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 DOD MIST-NG Project Co-Director Alex J. Autry, Jr., M.A. Asst Director MIST Program Manager Develop America's Airmen Today... for Tomorrow

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

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

Home of the ATN Home of the Air Technology Network

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

Home of the ATN Home of Medical Interagency Satellite Training

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

HQ Air University OL-A Air Technology Network PMO Personnel Authorized: 5 Civil Service Assigned: 5 DIRECTOR Dr. Philip Westfall ASSISTANT DIRECTOR CHIEF, INSTRUCTIONAL QUALITY Mr. Alex Autry CHIEF, OPERATIONS Mr. Joseph Kustra CHIEF ENGINEER Mr. Clay Middlebrook NOC ENGINEER Mr. Glenn Kanak

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

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

A Variety of Instructional Methods HD video & high-end graphics (overhead cameras, detailed PC screen displays, etc.) 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

Different types of aircraft for different types of missions Keep in mind

Different types of media for different types of learning objectives Keep in mind

As an instructor... If you had your choice you would want one-on-one mentoring

As an instructor... But when you can’t, the next best thing is a classroom environment

As an instructor... And when you’re required to use distance learning, interactive television (ITV) by satellite can preserve that classroom environment very cost-effectively!

GOVERNMENT ALLIANCE FOR TRAINING & EDUCATION BY SATELLITE GATES Satellite—the best kept secret in the distance learning industry

Satellite not frequently considered for distance learning—often considered exotic and expensive Panacea syndrome—Web is the answer for all distance learning Little awareness of the benefits of satellite technology Some schools in Fed Gov model themselves after academic institutions that cannot use enterprise-wide solutions Little awareness of its extensive use in corporate America and in Federal Government... so who IS using satellite? So why the secret?

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

Government Satellite Networks AFRCANGARNG BLM (DOI) CDC (HHS) CMS (HHS) DOJFAAFBINASA SSAUSAF US ARMY USNVA

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 online media

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

Air Technology Network NOC NOC ATTV (2) Wright-Pat AFB OH BRTV Buckley AFB CO KETV Keesler AFB MS AUTV Maxwell AFB AL RRTV Robins AFB GA DRTV Dobbins ARB GA GBS Gateway Norfolk VA Terrestrial T-1 connection Broadcasting Center Galaxy °W 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 DISA GCDS GBS Gateway Hawaii TYWN Tyndall AFB FL ANTV Andrews AFB MD

Western Europe WGS °W TURKEY Incirlik AB ITALY Aviano AB UNITED KINGDOM RAF Mildenhall GERMANY Ramstein AB Spangdahlem AB

WGS-1 – 175°E Western Pacific SOUTH KOREA Kunsan AB Osan AB JAPAN Kadena AB Misawa AB Yokota AB GUAM Andersen AFB

Southwest Asia BAHRAIN Manama UNITED ARAB EMIRATES Al Dhafra AB AFGHANISTAN Bagram AB Kandahar AB Shindand JORDAN Azraq AB KUWAIT Ali Al Salem AB OMAN Thumrait AB QATAR Al Udeid AB WGS °E Currently Unavailable

Defense Education & Training Network AMEDDC&S JB San Antonio TX NOC NOC ATTV (2) Wright-Pat AFB OH BRTV Buckley AFB CO KETV Keesler AFB MS TYWN Tyndall AFB FL AUTV Maxwell AFB AL RRTV Robins AFB GA 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 °W 4 HD & 5 SD Channels 4 HD & 5 SD Channels 13 Broadcast Centers 13 Broadcast Centers 390 Earth Stations 390 Earth Stations 667 Classrooms 667 Classrooms in CONUS, Europe, WestPac, & SWA WestPac, & SWA GBS Gateway Hawaii

FAA Oklahoma City OK USAF Wright-Patterson AFB OH Terrestrial T-1 connection Broadcasting Center ANG McGhee Tyson ANGB TN DOJ Columbia SC Galaxy °W 4 Uplinks shared by 4 Uplinks shared by 10 agencies reaching over 1,100 locations GETN

Government Education & Training Network Defense Education & Training Network Contract Support

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

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

Digital Video Satellite Network Components SERVICE PROVIDER Classroom Audio Video & Audio ITV CLASSROOM GEO SATELLITE Video & Audio F/O or T-1 Link Video Audio UPLINK HUB BROADCAST STUDIO

