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FCC broadband plan to bolster rural health

By Bernie Monegain

Rural hospitals across the country will benefit from a new $400 million-per-year program, developed by the Federal Communications Commission, to provide affordable broadband in medically underserved communities.

The new healthcare connectivity program would give patients in rural areas access to state-of-the-art diagnostic tools typically available only in the largest and most sophisticated medical centers.


The program's investment in broadband connectivity, announced by the FCC on July 15, would not only improve medical care, but also help reduce healthcare costs, said FCC Chairman Julius Genachowski. It would spur private investment in networks as well as health-related applications, and would help create jobs that range from building infrastructure to developing and implementing health IT solutions. FCC officials said the program has the potential to do for rural healthcare providers and patients what the successful E-Rate program has done for schools and students.


A primary catalyst for telehealth advancement is broadband, specifically the Metro Ethernet high capacity network, says Eric Bozich, vice president of product management for Denver-based Qwest Business Markets,

“As broadband has become more widely deployed and affordable, it has enabled things to happen,” Bozich said. “It has finally reached that point of critical mass where the experience is high quality enough that people are willing to accept and adopt it. Ease of use is allowing practices, hospitals and clinics to manage and deploy telehealth in a way that is reasonable. All those things are coming together to create an environment that is realistic, affordable and practical.”


Many clinics and hospitals lack affordable access to even basic broadband connectivity in order handle the most rudimentary of telehealth tasks -- such as managing medical records, transmitting X-rays or MRIs, or consulting remotely with a doctor. According to the government, nearly 30 percent of federally funded rural health care clinics can't afford secure and reliable broadband services. Only eight percent of Indian Health Service providers even have access to the broadband they would need to deliver advanced health care to their patients.  


This program would invest up to $400 million annually to enable doctors, nurses, hospitals and clinics to deliver, through communications technology, world-class healthcare to patients, no matter where they live. It is one of four programs in the Universal Service Fund administered by the FCC. Without increasing the projected size of the overall fund, the plan would bring affordable broadband connectivity to more than 2,000 rural hospitals and clinics. It builds on the lessons learned in the successful Rural Health Care Pilot Program – launched in 2007 and set to expire next year – and is consistent with the recommendations in the FCC's National Broadband Plan, according to FCC officials.

Proposals include:

  • Partnering with public and nonprofit health care providers to invest millions in new regional and statewide broadband networks in parts of the country where it is unavailable or insufficient. The new program would help build cost-effective broadband networks – connecting doctors, hospitals and clinics – designed to meet today's health care needs.
  • Making broadband connectivity more affordable by sharing half of the monthly recurring network costs with hospitals, clinics and other health care providers. This enhanced support for broadband connectivity will benefit patients served by thousands of public and non-profit rural health care providers.
  • Delivering connectivity where it is needed most today, including at skilled nursing facilities and renal dialysis centers, along with off-site administrative offices and data centers that perform support functions critical to health care networks.
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