Tag: "telehealth"

Posted March 30, 2021 by Maren Machles

With vaccines rolling out tier by tier, state by state, and restaurants, bars and public spaces starting to reopen one by one, there seems to be a desire to say, “Wow, things are going back to normal!” Unfortunately, the public health crisis exacerbated healthcare, education, and economic inequities that have long existed in low-income and communities of color across the country and have no chance of going away any time soon. But some community leaders have stepped up and come to the table with one piece of the puzzle in bridging these inequities — better Internet access to these communities. 

Over the summer, we covered several communities that jumped to action and came up with quick ways to implement long-term solutions. 

The city of San Rafael, which sits on the coast of northern California in Marin County, continues to strengthen, expand, and research the use of the network it built over the summer and fall for one unserved area hit hard by the economic, education, and health impact of Covid-19. And on the other side of the country, Meta Mesh in Pittsburgh, Pennsylvania continues construction on a pilot project that is hoping to connect unserved families by the end of this summer.

Focusing on the Future

In San Rafael, California, the city, Marin County and a nonprofit organization — the Canal Alliance — all joined forces to bring free Wi-Fi to the Canal neighborhood

Marin County’s Chief Assistant Director of Information Services and Technology Javier Trujillo said that the network is continuing to grow, but it has been largely deployed. The network — called Canal Wi-Fi  — encircles the neighborhood (see map, right), making it possible for residents to connect wherever they are when outdoors. In its current state, the network does not reach into every home because the access points mounted on street poles in the neighborhood cannot penetrate the walls of the apartment buildings. The coalition continues to seek ways to improve penetration as the project continues.

While a long-term solution would be to deploy fiber to each premises or bring wireline infrastructure to an access point inside...

Read more
Posted December 2, 2020 by Sean Gonsalves

As House GOP leaders ask the Government Accountability Office to audit the U.S. Department of Agriculture (USDA) ReConnect program because of concerns federal funds are being used to “overbuild,” Democratic leaders in the House and Senate have filed legislation that aims to build broadband infrastructure on a national-scale.

The Accessible, Affordable Internet for All Act is a bill that harkens back to when the federal government – through FDR’s Rural Electrification Administration, established in 1935, and the Rural Electrification Act, passed by Congress in 1936 – invested in local cooperatives and brought electricity to the abundance of Americans still living in candle-lit homes without electrically-powered refrigerators.

The proposed legislation may well frame the Democratic agenda on broadband moving forward, as the Biden administration enters the White House in January. It’s a bold bill that has garnered the support of a who’s-who of broadband experts and advocacy organizations from Public Knowledge, the National Consumer Law Center and New America Foundation’s Open Technology Institute to the Benton Institute for Broadband and Society, the Electronic Frontier Foundation, and the National Digital Inclusion Alliance.

Breaking it Down

There’s a lot to unpack in this bill, which is why we are publishing a series of posts exploring the major sections contained in the proposed legislation. This first installment is the 30,000-foot view. Forthcoming posts will examine the legislative details where the devil – or the better angels – can be found.

Broadly, the Accessible, Affordable Internet for All Act calls for a $100 billion investment to build high-speed broadband infrastructure that targets unserved and underserved parts of the country. It aims to ensure that every household has affordable and reliable access to online education, telemedicine, remote work, and other business opportunities in which Internet connectivity can no longer be considered a mere luxury, but a necessity.

In the U.S. House of Representatives, the legislation, which...

Read more
Posted November 23, 2020 by Ry Marcattilio-McCracken

On Episode 3 of Connect This!, Christopher is joined by Angela Siefer, Executive Director of the National Digital Inclusion Alliance, Deb Socia, President of The Enterprise Center in Chattanooga, Tennessee, and Travis Carter, CEO of US Internet

Tune is to hear them talk about solving the broadband gap and all of the obstacles it presents, from digital literacy training, to redlining, to funding programs. Along the way they also talk about how the federal government has failed to connect people over the last nine months and whether they're optimistic about a Biden administration and the future of broadband.

Mentioned during the course of the episode: An episode of the Community Broadband Bits Podcast with Deb Socia and Geoff Millener about digital inclusion in Chattanooga during the early months of the pandemic, and a white paper about tier flattening by Verizon and AT&T which forces users to pay high costs for decaying broadband infrastructure.

Subscribe to the show using this feed

Watch the episode below.

Posted November 23, 2020 by Ry Marcattilio-McCracken

This week on the podcast, Christopher is joined by Jennifer Hawkins, President and Executive Director of One Neighborhood Builders (ONB), a community development organization based out of Rhode Island. She talks about about the Olneyville neighborhood, situated on the west side of Providence, and how significant health disparities in that community led her organization to jump into action over the summer to build a free wireless network for the residents. Jennifer and Christopher talk about mapping the network, placing hardware on ONB-owned buildings, and putting up 12 access points to cover more than half of the community with robust wireless. She shares why the project’s been worth it, and the health outcomes they hope to achieve once it goes online. 

