1. Critical Health Networking Life & death - Availability must be better than ATMs! Response Times - Lab tests image results Security - Patient confidentiality Quality of Service - Admin to X-Rays Cost - Health IT& T investment low, but supports major systems

2. Tyranny of distance Queensland has a: Distributed population Relatively small population centres Changing economy but must provide cost effective services to all communities

3. Services Consultations Expert diagnosis Hospitals GPs Labs Patient record

4. Bandwidth Health market share 15% May grow to 20% by 2004 (Besley) Current predictions based are for known applications. Unknown impact of medical imaging, mainstream video, electronic patient records

7. Network Infrastructure QoS IP Services Traffic Mix Transport Bit rate Interfaces 50 min/yr - 99.99% Downtime Cost < 5 min/yr - 99.999% Soft - BandwidthHard - Virtual Circuits ATM, SONET, WDM Increasing Ethernet, FR, ATM Data with Voice 10Mbps to 1Gbps34 Mbps to 40 Gbps 5 to 5050 to 500 + Dominant Voice with Data High Low

8. Topology

9. Technologies Queensland Health Service Delivery Network will use: Generally available carriage (ATM, Clear Channel) Multiple carriers ATM Switches to provide a Switched Backbone Network (SBN)

10. Health Business Issues JUST A FEW! Cost Control New Applications -New processes Main streaming telehealth Rationalisation of IT Infrastructure Developing partnerships

11. Network Futures

12. Content Futures Health - imaging, telehealth, electronic records. Education - Distance teaching & learning, peer support. Culture - Access to cultural centres, collaboration. Industry - Tourism, primary industries. Government - On - line services, information.