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Ultra Fast Broadband and Health

       HINZ conference
     Thursday 24 November 2011
INTRODUCTION                      2




Ultra Fast Broadband Initiative

Rural Broadband Initiative

Demand side study

e-Health in a broadband world
THE UFB INITIATIVE                      3




        UFB Objective

 • To accelerate rollout of ultrafast
   broadband (100Mbps/50Mbps) to 75%
   of New Zealanders over 10 years.
PRINCIPLES OF THE UFB INITIATIVE                                            4




Make a significant contribution to economic growth


Neither discourage nor substitute private sector investment

Avoid entrenching the position, or ‘lining the pockets’, of existing broadband network
providers

Avoid excessive infrastructure duplication

Focus on building new infrastructure and not unduly preserving the ‘legacy assets’ of
the past

Ensure affordable broadband services
UFB Candidate Areas
                                              Whangarei                                                   Candidate    % of
                                                                                                              Areas    UFB
                             Auckland                     Waiheke Island

                  Pukekohe, Waiuku                     Tauranga       Whakatane                                  2    15.3
                                  Hamilton                            Rotorua
             Tokoroa                                               Gisborne
                        New Plymouth                 Taupo                                                       1      1.6
                                                             Napier-Hastings
                Hawera
                                       Wanganui               Palmerston North, Feilding
                 Levin, Kapiti                            Masterton                                             24    69.4
                              Nelson
              Greymouth                   Blenheim      Wellington                                               6    13.7
                                   Rangiora

                  Ashburton               Christchurch                                                          33    100.0

                                 Timaru
Queenstown
                                 Oamaru

                             Dunedin                                       UFB partnerships will cover all 33 candidate
              Invercargill                                                  areas (75% of NZ population) by end 2019
Ultra-Fast Broadband and Rural Broadband Initiative Programme
UFB TECHNOLOGY                                                    7




                                                    P2P for premium
           GPON for mass market                      business and
                                                     priority users


                             Standard Optical
 ITU-T G.984 standard      Network Termination     Dedicated service to a
   split 1:24 (allowing   (ONT) configuration; 4      single premise
100Mbps downstream         Ethernet ports and 2    (supplying speeds up
and 50Mbps upstream)        legacy Voice (ATA)          to 10Gbps)
                                   ports
Products/pricing for home/retail users
(GPON technology)
RURAL BROADBAND INITIATIVE (RBI)                         9




          RBI Objective
  • Improve coverage of fast broadband to enable 80%
    of rural households and businesses to access
    services of 5Mbps or better and the remaining 20%
    able to achieve speeds of at least 1 Mbps
  • Connect 97% of schools to fibre enabling speeds of
    at least 100Mbps with the remaining remote schools
    able to achieve speeds of at least 10Mbps
RURAL BROADBAND INITIATIVE (RBI)                            10




The RBI complements the UFB initiative and targets the remaining
                  25% of New Zealanders



The RBI is provided by way of a grant of $300M recognising that
 providing fast broadband to rural communities is commercially
       unattractive to investors yet vital to NZ’s economy
2.Rural Broadband Initiative (RBI)
Ultra-Fast Broadband and Rural Broadband Initiative Programme
THE COMMISSION’S DEMAND SIDE STUDY                         13




         s9A of the Telecommunications Act states that
“The Commission may conduct inquiries, reviews and studies into
    any matter relating to the telecommunications industry….


                Objective

    • “To identify ... any factors that may impede the
      uptake of high speed broadband delivered over both
      fibre and wireless networks.”
THE COMMISSION’S DEMAND SIDE STUDY                              14




Analyse the drivers broadband uptake access in overseas and in
                             NZ.

Identify the factors that may affect this e.g. home wiring, network
  neutrality, peering, IP interconnection, data caps and content.
      Assess if these create barriers to entry or expansion.

Identify sectors like e-health and e-education where high speed
             broadband can be a significant enabler.