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

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

Broadcast Center Video Bridge  Allows bridging video from anywhere to anywhere, with any device  Allows for HD 1080p, IP, PSTN, & ISDN links for multipoint conferencing or delivery of ITV RMX 2000 M-P Conf Bridge

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

Network Operations Center Posts schedules Posts schedules Schedules classrooms Schedules classrooms Initiates broadcasts Initiates broadcasts Establishes audio connectivity Establishes audio connectivity Acts as help desk Acts as help desk Web Site: Help Desk: DSN: Comm: UPLINK HUB

Audioconferencing DSN, VoIP, PSTN DSN, VoIP, PSTN Operator assisted screening or PIN access Operator assisted screening or PIN access - Tier 1: Dial-in w/PIN, unattended - Tier 1: Dial-in w/PIN, unattended - Tier 2: Dial-in w/PIN, help desk available - Tier 2: Dial-in w/PIN, help desk available - Tier 3: Auto-dial, help desk monitoring - Tier 3: Auto-dial, help desk monitoring Reservation, Scheduling, and Billing Features Reservation, Scheduling, and Billing Features Up to 9,600 ports currently configured for 453

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

40 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

Next Generation: Cisco D9865 Integrated Receiver Decoder (IRD)--the heart of the satellite broadcast system Receives digital television signal and converts it into analog audio and video signals for display on television monitor (16:9 HD & SD 4:3 ratios) IP data port (10Mbps) - streams IP video or file transfer to desktop

GETN Audioconferencing System Simple, push-to-talk, multipoint conferencing Simple, push-to-talk, multipoint conferencing Single phone line Single phone line Free, open exchange Free, open exchange One mic for every two students One mic for every two students Harvard ELITE AT 2001 AT 2001

OCONUS Link through DECCNOC Defense Enterprise Computing Centers Makito™ HD encoder Haivision™

Amino A140 IPTV Set Top Box IPTV Set Top Box (STB)--the heart of the satellite GBS broadcast system to OCONUS Receives IP HD television signal and converts it into analog audio and video signals for display on HDTV monitor

Site Coordinator Responsibilities Maintain accurate POC information Ensure room is reserved & ready for broadcast Receive & distribute course materials if required Provide attendance numbers Provide short orientation about DETN to site facilitator or students if required Turn on TV NLT 30 minutes before broadcast time (should see CNN) & minutes prior, should see intro slide If two-way audio is required, bridge should be connected minutes prior If program doesn’t begin on schedule, call help desk

46 Satellite Downlink – On GETN Home Channel Always on

47 Satellite Downlink – Scheduled Programming 30 Minutes Prior to Start Time Work Related Asthma: Recognition & Diagnosis At 1300 EDT: SAMMC Presents:

Finding Programs

Finding Programs

Finding By Source

Course Information

Metrics How do we know how well we’re doing? 53

DETN Instructor Satisfaction 54 Green: >/= 90% of members are satisfied Yellow: 71-89% of members are satisfied Red: </= 70% of members are satisfied Measure Description: Measure of instructor satisfaction of satellite delivery to meet instructional objectives using a Likert scale.

55 DETN On-Time Starts Kustra Green: >/= 90% of all sites started on time Yellow: 81-89% of all sites started on time Red: </= 80% of all sites started on time Measure description: Histogram of on-time starts as a percentage of total downlink starts per month

56 DETN Monthly Student-Hours FY 14 Total: 212,448 Westfall

57 DETN Monthly Student-Hours FY 15 Projected Total: 224,737 Westfall

58 Westfall Cost per Student-Hour FY 14 Green: <$10 per student hour Yellow: $10-20 per student hour Red: >$20 per student hour Measure Description: Report of annually computed cost efficiency of satellite broadcasting-total costs divided by total student hours per student (for Government and service or agency basis)

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

What: Public Law 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

Why Increasing need to share medical information and training—rapidly and universally—using existing infrastructures 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

A few of our providers

63 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

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

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 desktop capability for short, non-interactive programs at all medical centers, hospitals, and clinics world- wide—and since IPTV installed at hubs, IPTV will be available for other DOD DL Basics of MIST-NG

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, SAMMC, FBCH, METC, WRNMMC, WAMC, USAFSAM, NMCSD, NMCP, NTTC, & DHHQ Need to provide a blended learning environment: Need to reach desktops for shorter courses Can support disaster recovery

