Network Plan Saint Luke’s Health, Boise, ID 83712 FCC Healthcare Connect Fund

1. Background, Goals and Objectives of the proposed network

For more than 100 years, St. Luke’s Health has been serving the needs of Boise, and the surrounding area. Founded in 1902, St. Luke’s Boise Regional Medical Center is Idaho’s largest not-for-profit health care provider and the flagship hospital of St. Luke's Health System, providing access to highly skilled specialists, nurses, and staff. It is nationally recognized for quality care and patient safety, and is designated a Magnet hospital, the gold standard for nursing care.

Key services areas include:

 The only children's hospital in Idaho  Extensive Cardiovascular healthcare  Tumor Institute's largest clinic  A Center for Minimally Invasive Surgery

The Regional Medical Center is a 574-bed general medical and surgical facility with 27,621 admissions in the most recent year reported. It performed 8,821 annual inpatient and 19,260 outpatient surgeries. Its emergency room had 94,617 visits. It has over 600 doctors and over 1100 nurses on staff. The Medical Center and the numerous other Saint Luke’s clinics and facilities in the area make Saint Luke’s Health the largest private employer in the Boise region.

Boise is the capital and most populous city in Idaho, as well as the county seat of Ada County. It is located in Southwest Idaho along I-84 between Salt Lake City, Utah and Portland, along the . The city itself has a population over 215,000.

Saint Luke’s Health serves the Boise-Nampa metropolitan area, also known as the Treasure Valley, which includes five counties with a combined population of over 650,000, the most populous metropolitan area in Idaho. Treasure Valley contains the state's three largest cities; Boise, Nampa, and Meridian. It is the third most populous metropolitan area in the ' Pacific Northwest region, behind Seattle and Portland.

Saint Luke’s Health wishes to participate in the FCC Healthcare Connect Program whose goal is to connect all the remote sites to the hospital's information systems to provide a central source for patient information. Connecting the clinics to the hospital's network allows the clinics to access all of its resources including primary EMR applications, current and NextGen information services.

The long-range vision of the Program is to enable a set of standard telehealth connection services that will interconnect throughout the region and facilitate any healthcare location in the state to share one or more telehealth services with any other healthcare location within the region and ultimately to interconnect with other health care providers on a national basis.

This RFP addresses the telecommunications and network maintenance to interconnect the main hospital and data center and the remote hospitals and multiple clinics and doctor’s offices in the area as described in the Background and Goals Section.

2. Sites that are participating in this consortium are:

HCP NO. HCP Name HCP Address 10841 Wood River Medical Center 100 Hospital Drive Ketchum, Idaho 83340 11337 St. Luke's McCall 1000 State Street McCall, Idaho 83638 11338 Elmore Medical Center Hospital 895 North 6th East Street District Mountain Home, Idaho 83647 13087 St. Luke's Jerome 709 North Lincoln Street - St. Benedicts Family Medical Jerome, Idaho 83338 Center) 17552 Weiser Memorial Hospital 645 E. 5th Street - St. Luke's Clinic Weiser, Idaho 83672 31435 St. Luke's Health System 191 5th Street West - St. Luke's Clinic Ketchum Ketchum, Idaho 83340 31441 St. Luke's Health System 301 Deinhard Lane - Long Valley Medical Clinic McCall, Idaho 83638 31442 St. Luke's Health System 320 Virginia Street - Meadows Family Medicine Clinic New Meadows, Idaho 83654 31444 St. Luke's Health System 214 North Main Street - Ontario Primary Care Riggins, Idaho 83549 31683 St Luke's Health System 1450 Aviation Drive - St Luke's Family Medicine Hailey, Idaho 83333 33005 St. Luke's Health System 21 East Maple Street, Suite A - Family Practice Associates Hailey, Idaho 83333 46693 St. Luke’s Clinic 529 Broadway Avenue S - Physicians Center Buhl, Idaho 83316 46947 Saint Luke's Clinic 465 McKenna Drive - Trinity Mountain Medical Mountain Home, Idaho 83647 46953 St Luke’s Clinic 3950 17th St Baker City - Medical Associates Baker City, Oregon 97814 53553 St. Luke's Clinic 211 Forest Street - Payette Lakes Family Medicine McCall, Idaho 83638 53554 St. Luke's 801 Pole Line Road West - Medical Center Twin Falls, Idaho 83301 53555 St. Luke's Business Center Boise 1500 Shoreline Drive Boise, Idaho 83702 53556 St. Luke's Boise Main Data Center 2653 South Victory View Way - Victory View Boise, Idaho 83709 53557 St. Luke's Business Center Boise 720 Park Street Park Street Boise, Idaho 83704 53558 St. Luke's Boise Medical Center 190 E. Bannock Street Boise, Idaho 83712 53559 St. Luke's Boise Data Center 316 West Washington Boise, Idaho 83702 53676 St. Luke's Business Center: Twin 212 3rd Avenue South, Twin Falls Falls, Idaho 83301 54124 St. Luke's Administrative Office - 815 East Park Boulevard, Falcon Building Boise, Idaho 83712

3. Strategy for aggregating the specific needs of health care providers (HCPs), including providers that serve rural areas, within a state or region Most of the remote clinics are small, so providing a separate EMR application for each site would not be cost effective, and would make the sharing of this information with other health care providers difficult. By sharing the hospital's resources, each clinic and remote site will have access to a much broader array of information services.

4. Strategy for leveraging existing technology to adopt the most efficient and cost-effective means of connecting those providers The hospitals and clinics already have network equipment to interconnect PCs and printers. By using high speed connections and standard network equipment, Saint Luke’s Health will be able to connect the PCs and printers in the remote offices to the hospital's existing network. This will allow access to servers and applications in the hospital as well as cloud based applications available on the internet. The hospital already has an extensive network of leased facilities, which interconnects the Hospitals and remote clinics.

5. Discussion of how the broadband services will be used to improve or provide health care delivery There are multiple data centers in the Saint Luke’s Health network. All are interconnected with high speed communications. The hospital and clinics have direct access to the internet for cloud based services and dedicated access for such services as radiology and patient records. Remote locations are connected using mostly a combination of ISDN PRIs and high speed Ethernet and Optical internet connections. This network will support applications such-as:  Interactive video conferencing and telemedicine.  Streaming video for distance learning and continuing education.  Enabling medical record queries from multiple sources.  Transmission and receipt of imaging files.  Web-based collaboration tools for meetings and peer-to-peer consultation and interaction and for hospital administration.  Access to internet based resources for staff and patient education. The hospitals and all clinics and locations will benefit from these high speed connections. Facilities will be upgraded and expanded, as needed, for growth and new services beyond what’s mentioned above.

6. Discussion of previous experience in developing and managing health IT (including telemedicine) programs Doug Lyon, Director - IHT will oversee this project. He has extensive experience working in IT, with over ten of those years in IT management positions all of which were in health care.

7. A project management plan outlining the project's leadership and management structure (a work plan, schedule, and budget)  Doug Lyon, Director - IHT also will be the project Manager.

 Schedule: - Bid process to last 28 days with earliest contract selection date on the 29th day - Implementation of service is expected to take place within 60 days of the Allowable Contract Selection Date

 Budget: -Telecommunication Services - Annual Cost ~ $14,000,000 -65% of these costs will be covered under the Healthcare Connect Fund, while the remaining balance will be paid out of the hospital's income.