                 Monitor market developments.
THE COMMISSION’S DEMAND SIDE STUDY      15




             Discussion paper:
             15 December 2011

                Conference:
                20 & 21 February 2012

                  Final report:
                  April 2012
DEMAND SIDE STUDY:
   EDUCATION AND HEALTH




“Identify sectors like e-education and e-health where high-speed
   broadband can be a significant enabler”
METHODOLOGY:



  – Interviews with leaders and visionaries in the sector
  – Web research
  – International validation – including Scottish Telehealth Assn annual
    conference and related discussions, UK National Health Service,
    and talks with allied bodies in Denmark (Odense University
    Hospital; MedCom)
AREAS WHERE HEALTH INFORMATICS WILL UTILISE
  ULTRA FAST BROADBAND:


–   Aged care
–   Ambulance services
–   Chronic conditions
–   Maternity
–   Medications management
–   On line health and wellness information
–   Primary care service delivery
–   Radiography
–   Remote monitoring
–   Remote surgery
–   Telehealth
WHICH OF THESE WILL REQUIRE SERIOUS BANDWIDTH?


   → Aging population delaying move to rest homes
      – Monitoring
      – Security
      – Comfort and community connectedness
   → Tele-monitoring of patients with chronic or multiple conditions
   → Clinician-patient interaction by telephone, email, or video
   → Shared care records with patient portals – encouraging people to
     engage far more in their own health issues:
      – on line research
      – fitness
      – support groups
A WORD ABOUT EDUCATION



→ While a major explosion in bandwidth demand in health is arguably
  a few years away, explosive latent demand in schools is here now
→ We expect high bandwidth connectivity at work; why should our
  school-age children not expect the same at school?
→ “Bring Your Own Device” an early driver
   – From resistance, to resigned acceptance, to encouragement, to
      insistence
→ Innovative teaching technologies
→ Ubiquitous video
→ Learning across the 24/7 span
→ Home access to school networks
Education + Health = Irresistible Proposition for Families
CONCLUSION


ICT holds the key to solving many massive
challenges confronting health services globally:
  –   Aging population
  –   Aging health workforce
  –   International competition for clinicians
  –   Ever-increasing consumer expectations
  –   Servicing a decentralised society
  –   Move from silos, to integrated/shared care
  –   Shift care down from secondary, to primary, to community
QUESTIONS?



“The Future With High Speed Broadband –
Opportunities for New Zealand”
Conference 20/21 February

www.comcom.govt.nz

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Ultra-Fast Broadband and Rural Broadband Initiative Programme