This show is 31 minutes long and can be played on this page or via iTunes or the tool of your choice using this feed. You can listen to the interview on this page or visit the Community Broadband Bits page.

Don’t forget to check out our new show, Connect This!, where Chris brings together a collection broadband veterans and industry experts live on YouTube to talk about recent events and dig into the policy news of the day. 

Read the transcript for this episode.

Listen to other episodes here or view all episodes in our index.

Subscribe to the Building Local Power podcast, also from the Institute for Local Self-Reliance, on iTunes or ...

Read more
Posted November 12, 2020 by Ry Marcattilio-McCracken

When the pandemic hit American shores this past spring and cities around the country began to practice social distancing procedures, Rhode Island-based nonprofit One Neighborhood Builders (ONB) Executive Director Jennifer Hawkins quickly realized that many of those in her community were going to be hit hard. 

As spring turned to summer, this proved especially to be the case in the Olneyville neighborhood in west-central Providence, where Covid-19 cases surged among low-income residents with fewer options to get online to work, visit the doctor, and shop for groceries. This, combined with the fact that the area suffers from an average life expectancy an astonishing eight years shorter than the rest of the state, spurred the nonprofit into action, and it began putting together a plan to build a free community wireless network designed to help residents meet the challenge. One Neighborhood Connects Community Wi-Fi hardware is being installed right now, with plans for the network to go online by Thanksgiving of this year. 

How it Came Together

When Jennifer Hawkins started looking for solutions to the lack of connectivity in the area in March, she ran into a handful of other communities likewise pursuing wireless projects to close the digital divide, including Detroit, New York City, and Pittsburg. Along with One Neighborhood Builder’s IT partner, Brave River Solutions, she explored options and ultimately decided a fixed, point-to-point wireless network could succeed in the neighborhood. This was in no small part because ONB owns 381 apartments, 119 single-family homes, and 50,000 square feet of commercial and community space across Olneyville. It meant that two of the primary obstacles to standing up a fixed wireless network cheaply and quickly — finding suitable hardware installation locations and negotiating Rights-of-Way — were nonexistent, and a fast, less expensive design and rollout was possible.

ONB contracted with regional communications systems integrator Harbor Networks to do mapping, engineering, and design the network, with ADT hired to do hardware...

Read more
Posted October 7, 2020 by Ry Marcattilio-McCracken

Planning, designing, building, and maintaining a community broadband network involves a host of complicated technical, financial, and operational tasks, but being successful also requires having a game plan for marketing. 

FairlawnGig, Ohio’s municipal network for the town of 7,500 just north of Akron, is succeeding at the latter during the ongoing public health crisis. It has added a section to its website called Pandemic Positives, highlighting the stories of residents who have, like so many of the rest of us, been forced to move the bulk of our lives online. "In the year of social distancing," FairlawnGig introduces the stories, "work-from-home, and remote learning, we’re thrilled to bring you and your household the robust Internet service you need. FairlawnGig provides the bandwidth that to support all your needs, even the unanticipated ones, like a pandemic. As necessity is the mother of invention, we’re looking at 2020 as a chance to take lemons and make lemonade."

The network shares a collection of testimonials from users:

FairlawnGig has been a life saver during the pandemic. Both my husband and I are still working from home and each of us have at least three devices running at once. I’m a teacher at Forest Hill CLC and I can run 2-3 class meetings at the same time with my students while my husband is able to complete his meetings and work with no lag at all from the WiFi. We’re very happy to have this FairlawnGig!

I have been so impressed with the reliability and performance of the FairlawnGig service. Since March, I’ve been working from home and the service has been flawless… up until about two weeks ago when a garbage truck took out my broadband service. Within minutes of my call to FairlawnGig, two members of their team showed and found the fiber that connects to my house laying across the street. Within an hour, I was back online. If you ever had residential Internet service provided by one of the big telecom/cable companies, you would find the return-to-working-service part of this experience unbelievable. With FairlawnGig, this quality of service seems to be the norm.

The biggest change for us, besides not being able to see family and friends, is that we now have three people in our house working from home. We all agree that FairlawnGig...

Read more
Posted October 5, 2020 by Ry Marcattilio-McCracken

One silver lining of the ongoing public health crisis is the chance to attend a wide array of virtual events which tackle aspects of community broadband expansion all across the country, in a variety of contexts. This week features three opportunities to hear about what’s going on in Minnesota, Michigan, and Virginia. Read on for details. 

Blandin Foundation Annual Conference

First up is Minnesota-based Blandin Foundation’s annual conference. It’s gone virtual for 2020, and the organization has taken it as an opportunity to shake things up. Instead of a three-day conference, Blandin is hosting four weeks’ worth of events starting Tuesday, October 6th, at 9am CST. 

