1. New England HIMSS Northern Maine Spring Event April 18, 2014 David W. Maxwell, Program Director ConnectME Authority

2. Genesis of the Broadband Capacity Building Task Force Funded by a five-year grant from the National Telecommunications and Information Administration (NTIA) Required to develop a broadband capacity building plan Met ten (10) times in 2012 and 2013 Staffed by the ConnectME Authority Supported by Planning Decisions, Inc.

3. Task Force Membership Warren Cook, Chair Devore Culver, HealthInfoNet Lisa Smith, Governor’s Energy Office Allyson Handley, President, UMA George Hogan, Wright Express (WEX) Christopher Jerome, UNUM Peter Mills, Maine Turnpike Authority Bob Montgomery-Rice, Bangor Savings Ryan Pelletier, Northern Maine Development Commission

4. Broadband Capacity Building Task Force Recommendations Help businesses move to the internet Help the elderly stay at home Educate health data analysts UMaine as model for blended learning Devices for elementary and secondary students Shift administrative functions to online services Maine turnpike as model for smart roads Redeploy existing funds to support broadband expansion

5. Recent Statistics Regarding Broadband 93.1% of street locations have access to some form of broadband from at least one provider Maine municipalities are served, on average, by 4.7 providers 43% of the geographical area of Maine has access to 4G mobile broadband

6. Recent Statistics Regarding Broadband 89.8% of Maine households have broadband available 75.3% of households with availability subscribe to broadband 47.6% of households use mobile devices (nearly twice the use in 2011)

7. Recent Statistics Regarding Broadband 93.7% of businesses in Maine have access to broadband 93.1% of businesses in Maine subscribe to broadband (up 7% since 2011) 46.3% of businesses in Maine use mobile devices (only) 59% of businesses in Maine have a website

8. Barriers to Broadband Use Lack of perceived value for consumer in owning a computer (up 10% from 2011) Cost (down 3% from 2011) Lack of perceived value for business in having an internet connection (up 15% from 2011) Cost (down 10% from 2011)

9. What Does Broadband Provide? FCC’s Seven Tier Broadband Classification FCC Speed Tier Upload/Download Speeds Broadband (Y/N) 1st Generation Data 200 kbps to < 768 kbps No Tier 1 768 kbps to < 1.5 Mbps Yes Tier 2 1.5 Mbps to < 3 Mbps Yes Tier 3 3 Mbps to < 6 Mbps Yes Tier 4 6 Mbps to < 10 Mbps Yes Tier 5 10 Mbps to < 25 Mbps Yes Tier 6 25 Mbps to 100 Mbps Yes Tier 7 > 100 Mbps Yes

10. How Fast Does Broadband Need to Be? Application Download Speeds Upload Speeds Basic Email 768 kbps – 1.5 Mbps256 kbps – 896 kbps Voice Over IP (VOIP) Browsing YouTube Video Remote Surveillance 1.5 Mbps – 3 Mbps 356 Kbps – 1 Mbps Telecommuting Streaming Music Standard Definition Video IPTV 3 Mbps – 6 Mbps 356 kbps – 1 Mbps File Sharing (small/medium) Video On Demand 6 Mbps – 10 Mbps768 kbps – 2 Mbps Remote Diagnosis (basic) Online Gaming

11. How Fast Does Broadband Need to Be? Application Download Speeds Upload Speeds IPTV High Definition (HD) 10 Mbps – 25 Mbps 2 Mbps – 5 Mbps Telemedicine Remote Education HD Video Surveillance 25 Mbps – 50 Mbps5 Mbps – 10 Mbps Smart/Intelligent Buildings Educational Services Video Conferencing 50 Mbps – 100 Mbps10 Mbps – 25 Mbps Multiple Educational Services Research Applications Remote Supercomputing Real-time Data Collection > 100 Mbps≥ 100 Mbps Real-time Medical Image Consultation

12. How Does Maine Compare?

14. Some Health Care Statistics Older and more rural population Higher than national average on MEDICARE (20% vs 15% nationally) (2010) 5 th most expensive state in per-person costs (2009) Growth in health care costs (1991-2009) was 7.4% vs 6.5% nationally

15. Health Care in Maine – What to Do? Resources: DHHS – State HIT Initiatives Program HealthInfoNet – a non-profit repository for medical records Muskie School – innovative approaches to critical health and social challenges Health Care Claims database – source of information for health care utilization and costs

16. Health Care in Maine – What to Do? Action: Increase use of telemedicine – 71% of hospitals/about 10% of local providers (2010) Allow elderly to stay at home – Full Circle America as a model http://dianeatwood.com/catchinghealth/how- telemedicine-helps-some-elderly-people-stay- home-longer http://dianeatwood.com/catchinghealth/how- telemedicine-helps-some-elderly-people-stay- home-longer Partner with providers – for training and for home-based care

17. Health Care in Maine – What to Do? Educate health care analysts: predictions are shortage of 140K to 190K data analytics nationally build broad-based data analytics competency in K through 12 grades invest in more specialized knowledge in health informatics at the university level

18. Implementation of the Broadband Capacity Building Plan How can the ConnectME Authority and the New England HIMSS collaborate to advance broadband infrastructure development and use in Maine?

19. For More Information…… http://www.maine.gov/connectme