1. Air Technology Network PMO I n t e g r i t y - S e r v i c e - E x c e l l e n c e VA-DOD Medical Interagency Satellite Training Program – Next Generation Philip J.-L. Westfall, Ph.D. Director, HQ AU OL-A Alex J. Autry, Jr., M.A. Asst Director & MIST PM Clay A. Middlebrook Chief Engineer 23 January 2014 A Presentation for Develop America's Airmen Today... for Tomorrow

2. Overview Who are we? What is ITV? What are ATN, DETN, & GETN? Basics of MIST Basics of MIST-NG

3. HQ Air University Education Operations & Communications The ATN Program Management Office is a branch of HQ AU/A3/6, and is a separate operating location at Wright- Patterson AFB, OhioThe ATN Program Management Office is a branch of HQ AU/A3/6, and is a separate operating location at Wright- Patterson AFB, Ohio Our mission isto pro- mote, manage, and deliver instructional broadcasting for the Air Force’s distance learning programs and other DOD users of ITVOur mission is to pro- mote, manage, and deliver instructional broadcasting for the Air Force’s distance learning programs and other DOD users of ITV

4. Home of the ATN Home of the Air Technology Network

5. Home of the ATN Home of the Defense Education & Training Network

6. Home of the ATN Home of Medical Interagency Satellite Training

7. Home of the ATN Pioneer & Team Lead of the Government Education & Training Network

8. HQ Air University OL-A Air Technology Network PMO Personnel Authorized: 5 Civil Service Assigned: 5 DIRECTOR Dr. Philip Westfall GS-1701-14 ASSISTANT DIRECTOR CHIEF, INSTRUCTIONAL QUALITY Mr. Alex Autry, GS-1701-13 CHIEF, OPERATIONS Mr. Joseph Kustra GS-0391-11 NOC ENGINEER Vacant WG-3940-10 CHIEF ENGINEER Mr. Clay Middlebrook GS-0391-13

9. Overview Who are we? What is ITV? What are ATN, DETN, & GETN? Basics of MIST Basics of MIST-NG

10. What is ITV? INTERACTIVE TELEVISION (ITV) –one-way video & two-way audio –via satellite ITV emulates the classroom at a distance

11. A Variety of Instructional Methods High-end graphics & HD video Live, interactive learning exercises Teaching interviews Panel discussions Guest speakers Student interaction with the experts— standardized instruction Student-to-student interaction— enhanced in a classroom setting through audioconferencing & BYOD polling

12. An Effective Distance Learning Medium Inexpensive course development Inexpensive delivery for medium-to-large audiences Inexpensive downlink equipment And like the in-residence classroom, ITV integrates well with print & online media Used extensively in across the Federal Government and in the corporate world

13. Corporate Satellite Networks A.G. Edwards Anheuser-Busch Bank of America Boeing Caterpillar Channel One Cisco Dillards Edward Jones Federal Express Ford GE Medical Georgia Pacific Harley-Davidson Hewlett-Packard Home Depot HUD Intel JCPenny Kroger Lowe’s Macy’s McDonald’s Merrill Lynch Microsoft Orkin Pfizer Safeway Southern CO Square D Staples State Farm SYDA Unisys Wachovia Bank Wal-Mart The larger the enterprise, the more efficient satellite becomes

14. USAFANGAFRC US ARMY DEOMIARNG FAADOJ NPS (DOI) US Courts (FJ) FJC (FJ) USSC (FJ) USPSSSANASAVHA BLM (DOI) CMS (HHS) Government Satellite Networks

15. Overview Who are we? What is ITV? What are ATN, DETN, & GETN? Basics of MIST Basics of MIST-NG

16. Air Technology Network NOC NOC ATTV (2) Wright-Pat AFB OH NLN Bridge San Diego CA BRTV Buckley AFB CO SPTV Peterson AFB CO KETV Keesler AFB MS AUTV Maxwell AFB AL RRTV Robins AFB GA LITV LITV JB San Antonio TX DRTV Dobbins ARB GA GBS Gateway Norfolk VA Terrestrial T-1 connection Broadcasting Center Galaxy 25 2 HD & 5 SD Channels 2 HD & 5 SD Channels 10 Broadcast Centers 10 Broadcast Centers 204 Earth Stations 204 Earth Stations 324 Classrooms 324 Classrooms in CONUS, Europe, WestPac, & SWA WestPac, & SWA

