to get people that may not recognize the impact on their lives to become educated about the impact? Do the parents and teachers perceive the technology as vital? Are the effects too subtle?
Museums are interested in providing content that everyone can point to as a demonstration of value. They found that they could have positive impact for under 2K by providing video production tools to students. Libraries are one of the only cradle-to-grave organizations that are not health and public safety. Purpose, relevance. Sari shared that creating channels between partners leads to taking it to the public. Creating these channels We have multiple goals. Jim B. wants to be able to say to opponents of broadband that they are not counting all of the benefits created.
Why the public sector is part of this?
Determine metrics to demonstrate value Summary: Meaningful stories, baseline, empirical evidence. Quality review.
Outcomes not just ROI in terms of money. Try not to do too broad of an approach in metrics.
Have universities measure their impact at K-12 instead of just their level. They have also spent a lot of money on relations to government. They could be valuable to communicate to government,
Nancy from DC. Stories and faces have much more impact than stats. On the city level the elderly are very powerful. DC has put together basic computer courses, which then causes elderly to share their stories.
Microgrants?
Roughly 1 in 3 adults accesses the Internet in the library. If you equate that to $10 per person you could lay fiber to every institution.
Small outcome, impact projects that tell a story.
The metrics need to include some measure of buy in. What is the actual public investment?
We need a standard metric across industries that can be aggregated. ROI
There needs to be benchmarks in each institution? Gates foundation is funding s study.
IMLS is working on developing standards for characteristics of digitally active communities.
Need to be careful to not overestimate the power of empirical evidence. It’s a combination of empirical and emotional.
Economic dev. 10 percent of GDP against broadband adoption? Correlate the two.
Priorities for Public Policy How to Engage/Educate Public Officials
• Reinvent right of way (ie federal transportation right of way is a prime opportunity for reinvention for broadband)
• Clearly define a way to talk about needs for applications vs. current capacity
• Reinvent private easement • KISS (don’t make it complicated)
• No laws against BB but laws/policy encouraging BB • Counter special interest arguments
• Encourage the development of integrated state, local and regional BB plans and visions developed with public, private, nonprofit community and government involvement
• Know your audience
• Reframe Universal Services Fund and concept • Establish BB standards baseline
• Universal service BB plan especially for rural America • Define a specific role for government/How does government fulfill that role
• Dedicate portions of current taxes andfees on telecommunications for BB and BB services
• Engage government officials and the broader community in an official process to define best practices in BB. Include legislative and executive levels of government and a broad range of community leaders.
• Encourage (require) all state, local, regional plans (ie: economic development, health care, infrastructure or whatever) to address BB development
• Define clearly the position of the US v. other nations regarding BB development
• Establish BB capacity as a national priority
• Answer the question: What is an appropriate public policy/regulatory framework for BB as fundamental essential infrastructure?
Creating a framework to bring anchor institutions together: Summary: Create a communication channel that can be used to share content Education is a big piece of everyone’s role. Utilize research institutions and existing frameworks
Challenging to bring them together – discussion about things that have worked
Public libraries really need to be a piece of this because the residents need to see themselves as part of the process. People can identify with the library – Nancy from DC. People see that if their library is involved they are involved.
Challenge everyone has is finding channels to get our messages out to each of our markets. –Lyrasis. Demonstrate that it gives an institution a channel to get their message to their market.
Provide evidence use cases that there is positive impact. Library could partner with a university to make research that the university is doing consumable at the library user level. Ability for students to interact with university data and projects. Why couldn’t the community create meta data for the university projects? Makes product of federal funding accessible to the public.
Sari shared collaborative programs that CCPL does with CWRU
Do universities need to create the framework to bring the other institutions together?
Scot from One Community shared that OC views this as change management. Helping to define and articulate a vision. Tom from OC shared that he is able to communicate the value to schools because of his dual roles.
Sari wonders if the framework is about education? Be more deliberate about education. Cuts across all areas. Delivering education .
Education and awareness of what could be. Cross collaboration through people that are trusted brokers to institutions.
Jim B. it would be valuable to have a way to capture statics and determine value that a common person can understand. Should there be focus to get people that may not recognize the impact on their lives to become educated about the impact? Do the parents and teachers perceive the technology as vital? Are the effects too subtle?
Museums are interested in providing content that everyone can point to as a demonstration of value. They found that they could have positive impact for under 2K by providing video production tools to students. Libraries are one of the only cradle-to-grave organizations that are not health and public safety. Purpose, relevance. Sari shared that creating channels between partners leads to taking it to the public. Creating these channels We have multiple goals. Jim B. wants to be able to say to opponents of broadband that they are not counting all of the benefits created.
Why the public sector is part of this?
Determine metrics to demonstrate value Summary: Meaningful stories, baseline, empirical evidence. Quality review.
Outcomes not just ROI in terms of money. Try not to do too broad of an approach in metrics.
Have universities measure their impact at K-12 instead of just their level. They have also spent a lot of money on relations to government. They could be valuable to communicate to government,
Nancy from DC. Stories and faces have much more impact than stats. On the city level the elderly are very powerful. DC has put together basic computer courses, which then causes elderly to share their stories.
Microgrants?
Roughly 1 in 3 adults accesses the Internet in the library. If you equate that to $10 per person you could lay fiber to every institution.
Small outcome, impact projects that tell a story.
The metrics need to include some measure of buy in. What is the actual public investment?
We need a standard metric across industries that can be aggregated. ROI
There needs to be benchmarks in each institution? Gates foundation is funding s study.
IMLS is working on developing standards for characteristics of digitally active communities.
Need to be careful to not overestimate the power of empirical evidence. It’s a combination of empirical and emotional.
Economic dev. 10 percent of GDP against broadband adoption? Correlate the two.
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