Illinois Broadband Advisory Council Special Meeting Monday October

Illinois Broadband Advisory Council Special Meeting: Monday, October 21, 2019

WORKING GROUP FOLLOW UP TELEHEALTH Access Education Economic Development Technology & Infrastructure 2

TELEHEALTH • $420 million investment in broadband infrastructure through Connect Illinois • Governor Pritzker named telehealth as one of the priorities of the investment • Governor Pritzker and DCEO highlighted telehealth in the recently-released five-year economic plan • Infrastructure Focused Recommendations • • • Prioritize and incentivize grant applications that expand telehealth Allow applicants to partner with anchor institutions on the grant application Leverage existing technical assistance programs to aid applicants Maximize federal funding opportunities available Explore including healthcare institutions on the Illinois Century Network (ICN) 3

TELEHEALTH Partnership for a Connected Illinois Broadband is the Lifeline 4

TELEHEALTH • What is Telehealth? • Telehealth: The practice of medicine over a distance, in which interventions, diagnostic and treatment decisions and recommendations are based on data, documents and other information transmitted through telecommunication systems (World Medical Association) • Illinois defines telehealth and telemedicine separately: • Telehealth is the use of a telecommunication system to provide medical services between places of lesser and greater medical capability and/or expertise, for the purpose of evaluation and treatment. [IL Dept. of Healthcare and Family Svcs. , Handbook for Practitioners. ] • “Telemedicine” is the use of a telecommunication system to provide medical services for the purpose of evaluation and treatment when the patient is at one medical provider location and the rendering provider is at another location. [IL Admin. Code, Title 89, 140. 403(a)(9) (2012). ] • Telehealth as a modality can provide a variety of services • Modalities: store-and-forward, video-conferencing, remote-patient-monitoring 5

TELEHEALTH • The Need for Telehealth • Shortage of primary care physicians and mental health professionals in IL • Patient access to infrastructure is lacking both in-the-home and at local healthcare anchor institutions • Access and equity issue • More and more companies or private payers are looking at opportunities to provide access to care via telehealth for their employees or beneficiaries • Broad interest in the issue at the federal level – numerous funding opportunities • Telehealth is the wave of the future in healthcare 6

TELEHEALTH The Burning Platforms • Rural and urban underserved communities • Opioid addiction recovery • Behavioral health for students in schools 7

TELEHEALTH Rural/Urban Underserved Communities • Nationally, 25% of people live in rural communities • 10% of physicians practice in rural areas 8

TELEHEALTH Opioid Addiction Recovery • In Illinois, overdoses have killed 11, 000 since 2008 • Last year, 2, 000 died—twice the number of fatal car accidents • This epidemic is most significant public health and public policy crisis facing Illinois 9

TELEHEALTH Behavioral Health for Students • A total of 13– 20 % of children living in the United States experience a mental disorder in a given year • 70% of students are NOT receiving treatment for their mental illness • Illinois has 185, 000– 290, 000 students at risk. Chicago has 37, 000– 60, 000 10

TELEHEALTH • Applications • Rural and urban underserved communities • 25% of people live in rural communities, 10% of physicians practice in rural areas • Opioid addiction recovery • In Illinois, overdoses have killed 11, 000 since 2008 • Behavioral health for students in schools • 13– 20 % of children living in the U. S. experience a mental disorder • 70% of students are NOT receiving treatment for their mental illness • Examples of Telehealth • Telestroke, telepsychiatry, telebehavioral health in schools, specialist services 11

TELEHEALTH • • • Federal funding opportunities Health Resources and Services (HRSA)’s Telehealth Network Grant Program – $8. 5 B Focuses on bringing telehealth to hard-to-reach places FCC Connected Care Pilot – 3 -year program, $100 million Supports brining telehealth services directly to low-income patients and veterans 12

CONNECT ILLINOIS BROADBAND STRATEGY – OVERVIEW – 13

CONNECT ILLINOIS VISION • To provide ubiquitous broadband connectivity that is reliable and affordable to all homes, businesses, and community anchor institutions throughout Illinois • To promote digital literacy and adoption • To drive economic development and expand opportunity and innovation in such areas as education, health care, and agriculture 14

CONNECT ILLINOIS MISSION • Expand broadband connectivity across the entire state • Provide all Illinois public K-12 students access to high-speed broadband at no charge • Create $400 million broadband grant program • Invest $20 million in Illinois Century Network, a high-speed broadband network serving K-12 and higher education institutions, among others • Convene the Broadband Advisory Council to inform strategy, promote opportunities and successes • Create the Illinois Office of Broadband within Department of Commerce & Economic Opportunity 15

CONNECT ILLINOIS APPROACH • Set specific speed goals & track progress over time • Make state investments that leverage external resources • Federal government • Private providers • Local matching funds • Target investment to promote broadband applications & adoption • Adopt policy to optimize investment impact 16

BROADBAND STRATEGY ANCHORED BY SPEED GOALS • Short term ubiquitous service goal … ensuring that all Illinois homes, businesses, and community anchor institutions can use broadband at basic service levels • Longer term competitive access goal … ensuring that all Illinois homes, businesses, and community anchor institutions have direct access to a provider with service levels necessary for advanced applications or heavy bandwidth use 17

KEY NEXT STEPS TO MOVE STRATEGY FORWARD • Develop a more accurate map of service level and access across Illinois to be updated annually • Supports goal setting and progress marking • Provides baseline for grant eligibility • First wave of investments anticipated through early 2020 NOFO(s) 18

KEY CRITERIA FOR GRANT FUNDING • Competitive matching grants • Score based upon merit • Require a certain non-state match • Technology neutral • Open to a diverse range of providers and related technology • Scalable service • Future upgrades to ensure long-term return on state investment • Applicant inclusive • Encourage a wide variety of proposals, including but not limited to those from providers, cooperatives, municipalities, tribal entities, nonprofits, and P 3 s 19

KEY CRITERIA FOR GRANT FUNDING, cont’d • Community driven approach • Create incentives for direct engagement with local communities, various stakeholder groups, and/or inclusive community technology goals • Balanced challenge process • Providers, communities, and other stakeholders to challenge the accuracy of broadband mapping, service levels, and grant eligibility • Additional scoring for alignment with Five-Year Economic Plan and policy goals including telehealth and education • Invite applicants to identify how proposed projects align with related opportunities 20

STATE MAPPING AVAILABLE SERVICE • Invest in state mapping to measure: • Where we are • Where we want to go • Progress made over time • RFP for state mapping pending, to be updated annually • Interactive mapping housed at Connect Illinois webpage 21

QUESTIONS? 23

NEXT MEETING MONDAY, NOVEMBER 18

ADJOURNMENT