17. What are ITV’s major features? Commercially available technology Commercially available technology Digital Video Broadcasting compression Digital Video Broadcasting compression Selectable HD/SD quality, 16x9 aspect ratio Selectable HD/SD quality, 16x9 aspect ratio Contracted network management Contracted network management Conditional access management Conditional access management Contracted maintenance Contracted maintenance

18. General Services Administration Custom SATCOM Solutions (CS2) Contract No. GS00Q12NRD4007

19. Digital Video Satellite Network Components ITV CLASSROOM ITV DOWNLINK(RECEIVE) ACCESS UPLINK (TRANSMIT) DigitalEncoder STUDIO/TV CLASSROOM We hold these truths to be self-evident, that all men are created equal, that that all men are created equal, that they are endowed by their Creator they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. Atlanta GA Convergent Media Systems, Inc. Network Operations Center AUDIORETURN

20. Audioconferencing VoIP or PSTN VoIP or PSTN Auto-dial or Dial-in Auto-dial or Dial-in Operator assisted screening or PIN access Operator assisted screening or PIN access The only DSN-certified bridge The only DSN-certified bridge Reservation, Scheduling, and Billing Features Reservation, Scheduling, and Billing Features Up to 9,600 ports currently configured for 453

21. Satellite Studio Equipment Average installed cost: $150K HD Camera System Video Switcher CODEC Green Screen & Lighting Downlink System

22. Broadcast Center Terrestrial Link  Two for each BC-to-Hub terrestrial link  Allows for HD 720p up to 4Mbps transmission rate HDX 7000-720 HD CODEC

23. Broadcast Center Terrestrial Link  Links broadcast centers to uplink hub cost effectively—replaces need for multiple uplinks  T-1s from BCs allow for up to 1.5 Mbps transmission rate  T-3 capacity at hub allows for cost-effective wireline service for video & audio conferencing GS00T07NSD0008

24. ITV/VTC USED IN COMBINATION Shared programming (bridging existing networks) Guest speaker not at uplink facility (used as one-way) Student has access only to VTC (used as one-way—quality permitting including Webcasting) -- Navy Learning Network*, Army TNET & Classroom XXI * Discontinued 22 Sep 13 Linking VTC to ITV

25. 25 Satellite Down Link Equipment 40” HD Flat Screen TV DVD Recorder Cisco D9865D Satellite Receiver AT Products audio conference unit & mics Average installed cost: $7,900 Non-penetrating roof-mount

26. Satellite IPTV Downlink Equipment Average installed cost: $27,900 CONUS $43K OCONUS Non-penetrating roof-mount Cisco D9865D Satellite Receiver BrightEye Video Converter HaiVision IP Video Distribution System

27. OCONUS Link through DECCNOC Defense Enterprise Computing Centers

28. Defense Education & Training Network AMEDDC&S JB San Antonio TX NOC NOC NPS-TV Shepherdstown WV ATTV (2) Wright-Pat AFB OH Gateway to WestPac TBD CA BRTV Buckley AFB CO SPTV Peterson AFB CO DEOMI Patrick AFB FL KETV Keesler AFB MS TYWN Tyndall AFB FL AUTV Maxwell AFB AL RRTV Robins AFB GA LITV LITV JB San Antonio TX DRTV Dobbins ARB GA GBS Gateway Norfolk VA TRADOC Bridge Ft Eustis VA ANTV Andrews AFB MD ANG TECTV MCGHEE TYSON AFB, TN Terrestrial T-1 connection Broadcasting Center Galaxy 25 3 HD & 5 SD Channels 3 HD & 5 SD Channels 17 Broadcast Centers 17 Broadcast Centers 390 Earth Stations 390 Earth Stations 667 Classrooms 667 Classrooms in CONUS, Europe, WestPac, & SWA WestPac, & SWA

