1. Larry Flournoy Associate Director Academy for Advanced Telecommunications and Learning Technology Academy for Advanced Telecommunications and Learning Technology The Role of Broadband In Improving Public Safety Communications and Emergency Response

2. 12 Nov 2009FCC - Broadband Field Hearing2 Available Technology  Technology is generally not the problem.  Problems are introduced by Lack of Economic Incentives Lack of Economic Incentives Congressional intent interpretations artificially restricting eligibility Congressional intent interpretations artificially restricting eligibility FCC agency rules artificially restricting eligibility FCC agency rules artificially restricting eligibility Industry practices Industry practices Cherry pickingCherry picking Delayed functionality rolloutDelayed functionality rollout  Technology availability for 700 Mhz/P25 is an issue

3. 12 Nov 2009FCC - Broadband Field Hearing3 Technology Research/Testbed Ambulance Prototype Liberty County Field Ambulance U.S. Army HMMWV Ambulance Prototype Deployable Telemedicine System Physician Workstation Prototype Intelligent Communications Manager

4. 12 Nov 2009FCC - Broadband Field Hearing4 Economic: Sustainability  Federal dollars can initiate but not sustain  Matching funds and operating funds must come from State, regional, and local sources  Community networks provide local and regional shared funding opportunities  Should the National Broadband Plan and others adopt sponsorship of community networks as a sustainability agent for healthcare networks  Should they encourage and support the education of medical management that appropriate security/privacy tools exist

5. 12 Nov 2009FCC - Broadband Field Hearing5 Congressional Intent  FCC Interpretation of the 1996 Act  Rural ambulance services which are not wholly owned subsidiaries of a hospital are not eligible for Universal Services funding.  This significantly reduces the ability of these rural services to support “at the scene” and “in-route” advanced trauma and acute care.

6. 12 Nov 2009FCC - Broadband Field Hearing6 Agency Rules  Emergency Services are a named focus concept in the FCC Rural Healthcare Pilot Program yet the regional and local emergency services coordinators are not considered eligible entities under the program.  We have to expand our definitions in many areas  Our larger scale planning should focus around: County government County government Councils of Government (CoGs) Councils of Government (CoGs)

7. 12 Nov 2009FCC - Broadband Field Hearing7 The INTERNET is not the 21 st Century panacea.

8. 12 Nov 2009FCC - Broadband Field Hearing8 “The Internet”  “The Internet” has been defined as the “default” backbone for the National Health Information Network. Yet, the Internet like the POTS phone system is “very” subject to local and regional “overload”. Witness 9/11 and the hurricanes of the Gulf Coast region.  Local and regional “private” networks will be critical components of the answer in many areas.

9. 12 Nov 2009FCC - Broadband Field Hearing9 NG9-1-1  Need for: Continued research Continued research Local, Regional, National and International Interoperability Local, Regional, National and International Interoperability Use of existing standards where they exist and their creation where needed Use of existing standards where they exist and their creation where needed Access Network providers (location)Access Network providers (location) Service ProvidersService Providers IP network providersIP network providers SecuritySecurity NG9-1-1 SystemsNG9-1-1 Systems First Responder SystemsFirst Responder Systems