  • 1. Ultra Fast Broadband and Health HINZ conference Thursday 24 November 2011
  • 2. INTRODUCTION 2 Ultra Fast Broadband Initiative Rural Broadband Initiative Demand side study e-Health in a broadband world
  • 3. THE UFB INITIATIVE 3 UFB Objective • To accelerate rollout of ultrafast broadband (100Mbps/50Mbps) to 75% of New Zealanders over 10 years.
  • 4. PRINCIPLES OF THE UFB INITIATIVE 4 Make a significant contribution to economic growth Neither discourage nor substitute private sector investment Avoid entrenching the position, or ‘lining the pockets’, of existing broadband network providers Avoid excessive infrastructure duplication Focus on building new infrastructure and not unduly preserving the ‘legacy assets’ of the past Ensure affordable broadband services
  • 5. UFB Candidate Areas Whangarei Candidate % of Areas UFB Auckland Waiheke Island Pukekohe, Waiuku Tauranga Whakatane 2 15.3 Hamilton Rotorua Tokoroa Gisborne New Plymouth Taupo 1 1.6 Napier-Hastings Hawera Wanganui Palmerston North, Feilding Levin, Kapiti Masterton 24 69.4 Nelson Greymouth Blenheim Wellington 6 13.7 Rangiora Ashburton Christchurch 33 100.0 Timaru Queenstown Oamaru Dunedin UFB partnerships will cover all 33 candidate Invercargill areas (75% of NZ population) by end 2019
  • 7. UFB TECHNOLOGY 7 P2P for premium GPON for mass market business and priority users Standard Optical ITU-T G.984 standard Network Termination Dedicated service to a split 1:24 (allowing (ONT) configuration; 4 single premise 100Mbps downstream Ethernet ports and 2 (supplying speeds up and 50Mbps upstream) legacy Voice (ATA) to 10Gbps) ports
  • 8. Products/pricing for home/retail users (GPON technology)
  • 9. RURAL BROADBAND INITIATIVE (RBI) 9 RBI Objective • Improve coverage of fast broadband to enable 80% of rural households and businesses to access services of 5Mbps or better and the remaining 20% able to achieve speeds of at least 1 Mbps • Connect 97% of schools to fibre enabling speeds of at least 100Mbps with the remaining remote schools able to achieve speeds of at least 10Mbps
  • 10. RURAL BROADBAND INITIATIVE (RBI) 10 The RBI complements the UFB initiative and targets the remaining 25% of New Zealanders The RBI is provided by way of a grant of $300M recognising that providing fast broadband to rural communities is commercially unattractive to investors yet vital to NZ’s economy
  • 13. THE COMMISSION’S DEMAND SIDE STUDY 13 s9A of the Telecommunications Act states that “The Commission may conduct inquiries, reviews and studies into any matter relating to the telecommunications industry…. Objective • “To identify ... any factors that may impede the uptake of high speed broadband delivered over both fibre and wireless networks.”
  • 14. THE COMMISSION’S DEMAND SIDE STUDY 14 Analyse the drivers broadband uptake access in overseas and in NZ. Identify the factors that may affect this e.g. home wiring, network neutrality, peering, IP interconnection, data caps and content. Assess if these create barriers to entry or expansion. Identify sectors like e-health and e-education where high speed broadband can be a significant enabler. Monitor market developments.
  • 15. THE COMMISSION’S DEMAND SIDE STUDY 15 Discussion paper: 15 December 2011 Conference: 20 & 21 February 2012 Final report: April 2012
  • 16. DEMAND SIDE STUDY: EDUCATION AND HEALTH “Identify sectors like e-education and e-health where high-speed broadband can be a significant enabler”
  • 17. METHODOLOGY: – Interviews with leaders and visionaries in the sector – Web research – International validation – including Scottish Telehealth Assn annual conference and related discussions, UK National Health Service, and talks with allied bodies in Denmark (Odense University Hospital; MedCom)
  • 18. AREAS WHERE HEALTH INFORMATICS WILL UTILISE ULTRA FAST BROADBAND: – Aged care – Ambulance services – Chronic conditions – Maternity – Medications management – On line health and wellness information – Primary care service delivery – Radiography – Remote monitoring – Remote surgery – Telehealth
  • 19. WHICH OF THESE WILL REQUIRE SERIOUS BANDWIDTH? → Aging population delaying move to rest homes – Monitoring – Security – Comfort and community connectedness → Tele-monitoring of patients with chronic or multiple conditions → Clinician-patient interaction by telephone, email, or video → Shared care records with patient portals – encouraging people to engage far more in their own health issues: – on line research – fitness – support groups
  • 20. A WORD ABOUT EDUCATION → While a major explosion in bandwidth demand in health is arguably a few years away, explosive latent demand in schools is here now → We expect high bandwidth connectivity at work; why should our school-age children not expect the same at school? → “Bring Your Own Device” an early driver – From resistance, to resigned acceptance, to encouragement, to insistence → Innovative teaching technologies → Ubiquitous video → Learning across the 24/7 span → Home access to school networks
  • 21. Education + Health = Irresistible Proposition for Families
  • 22. CONCLUSION ICT holds the key to solving many massive challenges confronting health services globally: – Aging population – Aging health workforce – International competition for clinicians – Ever-increasing consumer expectations – Servicing a decentralised society – Move from silos, to integrated/shared care – Shift care down from secondary, to primary, to community
  • 23. QUESTIONS? “The Future With High Speed Broadband – Opportunities for New Zealand” Conference 20/21 February www.comcom.govt.nz