29. FAA Oklahoma City OK USAF Wright-Patterson AFB OH Terrestrial T-1 connection Broadcasting Center GETN ANG McGhee Tyson ANGB TN DOJ Columbia SC Galaxy 25 4 Uplinks shared by 4 Uplinks shared by 10 agencies reaching over 1,300 locations

30. GETN Satellite Networks Defense Education & Training Network Government Education & Training Network

31. Overview Who are we? What is ITV? What are ATN, DETN, & GETN? Basics of MIST Basics of MIST-NG

32. What: Public Law 107-314 of the FY03 Defense Authorization Act directed the DOD and VA to implement a Heath Care Incentive Fund In 2005, the VA (as Lead Agent) proposed a joint agency, satellite based, educational channel using current medical content from the CDC, VA, DOD Services, and other providers Grant of $2M was approved and implementation started July 2006—VHA Employee Education System (EES), St Louis MO, with ATN PMO & Army Satellite Education Network Army transferred operational oversight & MIST funding to ATN PMO—Defense Education & Training Network (DETN) founded Basics of MIST

33. Why Increasing need to share medical information and training— rapidly and universally—using existing infrastructures Permits exchange of medical training and information CME/CEU credits for selected programs Offers access to very large segment of DOD population thanks to single hub (DETN) and compatible downlinks Cost-effective—centrally funded, no local costs Allows for rapid, cost-effective deployment of additional infrastructure where needed When & Where: Programs are broadcast during duty days to sites across DOD, but only AF has rooms inside medical facilities—Army & Navy must rely on VTC systems not collocated with medical facilities Basics of MIST

34. A few of our providers

35. 35 Veteran’s Administration - Our Turn To Serve – Welcoming Wounded Veterans - Hepatitis C - General Information - Post Traumatic Stress Disorder In Veterans - Stress and Aggression In The Workplace Alabama Dept of Public Health - Vulnerable Populations - Building Competency in Health Care - Chronic Disease Self-Management - Diabetes & Hypertension - Fundamentals of HIV Prevention Centers For Disease Control - The Diabetes Epidemic: Preventing the Preventable - Hospitals Response to Emergency Events - Mass Vaccination Clinics: A Reality Check - Immunization Update DOD Titles - Annual Trauma Symposium (2 Days) – USN - Physician’s Assistant Recertification (5 Days) – US Army - Tobacco Cessation – US Army Course offerings - Sample Titles

36. Overview Who are we? What is ITV? What are ATN, DETN, & GETN? Basics of MIST Basics of MIST-NG

37. What: In March 2013, a second proposal called “MIST-Next Generation” (MIST-NG) successfully submitted by ATN PMO (lead agent) & VHA EES & to secure $11,868K of which $7,861K was DOD’s share to do the following: –Greatly expand existing shared-training between DETN and VHA EES—encourage convergence on technology –Link major medical teaching institutions in DOD to DETN satellite hub –Add downlink classrooms to all remaining medical centers, hospitals, and clinics CONUS & OCONUS—currently only CONUS AF facilities have downlink classrooms. –Add IPTV downlink capability at all medical centers, hospitals, and most clinics world-wide—and since downlinks installed at LAN head-ends of bases & posts, IPTV will be available for other DOD DL Basics of MIST-NG

38. Why Need to increase training cost-effectiveness: MIST already succesful—71K student training hours at $2.63 per student-hr—MIST-NG will yield estimated 4-fold increase resulting in $0.69 per student-hr cost avoidance of $173M in CME/CEU training Need to Expand reach: 108 med facilities CONUS & 47 OCONUS do not have connectivity Need to increase training programs: AMEDD, BAMC, METC, WRNMMC, AFSAM, NMCSD, NMCP, & DHHQ Need to provide a blended learning environment: Need to reach desktops for shorter courses Can support disaster recovery

