Network Design & Technology Platforms

Virginia Telehealth Initiative Consensus Conference: “Developing a Vision and Strategic Plan for Telehealth in Virginia "

Thursday, May 26, 2005

1. Processes Needed To Reach Consensus on Configuration, Equipment, Technology, Security Standards

2. How to Determine the Needs for Capacity for Planning Purposes

3. How Do We Keep Up with Changing Technology

4. How can Smaller Agencies/Organization Maintain Compatibility with Larger Agencies and Organization

Network Design and Technology Platforms

PlanningTopics

Networks come in all types, sizes and shapes

BASIC Wired LAN

Networks

BASIC Wired and Wireless LAN

Networks (continued)

Sub LANS within a LAN

Networks (continued)

Multiples LANs on a WAN via Internet

Networks (continued)

Large Multi-Protocol WAN

Networks (continued)

Network Design

What does your facility use and need today ?- Data/Text - Images - Multi-Media - Video Teleconferencing

What will your facility need in 5 years ?- Data/Text - Images - Multi-Media - Video Teleconferencing

How does your facility work with other facilities to transfer and receive ?- Data/Text - Images - Multi-Media - Video Teleconferencing

What is the availability of Communications Technology within Geographic Locals Now and in Future?

Network Design (continued)

What does your facility use and need today ?- Data/Text - Images - Multi-Media - Video Teleconferencing

What will your facility need in 5 years ?- Data/Text - Images - Multi-Media - Video Teleconferencing

How does your facility work with other facilities to transfer and receive ?- Data/Text - Images - Multi-Media - Video Teleconferencing

What is the availability of Communications Technology within Geographic Locals Now and in Future ?

Network Design (continued)

WWWPhysiciansHomes &

Offices Private Network

Central Office

Virtual Private Network

Central Office

Router

Remote Clinics

Router

Remote Clinics, Labs, Hospitals

Physician Offices

University of Arizona Telemedicine

Network

#1. How Do We Design a Telehealth Network for everyone within the Commonwealth of Virginia that is:

- Cost Effective- Easy to Use - Manageable- Reliable- Dependable- Scaleable- Maintainable- Meets the Needs of All Users- Focused on a living and flexible Master Plan

Today’s Challenges

#2. How Do We Get There From Here ?

Processes Needed To Reach Consensus on Configuration,

Equipment, Technology, Security Standards

• Establishment of an Information & Telecommunications Technology and Interoperability Working Group made up of Users and Industry or Expand the duties and responsibility of the Virginia Telehealth Network Infrastructure Working Group to also include Telecom Industry Partners

• Consolidate Requirements of ALL USERS needing Access and Interoperability with other facilities

• Develop a 5 year IT & Telecom Telehealth Master Plan Outlining Planned Telehealth Improvements and Build-outs

• Use of Standards to allow for Multi Vendor Environment without sacrificing capability, Integration and Interoperability (Cisco, Extreme, DICOM, HL-7, VTC, etc.)

• Think Logistically for standardized equipment buys to gain most favorable pricing from vendors

1

1

Processes Needed To Reach Consensus on Configuration,

Equipment, Technology, Security Standards

• Establishment of an Information & Telecommunications Technology and Interoperability Working Group made up of Users and Industry or Expand the duties and responsibility of the Virginia Telehealth Network Infrastructure Working Group to also include Telecom Industry Partners

• Consolidate Requirements of ALL USERS needing interoperability with other facilities

• Develop a 5 year IT & Telecom Telehealth Master Plan Outlining Planned Telehealth Improvements and Build-outs

• Use of Standards to allow for Multi Vendor Environment without sacrificing capability, Integration and Interoperability (Cisco, Extreme, DICOM, HL-7, VTC, etc.)

• Think Logistically for standardized equipment buys to gain most favorable pricing from vendors

Outcome Plan to Begin the Network

Development while Assuring Interoperability,

Security, Budget Forecasting and Provide Technical Guidance to All

Users

How to Determine the Needs for Capacity for Planning Purposes

• Conduct Analysis – By Users, By Region within the State

• Normal Traffic of Network

• Peak Traffic Over Network

• Near Future Traffic Over Network

• Scalability

• Secure Free Engineering from Industry & Telecom Providers

2

Significant Work Accomplished in this area already by the Virginia

Telehealth Network Infrastructure Working Group as reported in their

White Paper of 2/25/04

• Conduct Analysis

• Normal Traffic of Network

• Peak Traffic Over Network

• Near Future Traffic Over Network

• Scalability

• Secure Free Engineering from Industry & Telecom Providers

• Think Operationally to Maximize Bandwidth 24X7

2

Outcome Bandwidth Requirements

for the Primary and Secondary Networks

How to Determine the Needs for Capacity for Planning Purposes

Primary

Secondary

How Do We Keep Up With Changing

Technology• Attend Industry Technology Shows

• Invite Industry to brief technology advancements to users and the Information & Telecommunications Technology and Interoperability Working Group

