1. October 14, 2003Internet2 Users Conference User Experience with The High Performance Internet Infrastructure A National Library of Medicine and Internet2 Collaborative Effort

2. October 14, 2003Internet2 Users Conference Agenda National Library of Medicine Perspective –Dr. Elliot Siegel, NLM Internet2 E2Epi Perspective –George Brett, Internet2 E2Epi Pilot Study Status –Dr. Frank Connolly & Dr. Daryl Nardick, ConseQ Associates, LLP Open Discussion

3. October 14, 2003Internet2 Users Conference Context for E2Epi Even with high bandwidth network links, the Internet2 community often does not see expected performance

4. October 14, 2003Internet2 Users Conference True End-to-End Experience User perception Application Operating system Host IP stack Host network card Local Area Network Campus backbone network Campus link to regional network/GigaPoP GigaPoP link to Internet2 national backbones International connections EYEBALL APPLICATION STACK JACK NETWORK...

5. October 14, 2003Internet2 Users Conference What we have done... Announced we wanted to collect stories of user experiences. (Call For Stories)Call For Stories Found common ground with National Library of Medicine using the Critical Incident Technique.Critical Incident Technique Worked with ConseQ Associates to develop and do the Pilot Study.ConseQ Associates

6. October 14, 2003Internet2 Users Conference Pilot Study Status PROCESS Selection Interview Internet2 Conference nomination NLM PIs & Regional library directors Respondents to NLM announcement Telephone Critical Incident technique 30 - 90 minutes Case Report

7. October 14, 2003Internet2 Users Conference Incident Population Served Services / Support Institutional Issues Person Interviewed Technology Case Report/Taxonomy

8. October 14, 2003Internet2 Users Conference Access type Data type Application Problem Solution Technology Taxonomy

9. October 14, 2003Internet2 Users Conference Technology (continued) Problem –Availability –Reliability –Security Firewalls –Adoption rate –Network architecture –Patient information access –Access grid (multimedia) –Remote location access –Archival access over time –Locus Solution –Middleware –Enhanced QOS –Access Commodity Internet High speed Internet Bandwidth –Reservation –Increase Universal connectivity (last mile) Alternate network –Training/Education IT staff Users/Potential users Providers –End-to-End tracking

10. October 14, 2003Internet2 Users Conference Interviews....76 41% Administrators 30% Researchers 7% IT Staff 10% Educators 4% Health Care Providers 8% Librarians INTERVIEWEES Contacts.....222

11. October 14, 2003Internet2 Users Conference What did we find?

12. October 14, 2003Internet2 Users Conference 200 INCIDENTS Education & Training..25% Clinical Consultation..18% Information: Research..15% Information: Public Health.. 14% Service or Support Provided

13. October 14, 2003Internet2 Users Conference 200 INCIDENTS Types of Activities Discrete Ongoing Discrete Activity/Ongoing Occurrence

14. October 14, 2003Internet2 Users Conference 200 INCIDENTS Connectivity Low/Medium speed..46% High speed....... 38% Indeterminate......16%

15. October 14, 2003Internet2 Users Conference 200 INCIDENTS Location of Population Served International......14% Rural/Remote..... 37% Urban.........49%

16. October 14, 2003Internet2 Users Conference 200 INCIDENTS Overall Valuation Positive.....50% Negative.....32% Mixed......19%

17. October 14, 2003Internet2 Users Conference 200 INCIDENTS Applications Reported Real-time interaction.21% Data base.......18% Graphics.......17% Email......... 12%

18. October 14, 2003Internet2 Users Conference 200 INCIDENTS 135 Problems Reported Access limitation...16% Reliability......13% Network access...13% Security/Firewall... 9% (% of the 135 Reported Problems)

19. October 14, 2003Internet2 Users Conference What did we learn?

20. October 14, 2003Internet2 Users Conference It’s like air... without networks we couldn’t do what we do. Collaboration Research Health care delivery Medical intervention

21. October 14, 2003Internet2 Users Conference Institutional Policies Point of contention Barrier > Cross organizational lines > Inter-organizational

22. October 14, 2003Internet2 Users Conference Application Development Publicity Lowest common denominator > Limits development/adoption Standardization - Limits creativity + Foster adoption

23. October 14, 2003Internet2 Users Conference End-to-End (QOS) Always a concern On-going effort In interim reduce frustration > Improved error messages > Recommend protocol for users

24. October 14, 2003Internet2 Users Conference Internet2/Health Community Add implementation to mix Consider limited dot com access Health Care and Health Sciences want increased voice in Internet2 community

25. October 14, 2003Internet2 Users Conference CONCLUSIONS FROM PILOT STUDY 1.NLM dollars have advanced network use in Health Care and Health Sciences communities. 2.No doubt, networks enhance capabilities of Health Care and Health Sciences communities 3.Digital divide limits the potential networks offer.

26. October 14, 2003Internet2 Users Conference CONCLUSIONS FROM PILOT STUDY 1.NLM dollars have advanced network use in Health Care and Health Sciences communities. 2.No doubt, networks enhance capabilities of Health Care and Health Sciences communities. 3.Digital divide limits the potential networks offer.

27. October 14, 2003Internet2 Users Conference Contact Information –Elliot Siegel –George Brett –Frank Connolly –Daryl Nardick http://e2epi.internet2.edu/NLMe2e.html

28. October 14, 2003Internet2 Users Conference