Basics of MIST-NG How is it being managed? VA/DOD Health Executive Council (HEC) 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 HEC WG 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”

68 How will it work? VA and CDC will provide both interactive and prerecorded content via satellite Other DOD content providers ( 11 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 DETN 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

69 How is it being executed? Funding received by HQ AU on 27 Jun 13 Planning meetings w/VA & w/DHHQ Build advocacy from HQ down to local medical facility Phase I: Establish broadcast capabilities with AMEDD, SAMMC, FBCH, METC, WRNMMC, WAMC, USAFSAM, NMCSD, NMCP, NTTC, & 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 conducting site survey & site coordinator training & establish satellite connectivity OCONUS Basics of MIST-NG

70 How is it being executed? Phase 3: Install IPTV capability at hub to reach all desktops DOD-wide All phases starting together Quarterly progress reports submitted to VA/DOD HEC Basics of MIST-NG

VA-DOD MIST Infrastructure Model VHA-EES Hub St Louis MO Terrestrial T-1 connection Broadcasting Center NOC NOC Galaxy 17 Wright-Patterson AFB OH Galaxy 18 2 HD Channels (DOD) 2 HD Channels (DOD) 11 DOD Broadcast Centers 11 DOD Broadcast Centers 219 Classrooms 219 Classrooms All Bases with IPTV in CONUS, Europe, in CONUS, Europe, WestPac, & SWA WestPac, & SWA DOD BROADCAST CENTERS Army Medical Department Center & School (AMEDDC&S); JB San Antonio TX San Antonio Military Medical Center SAMMC); JB San Antonio TX Fort Belvoir Community Hospital (FBCH); Fort Belvoir VA HQ Defense Health (DHHQ); Falls Church VA Medical Education & Training Campus (METC); JB San Antonio TX Navy Medical Center Portsmouth (NMCP): Portsmouth VA Navy Medical Center San Diego (NMCSD): San Diego CA Navy Trauma Training Center (NTTC); Los Angeles CA USAF School of Aerospace Medicine (USAFSAM), Wright-Patterson AFB OH Walter Reed National Military Medical Center (WRNMMC); Bethesda MD WOMACK Army Medical Center, Fort Bragg NC

Western Europe WGS °W PORTUGAL Lajes Field BELGIUM USAG Brussels SHAPE UNITED KINGDOM RAF Alconbury RAF Croughton RAF Lakenheath RAF Menwith Hill RAF Mildenhall GERMANY Geilenkirchen NB Katterbach Kaserne Landstuhl RMC Ramstein AB Rose Barracks Spangdahlem AB Storck Barracks USAG Baumholder USAG Grafenwoehr USAG Hohenfels USAG Kaiserslautern USAG Stuttgart USAG Wiesbaden SPAIN NB Rota ITALY Aviano AB Caserna Ederle NAS Sigonella NSA Naples TURKEY Incirlik AB GREECE NAS Souda Bay

WGS-1 – 175°E Western Pacific SOUTH KOREA Camp Casey Camp Humphreys Camp Walker Kunsan AB Osan AB USAG Yongsan JAPAN Camp Zama FA Okinawa FA Sasebo FA Yokosuka Kadena AB MCAS Iwakuni Misawa AB NAS Atsugi Yokota AB GUAM Andersen AFB NB Guam

Southwest Asia BAHRAIN Manama UNITED ARAB EMIRATES Al Dhafra AB AFGHANISTAN Bagram AB Kandahar AB Shindand JORDAN Azraq AB KUWAIT Ali Al Salem AB OMAN Thumrait AB QATAR Al Udeid AB WGS °E Currently Unavailable

Video to the Desk Top  Provides for HD video streaming to desktops DOD- wide through the NIPRNet  Funded by DISA—contracted to Global Content Delivery Service (GCDS)

76 ATN/DETN POCs MIST-NG Project Lead: Philip Westfall, Ph.D., Director HQ Air University OL-A DSN: Com: (937) Mobile: (937) MIST Program Manager: Alex Autry, Asst Director & Chief Instr. Qual. HQ Air University OL-A DSN: Com: (937) Mobile: (937) Network Engineer: Clay Middlebrook, Chief Engineer HQ Air University OL-A DSN: Com: (937) Mobile: (937)

Questions?