39. Basics of MIST-NG How will it be managed? VA/DOD Health Executive Council has oversight of MIST-NG General and financial & operational management conducted by ATN PMO Director, HQ Air University OL-A (HQ AU/OL- A), under HQ AU Education Operations & Logistics Directorate (HQ AU/A3/6)—reports to DOD Co-Chair of VA- DOD Health Executive Council (HEC) Workgroup Day-to-day management conducted by MIST Program Manager, under ATN PMO Director After 2 years, out-year costs to be added to DOD’s POM supported by OASD(HA) (bandwidth, maintenance, & admin) If POM not approved, MIST goes “Space A” on existing bandwidth

40. 40 How will it work? VA and CDC will provide both interactive and prerecorded content via satellite Other DOD content providers ( 8 sources so far) will link via terrestrial T-1 lines to ATN hub Content provided outside DOD will continue to be downlinked and rebroadcast via ATN hub CME/CEU credits awarded by content providers 17 Oct 13 VA Memo: EES to continue to grant non-VA learners and expand CEUs to co-sponsored DOD programs Basics of MIST-NG

41. 41 How will it be executed? Funding received by HQ AU on 27 Jun Initial planning meetings w/VA & w/DHHQ Build advocacy from HQ down to local medical facility Phase I: Establish broadcast capabilities with AMEDD, BAMC, METC, WRNMMC, AFSAM, NMCSD, NMCP, & DHHQ—PMO will set up in-briefs, site surveys, installation, faculty training, & assist in planning content delivery Phase 2: Install classroom downlinks at all remaining DOD facilities world-wide—PMO will conduct site survey & site coordinator training & establish satellite connectivity OCONUS Basics of MIST-NG

42. 42 How will it be executed? Phase 3: Install IPTV capabilities at all med centers, hospitals world-wide and at approx 40-60% of clinics Phases 1 & 2 will start together, Phase 3 to begin after completion of 1 & 2 Quarterly progress reports to be submitted to VA/DOD HEC Basics of MIST-NG

43. VA-DOD MIST Infrastructure Model Walter Reed National Military Med Ctr Bethesda MD Brooke Army Medical Center JB San Antonio TX Naval Medical Center San Diego San Diego CA Army Medical Dept Ctr & School JB San Antonio TX VHA-EES Hub St Louis MO Terrestrial T-1 connection Broadcasting Center NOC NOC Galaxy 25 Wright-Patterson AFB OH Galaxy 18 Defense Health HQ Falls Church VA Air Force School of Aerospace Medicine Wright-Patterson AFB OH Naval Medical Center Portsmouth Portsmouth VA 2 HD Channels (DOD) 2 HD Channels (DOD) 9 Broadcast Centers 9 Broadcast Centers 219 Classrooms 219 Classrooms 119 Bases with IPTV in CONUS, Europe, in CONUS, Europe, WestPac, & SWA WestPac, & SWA Medical Education & Training Campus JB San Antonio TX

44. 44 How do we need your help? HQ buy-in & support—announcement to community—all target centers, hospitals, & clinics -Med/Va Publications, briefings, e-mails -Establish POCs at BCs—ensure all potential content sources are contacted (leadership, dept heads, potential faculty, comm & tech personnel) Establish POCs at DLs—leadership, & training managers Basics of MIST-NG

45. 45 Network Management: Philip Westfall, Ph.D., Director HQ AU OL-A DSN: 674-5480 Com: (937) 904-5480 Mobile: (937) 902-4572 E-mail: philip.westfall@afit.eduphilip.westfall@afit.edu MIST Program Management: Alex Autry, Asst Director & Chief Instr. Qual. HQ AU OL-A DSN: 674-5479 Com: (937) 904-5479 Mobile: (937) 260-0233 E-mail: alex.autry@afit.edualex.autry@afit.edu Network Engineering: Clay Middlebrook, Chief Engineer HQ AU OL-A DSN: 674-5482 Com: (937) 904-5482 Mobile: (937) 212-2202 E-mail: clay.middlebrook@afit.educlay.middlebrook@afit.edu http://detn.govdl.org ATN/DETN POCs

46. Questions?