The conference will feature a combination of panels with updates on everything from technology outreach to telehealth to efforts by community anchor institutions to stay connected, as well as mentoring sessions, regulatory and legislative updates, and feature presentations by leading voices:

  • Wednesday, October 7, 11:00am: From Digital Infrastructure to Transformation: Leveraging Broadband for Community Economic Development by Roberto Gallardo, Ph.D., Purdue Extension.
  • Thursday, October 8, 9:30am: Bringing Broadband to Rural America: Opportunities and Challenges Post-Pandemic by Shirley Bloomfield, NTCA.
  • Thursday, October 15, 3pm: Federal Broadband Regulatory and Legislative Updates by Molly O’Leary, Director of Government Affairs, NTCA.
  • Friday, October 23, 10:00am: Book Club: Thank You for Being Late and Thursday, October 29, 9:15am: How I Think About the Importance of Communities in the 21st Century by Thomas L. Friedman, Author, Reporter, Columnist, New York Times.
  • Thursday, October 27, 9:30am: Connecting Residents to Essential Services: Solutions for Local Communities by Deb Socia, The Enterprise Center.
  • Thursday, October 29, 10:30a: 2020 MN County Broadband Reports: Measured Progress, Accelerated Need by Ann Treacy, Treacy Information Services

It’s likely Deb Socia will be talking about Chattanooga’s landmark effort to connect 28,000 students to free 100/100 Megabit per second (Mbps) Internet. We covered Robert Gallardo’s...

Read more
Posted September 8, 2020 by Ry Marcattilio-McCracken

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

Carolina Crosscut collects and collates a plethora of data that should be useful to any number of groups moving forward. It maps broadband access, adoption, and speeds at the census tract level against a cluster of health...

Read more
Posted August 24, 2020 by Ry Marcattilio-McCracken

Community anchor institutions like public libraries, schools, and government buildings have long served as backbones for initiatives to better connect communities and in doing so open up a world of possibilities that come with Internet access. Add to that list barbershops and salons, because one project is combining robust broadband and hypertension screenings to achieve better health outcomes for communities in urban areas around the country. 

The project was conceived last winter by Craig Settles, who’s been working with public and private groups to advance community broadband efforts for more than a decade. At (eventually) ten locations in places like Cleveland, Wilson County, North Carolina, Chicago, and Denver, Settles is leading an effort to bring hypertension screening to urban areas by partnering with barbershops and salons. The aim is to leverage all of the unique characteristics of these businesses — including their strong community ties, their place as a social hub, the trust they hold with their customers, and the regularity with which they see them — to pioneer early detection and eventually ongoing treatment of high blood pressure and the constellation of associated complications (like coronary artery disease, stroke, and heart failure) that go with it. It's a problem that disproportionately affects the African American population.

Settles told one news outlet

Many hair dressers and barbers see their customers every other week or so, and shops and salons are tight communities. It’s noticeable when someone disappears and you find out later that the person is disabled by a stroke, or has died from a heart attack.

Old Idea, New Twist

Pairing haircuts and blood pressure screening itself isn’t brand new; Al Edmonson’s barbershop, A Cut Above the Rest,...

Read more
Posted June 30, 2020 by Ry Marcattilio-McCracken

This week on the Community Broadband Bits podcast, Christopher talks to Deb Socia, President and CEO, and Geoff Millener, Senior Program and Operations Officer of The Enterprise Center in Chattanooga, Tennessee. Deb and Geoff share the breadth and depth of the work they’ve been doing recently to advance digital inclusion efforts and respond to the Covid-19 pandemic in ways that help the local community.

They tell Christopher about The Enterprise Center’s three-prong approach: the Chattanooga Smart Community Collaborative, which works to ensure that smart-city infrastructure is responsive to the needs of citizens; their work in the innovation district to help entrepreneurs build networks and create opportunities for getting access to capital; and finally, their Tech Goes Home initiative, which offers digital literacy courses and discounted hardware in pursuit of lowering the barriers to Internet access and inclusion.

Restaurants and churches around the country have been hit particularly hard by stay home orders and the other public health responses put into place to combat the transmission of the coronavirus, and Deb and Geoff describe the approach they’ve taken in Chattanooga. By finding trusted partners in local communities and leveraging their expertise and relationships with entities like EPB Fiber (the city’s municipal fiber network) Deb, Geoff, and their colleagues have helped small restaurant owners and church leaders get online and get the word out so that the local economy better weathers the storm and people can continue their faith traditions.

Finally, in this episode Christopher, Deb, and Geoff discuss the strides being taken in telehealth and telemental health in order to ensure more equitable opportunities and outcomes. They talk about the advantages to vulnerable populations, the potential savings to Medicare and Medicaid, and the wealth of opportunities for medical care related to aging in place, addiction recovery, palliative care, and removing the stigma of seeking mental health services.

See earlier coverage on...

Read more

Pages

Subscribe to telehealth