• Utilize expertise of the Information & Telecommunications Technology and Interoperability Working Group to answer user questions and support installation of new system previously installed at other user locations

• Flexibility of IT & Telecom Master Plan (semi-annual meeting, living document, modify as needed to take advantage of technology advancements)

• Maintain Standards Based Products and Applications Acquisitions (Be on Leading Edge….. Not Bleeding Edge)

3

How Do We Keep Up With Changing

Technology• Attend Industry Technology Shows

• Invite Industry to brief technology advancements to users and the Information & Telecommunications Technology and Interoperability Working Group

• Utilize expertise of the Information & Telecommunications Technology and Interoperability Working Group to answer user questions and support installation of new system previously installed at other user locations

• Flexibility of IT Master Plan (semi-annual meeting, living document, modify as needed to take advantage of technology advancements)

• Maintain Standards Based Products and Applications Acquisitions (Be on Leading Edge….. Not Bleeding Edge)

3

Outcome Continuous Measured

Technology Refreshment while Maintaining Interoperability

How Can Smaller Agencies/Organization

Maintain Compatibility with Larger Agencies and Organization

• Utilize the Information & Telecommunications Technology and Interoperability Working Group to ensure interoperability of all users at each stage of a facilities growth.

• Stick to the IT &Telecom Master Plan

• Visit Hardware Sharing between users (storage, business continuity, disaster recovery)

• Statewide Software Licensing

• Expertise Sharing via Information & Telecommunications Technology and Interoperability Working Group

4

• Utilize the Information & Telecommunications Technology and Integration Working Group to ensure interoperability of all users at each stage of a facilities growth.

• Stick to the IT & Telecom Master Plan

• Visit Hardware Sharing between users (storage, business continuity, disaster recovery)

• Statewide Software Licensing

• Expertise Sharing via Information & Telecommunications Technology and Interoperability Working Group

4

Outcome Visibility and Assurance of

Continuous Interoperability of all

Users and Cost Effective Business Continuity

How Can Smaller Agencies/Organization

Maintain Compatibility with Larger Agencies and Organization

• Establishment of an Information & Telecommunications Technology and Interoperability Working Group made up of Users and Industry or Expand the duties and responsibility of the Virginia Telehealth Network Infrastructure Working Group to also include Telecom Industry Partners

• Consolidate Requirements of ALL USERS

• Develop a 5 year IT & Telecom Telehealth Master Plan Outlining Planned Telehealth Improvements

• Use of Standards to allow for Multi Vendor Environment without sacrificing capability (Cisco, Extreme, DICOM, HL-7, VTC, etc.)

• Think Logistically for standardized equipment buys to gain most favorable pricing from vendors

YES NO

YES NO

YES NO

YES NO

YES NO

Processes Needed To Reach Consensus on Configuration, Equipment, Technology, Security Standards

Consensus 1

• Conduct Analysis – By Users, By Region within the State

• Normal Traffic of Network

• Peak Traffic Over Network

• Near Future Traffic Over Network

• Scalability

• Secure Free Engineering from Industry & Telecom Providers

• Think Operationally to Maximize Bandwidth 24X7

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

How to Determine the Needs for Capacity for Planning Purposes

Consensus 2

YES NO

• Attend Industry Technology Shows

• Invite Industry to brief technology advancements to users and the Information & Telecommunications Technology and Interoperability Working Group

• Utilize expertise of the Information & Telecommunications Technology and Interoperability Working Group to answer user questions and support installation of new system previously installed at other user locations

• Flexibility of IT & Telecom Master Plan (semi-annual meeting, living document, modify as needed to take advantage of technology advancements)

• Maintain Standards Based Products and Applications Acquisitions (Be on Leading Edge….. Not Bleeding Edge)

YES NO

YES NO

YES NO

YES NO

YES NO

How Do We Keep Up With Changing Technology

Consensus 3

• Utilize the Information & Telecommunications Technology and Interoperability Working Group to ensure interoperability of all users at each stage of a facilities growth.

• Stick to the IT &Telecom Master Plan

• Visit Hardware Sharing between users (storage, business continuity, disaster recovery)

• Statewide Software Licensing

• Expertise Sharing via Information & Telecommunications Technology and Interoperability Working Group

YES NO

YES NO

YES NO

YES NO

YES NO

How Can Smaller Agencies/Organization Maintain Compatibility

with Larger Agencies and OrganizationConsensus 4

Network Design & Technology Platforms

Virginia Telehealth Initiative Consensus Conference: “Developing a Vision and Strategic Plan for Telehealth in Virginia "

Thursday, May 26, 2005