Agenda

1

• Introduction

2
Agenda
DHE- Powerpoint summary Intro MB Network Mike
Hazen Applications Dr Alyce Garrity IT Director
Morgon O'Kelley Cordova Systems-Aggregation
discussion PWSFP Project Summary Current
Status-
3
Network Service Provider

•  

4
Digital Health Exchange Overview

• Network Service Provider
• Application Service Provider
• Bandwidth Aggregator

5
Application Service Provider

•  

6
Bandwidth Aggregator

•  

7
Many Applications include

• Ultrasound
• Nuclear Medicine
• Radiology
• EMR
• Cardiology
• Distance Education
• Dermatology
• NASA
• Psychiatry
• Home Health Care
• Adult Rehabilitation
• Emergency Departments
• Pediactrics
• Patient Management
• Nephrology
• Pathology
• Perinatology
• Optometry
• Oncology

8
Ultrasound

• Extremely High Quality diagnostic ultrasound
  images

9
3D Diagnostic Images
10
Live 3D Echo Scans
11
Nuclear Medicine
With Nuclear Medicine, abnormal biochemical
changes such as a cancer can be detected 3-6
months earlier than other means of detection.

• The process is referred to as Single Photon
  Emission Computerized Tomography or (SPECT).
  SPECT is similar to Computerized Tomography (CT)
  in that both create tomographic images of organs
  and tissue within the body. They differ in that
  SPECT images represent biochemical or
  physiological processes such as cardiac function
  or active cancer sites. Alternatively, CT images
  only provide anatomical information such as the
  location of the liver or kidneys.

12
CardiologyCardia Q

• Unsurpassed in image quality and ease of use,
  Philips' NM products deliver ideal clinical
  solutions. From cardiology to oncology, neurology
  and beyond Philips offers integrated
  applications that surpass standard diagnostic
  tools.

13

• DHE will enable clinicians worldwide to make
  accurate diagnoses and improve the quality of
  cardiac care.
• Across the cardiac care spectrum, clinicians turn
  to Philips' cardiography solutions for Pagewriter
  cardiographs, holter monitoring, stress
  testing, ECG management systems and advanced
  algorithm technology to make better-informed
  diagnostic decisions and to more effectively
  manage patient data from a variety of sources.

14
Image Fusion
Greater diagnostic confidence - Anatomic
visualization virtually eliminates second guesses
Increased efficiency -- The ability to quickly
determine the exact location of lesions saves
valuable time
15
Teleradiology Applications

• MRI
• Computed Tomography

16
3D Visualization and Rendering of MRI Images
Using 3D-DOCTOR
17

• 4-D Angio Volume Rendering simply making advanced
  visualization a work of art.

Voyager is a real-time virtual endoscopy tool
that renders spiral CT data to provide
fly-through images within and around hollow
organs.
18
Radworks Applicare's High End medical viewing
application
19
Electronic Medical Records

• HL7
• A4 Health Systems
• Expert System Applications, INC.
• Physician Micro Systems, INC (ESAI)
• DOCS, INC. (Soapware)
• QuadraMed

20
Practice Partner Patient Records
Electronic Document Management
21
SOAPware EMR
SOAPware is designed for speed and ease of use by
physicians in high volume practices.
22
Distance Education
Distance education can improve the quality of
instruction, as well as lower the delivery cost
of educational materials.
23
Dermatology
24
Psychiatry

• Diagnosis, Treatment and Prevention of mental
  illness

25
HIPAA

• Health Insurance Portability and Accountability
  Act

26
Home Health Care
27
Adult Rehabilitation
28
Emergency Departments
29
Pediatrics
30
Patient Management

• Teleconferencing
• Convalescence
• After Care

31
Nephrology
32
Pathology
33
Perinatology
34
Optometry
35
Oncology Radiation Oncology Systems

• Innovative solutions to manage patient treatment.
  These include imaging, localization, simulation
  and planning, minimally invasive, image-guided
  procedures, and inverse planning, conformal
  external beam planning and IMRT.

36
The FutureNASA Mission to Mars
A communications system that will support global
reconnaissance of the planet. This infrastructure
will also relay back to Earth the vast amounts of
information gathered through surface exploration,
sample return missions, robotic outposts and even
eventual human exploration.
37
DHE Applications Platform
38
Alaska Network
39
Digital Health ExchangeUS Network Backbone
40
MB Add Global Submarine Map

•  

41
Business Development Strategy

• Focus on rural communities
• Urban Communities participate from a rural cost
  perspective
• Attention to the individual needs of each rural
  hospital

42
Bandwidth Aggregation

• In remote areas bandwidth is prohibitively
  expensive
• Typical network development is done on a circuit
  by circuit basis
• Digital Health Exchange/Cordova Systems buys the
  bigger pipes, sells off unused capacity
• Advantage to our vendors is dealing with one
  customer to develop the entire region

43
Proposal A
5 year total
ATT MRC
Phase
2,700,000.00
45,000.00
DS3
Ketchikan-Juneau-Sitka
1
1,380,000.00
23,000.00
DS3
Sitka
1B
5,076,000.00
47
84,600.00
T-1s
Southeast Buildout
2
3,120,000.00
52,000.00
DS3
ANC-JUN-SEA
3
6,000,000.00
24 locations
100,000.00
Transponder
Satelitte Network
4
3,120,000.00
2
52,000.00
DS3
Lower 48
5
1,620,000.00
15
27,000.00
T-1's
Other Alaska
6
2,700,000.00
45,000.00
ds3
Ktn-Jun 2
7
383,600.00
Total Monthly
25,716,000.00
4,603,200.00
Total Annual
44
Billing months
2009
2008
2007
2006
2005
2004
2003
3
12
12
12
12
9
6
12
12
12
12
6
8
12
12
12
12
4
9
12
12
12
12
3
12
12
12
12
12
12
0
12
12
12
12
12
12
0
9
12
12
12
12
3
0
12
12
12
12
12
12
0
45
Year 1
Proposal A
Totals
2009
2008
2007
2006
2005
2004
2003
Description
Phase
2,700,000.00
-
135,000.00
540,000.00
540,000.00
540,000.00
540,000.00
405,000.00
Ktn/Jun
1
1,380,000.00
-
138,000.00
276,000.00
276,000.00
276,000.00
276,000.00
138,000.00
Sitka
1B
5,076,000.00
-
676,800.00
1,015,200.00
1,015,200.00
1,015,200.00
1,015,200.00
338,400.00
Southeast buildout
2
3,120,000.00
-
468,000.00
624,000.00
624,000.00
624,000.00
624,000.00
156,000.00
ANC-JUN-SEA
3
6,000,000.00
1,200,000.00
1,200,000.00
1,200,000.00
1,200,000.00
1,200,000.00
1,200,000.00
-
Satelitte Network
4
3,120,000.00
624,000.00
624,000.00
624,000.00
624,000.00
624,000.00
624,000.00
-
Lower 48
5
1,134,000.00
243,000.00
324,000.00
324,000.00
324,000.00
81,000.00
81,000.00
-
Other Alaska
6
3,240,000.00
540,000.00
540,000.00
540,000.00
540,000.00
540,000.00
540,000.00
-
Ktn/Jun 2
7
25,770,000.00
2,607,000.00
4,105,800.00
5,143,200.00
5,143,200.00
4,900,200.00
4,900,200.00
1,037,400.00
Total
46
Final Thought

• There is a tremendous opportunity for changing
  the current status quo in rural markets.
• Working together we can make a significant
  difference in the lives of people in rural
  communities