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Using Old TV Bandwidth to Expand Rural Telehealth
David Silv, Univiy Clad a Blddilv@vlini.g
Develop the bandwidth lef unused afer the switch to digital television to provide astinternet access or telehealth programs in rural areas.
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Key Facts
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bandwidh an v (4) im h aa a nwk anmiting in n nlindbandwidh, wih a high qaliy vi.A 2009 VA dy nd a 25% din in h
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avag nmb day hpializd and a 19%din in hpializain pain inghm lhalh.
aa. Ral halha pvid – and m gnally, al mmnii – hld giv ga nid-ain h hi nw hnlgial . High-pd inn a i impaiv h d-vlpmn lhalh, a dmnad by h Calinia Tlhalh Nwk’ $30+ millin in daland h nding nn v 300 pimaily al Calinia halha ailii a awid andnainwid badband lhalh nwk. Hwv, hi invmn may n b ngh gan manypain a halh vi; anpain i halh lini and hpial ill main a pb-lm, pially in al aa.Tha al idn wn ignianly w m-p p apia han hi npa p ahallng implmning hi agy. Hwv,Fdal pgam a alady in pla ha bidizmp pha in al aa, and in Calinia,pgam lik h Calinia Emging ThnlgiFnd (CETF) and Pixly Cnn wk naw hdigial divid by pviding hnlgial and aining Calinia’ ndvd al pp-lain. Calinia’ a gvnmn hld lk h and imila pgam pvid hm l-halh pain wih mp and mniing dvi.A w h hallng ld ai in implmning hm lhalh and in ing WhiFi d . Onnn i inmain iy. Hpial and h mdial ailii likly d n wan mdial d b ad via h mmdiy inn. Vial Piva Nwk (VPN) pvid a impl lin n pivay inmain n v h inn, inlding WhiFi. Pvid invlvd wih dliv-ing hm lhalh ld aily p a VPN hgh whih hy ld mmnia wih painly.A likly nn hm lhalh pvid i imbmn. Paiin viwing h daa n inby hm lhalh pain m hav an nmi inniv nin pviding h vi. Pbliinan mpani hav bil-in imbmn plii lhalh, and whil many am hapiva inan mpani d n imb lhalh, in aliy v 100 piva pay had -imbmn plii lhalh in 2003. Th nmb ha ndbdly gwn a h pvaln lhalh ha inad. Piva inan mpani ha d n nly imb lhalh willlikly adj imbmn plii pm h aving ha m mniing and hm lhalhwill . Ma ld al b akn by Calinia’ Dpamn Halh n imbmna ading h Amian Tlmdiin Aiain’ mmndain. Rimbmn i ad-dd in ga dail by Calinia Tlmdiin and -Halh Cn.
Next Steps
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Talking Points
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iliy mpaabl liiy,phn lin, and wa. I i vial n nly halhm, b dainal, nmi and mmniydvlpmn a wll.Tlhalh hnlgy pmi ina pvn-
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iv a ma hgh hm lhalh and l-labain wih nalizd halha piali.Th wih DTV will allw iizn a high-
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pd inn whv n-h-ai lviin xi.
vial ign m h pain’ idn. C ima hm lhalh vi in al, inldingina, a givn by h VA a $1600 p pain p ya. WhiFi ina wld inldbh iv and anmit WhiFi ignal. C h dvi a nknwn a h mmn.Hwv, ba h dvi avid h xa badband wiing badband al aa, hvall i xpd b a l han dplymn n badband hnlgy.Snd, h a hld wk wih xiing lhalh pgam, lik h Calinia Tlhalh Nwkand UC—Md’ Vally Tlhalh Panhip, bgin a daaba pain whm hm l-halh i a gd alnaiv a--a hk-p. Th pain wld inld abl al hni apain wih ndiin h a diab, hni ha ail, hni biv plmnay dia(COPD), dpin p-amai did. F h ndiin, qn hk ymp-m and vial ign a nay, bh whih an b amplihd wih hm lhalh dvi.
Brennan, D. M., B. E. Holz, N. R. Chumbler, R. Kobb, and T. Rabinowiz. “Visioning echnology or he uure o elehealh.”1.Telemedicine and e-Healh 14, 9 (November 2008): 982-985.Colorado Healh Insiue. Daa. Rerieved April 7, 2009, rom htp://daacener.coloradohealhinsiue.org/daa.jsp2.Horrigan, J. B. “Broadband adopion in 2007.” Pew Inerne and American Lie Projec. Rerieved April 7, 2009, rom htp://3.www.pewinerne.org/Press-Releases/2007/Broadband-Adopion-in-2007.aspxLaRose, R., J. L. Gregg, S. Srover, J. Sraubhaar, and S. Carpener. “Closing he rural broadband gap: promoing adopion o4.he inerne in rural America.” Telecommunicaions Policy 31, (2007): 359-373.Lennet, B. “Rural broadband and he TV whie space.” Issue brie #22. New America Foundaion: Wireless Fuure Program,5.June 2008. 4 p.NAS Recruimen Communicaions. “NAS insighs: physician recruimen repor.” Rerieved April 7, 2009, rom htp://www.6.nasrecruimen.com/MicroSies/healhcare/Aricles/eaureH5b.hmlSpire, M. A review o physician recruimen and raining in rural America. Washingon, D.C. Washingon Healh Policy Fel-7.lowship Program, Augus 2000. 16 p. Rerieved April 7, 2009, rom htp://www.unmc.edu/Communiy/ruralmeded/edsloc/RecrRe/naional_view_recruimen.hmSeshamani, M. V. (2008). Hard imes in he hearland: healh care in rural America. Rerieved May 6, 2009, rom HealhRe-8.orm.gov: htp://www.healhreorm.gov/repors/hardimes/U.S. Census Bureau. Sae and Couny QuickFacs. Rerieved April 7, 2009, rom htp://quickacs.census.gov/qd/9.saes/08000.hmlUnied Saes Deparmen o Veerans Aairs. VA daa show home healh echnology improves access o care. January10.2009. htp://www1.va.gov/opa/pressrel/pressrelease.cm?id=1637 (accessed April 7, 2009).Caliornia Ediion, addiional sources:11.htp://www.dhcs.ca.gov/services/rural/Documens/2008%20Caliornia%20Rural%20Healh%20Updae%2012_3_08.pd12.htp://www.saehealhacs.org/proleind.jsp?ca=8&sub=156&rgn=613.htp://www.ceconline.org/14.htp://vp.ucmerced.edu/pub/vp_docs/home.hml15.www.calelehealh.org/documens/cn_fyer0708.doc16.htp://pixleyconnec.blogspo.com17.htp://www.mcagov.org/onevoice/2008/prioriies/ederal/HlhHPSA.pd18.htp://gis.ca.gov/caalog/BrowseRecord.epl?id=2375119.htp://www.lieberonline.com/doi/pdplus/10.1089/mj.2008.0021?cookieSe=1 – VA sudy20.htp://www.chc.org/documens/insurance/QuickReerenceGuideCA09.pd21.
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