Air Technology Network PMOAir Technology Network PMO

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

VA-DOD Medical Interagency Satellite Training Program VA-DOD Medical Interagency Satellite Training Program

– – Next GenerationNext Generation

Philip J.-L. Westfall, Ph.D.Director, HQ AU OL-A

Alex J. Autry, Jr., M.A.Asst Director & MIST PM

Clay A. MiddlebrookChief Engineer

23 January 2014

A Presentation for

Develop America's Airmen Today ... for Tomorrow

Overview

• Who are we?• What is ITV?• What are ATN, DETN, & GETN?• Basics of MIST• Basics of MIST-NG

HQ Air University Education Operations & Communications

• The ATN Program Management Office The ATN Program Management Office is a branch of HQ AU/A3/6, and is a is a branch of HQ AU/A3/6, and is a separate operating location at Wright-separate operating location at Wright-Patterson AFB, OhioPatterson AFB, Ohio

• Our mission isOur mission is to pro-to pro-mote, manage, and mote, manage, and deliver instructional deliver instructional broadcasting for the broadcasting for the Air Force’s distance Air Force’s distance learning programs and learning programs and other DOD users of ITVother DOD users of ITV

Home of the ATN

Home of theHome of the

Air Technology Network

Home of the ATN

Home of theHome of the

Defense Education & Training Network

Home of the ATN

Home of Home of

Medical InteragencySatellite Training

Home of the ATN

Pioneer & Pioneer & Team Lead of the Team Lead of the Government Education & Training Network

HQ Air University OL-AHQ Air University OL-AAir Technology Network PMOAir Technology Network PMO

Personnel Authorized: 5 Civil Service Assigned: 5

DIRECTOR Dr. Philip WestfallGS-1701-14

ASSISTANT DIRECTORCHIEF, INSTRUCTIONAL QUALITYMr. Alex Autry, GS-1701-13

CHIEF, OPERATIONSMr. Joseph Kustra GS-0391-11

NOC ENGINEER Vacant WG-3940-10

CHIEF ENGINEERMr. Clay MiddlebrookGS-0391-13

Overview

• Who are we?• What is ITV?• What are ATN, DETN, & GETN?• Basics of MIST• Basics of MIST-NG

What is ITV?

INTERACTIVE TELEVISION (ITV)– one-way video & two-way audio – via satellite

ITV emulates the classroom at a distance

A Variety of Instructional Methods

High-end graphics & HD video Live, interactive learning exercises Teaching interviews Panel discussions Guest speakersStudent interaction with the experts—

standardized instructionStudent-to-student interaction—

enhanced in a classroom setting through audioconferencing & BYOD polling

An Effective Distance Learning Medium

Inexpensive course development Inexpensive delivery for medium-to-large

audiences Inexpensive downlink equipment And like the in-residence classroom, ITV

integrates well with print & online media

Used extensively in across the Federal Government and in the corporate world

Corporate Satellite Networks

A.G. Edwards

Anheuser-Busch

Bank of America

Boeing

Caterpillar

Channel One

Cisco

Dillards

Edward Jones

Federal Express

Ford

GE Medical

Georgia Pacific

Harley-Davidson

Hewlett-Packard

Home Depot

HUD

Intel

JCPenny

Kroger

Lowe’s

Macy’s

McDonald’s

Merrill Lynch

Microsoft

Orkin

Pfizer

Safeway

Southern CO

Square D

Staples

State Farm

SYDA

Unisys

Wachovia Bank

Wal-Mart

The larger the enterprise, the more efficient satellite becomes

USAF USAF

ANG ANG

AFRCAFRC

US ARMYUS ARMY

DEOMI DEOMI

ARNG ARNG

FAA FAA

DOJDOJ

NPS (DOI)NPS (DOI)

US Courts (FJ)US Courts (FJ)

FJC (FJ) FJC (FJ)

USSC (FJ)USSC (FJ)

USPSUSPS

SSA SSA

NASA NASA

VHAVHA

BLM (DOI)BLM (DOI)

CMS (HHS)CMS (HHS)

Government Satellite Networks

Overview

• Who are we?• What is ITV?• What are ATN, DETN, & GETN?• Basics of MIST• Basics of MIST-NG

Air Technology NetworkAir Technology Network

NOCNOC

ATTV (2)Wright-Pat AFB OH

NLN BridgeNLN BridgeSan Diego CA

BRTV BRTV Buckley AFB COBuckley AFB CO

SPTV SPTV Peterson AFB COPeterson AFB CO

KETVKETVKeesler AFB MSKeesler AFB MS

AUTV AUTV Maxwell AFB ALMaxwell AFB AL

RRTV RRTV Robins AFB GARobins AFB GA

LITV LITV JB San Antonio TX

DRTV DRTV Dobbins ARB GADobbins ARB GA

GBS GatewayGBS GatewayNorfolk VANorfolk VA

Terrestrial T-1 connection

Broadcasting Center

Galaxy 25Galaxy 25 2 HD & 5 SD Channels 2 HD & 5 SD Channels

10 Broadcast Centers10 Broadcast Centers

204204 Earth StationsEarth Stations

324 Classrooms324 Classrooms

in CONUS, Europe, in CONUS, Europe,

WestPac, & SWAWestPac, & SWA

What are ITV’s major features?

Commercially available technologyCommercially available technology Digital Video Broadcasting compressionDigital Video Broadcasting compression Selectable HD/SD quality, 16x9 aspect ratio Selectable HD/SD quality, 16x9 aspect ratio Contracted network management Contracted network management Conditional access management Conditional access management Contracted maintenanceContracted maintenance

General Services Administration

Custom SATCOM Solutions (CS2)Contract No . GS00Q12NRD4007

Digital Video Satellite NetworkDigital Video Satellite Network

ComponentsComponents

ITV CLASSROOM ITV CLASSROOM

ITV ITV

DOWNLINKDOWNLINK(RECEIVE)(RECEIVE)

ACCESSACCESS

UPLINK UPLINK (TRANSMIT)(TRANSMIT)

Digital Digital EncoderEncoder

STUDIO/TV STUDIO/TV CLASSROOMCLASSROOM

We hold these truths to be self-evident,We hold these truths to be self-evident, that all men are created equal, thatthat all men are created equal, that they are endowed by their Creator they are endowed by their Creator with certain unalienable Rights, that with certain unalienable Rights, that among these are Life, Liberty and among these are Life, Liberty and the pursuit of Happiness.the pursuit of Happiness.

Atlanta GAAtlanta GA

Convergent Media Systems, Inc.Convergent Media Systems, Inc.Network Operations CenterNetwork Operations Center

AUDIOAUDIORETURN RETURN

Audioconferencing

VoIP or PSTNVoIP or PSTN Auto-dial or Dial-inAuto-dial or Dial-in Operator assisted screening or PIN accessOperator assisted screening or PIN access The only The only DSN-certifiedDSN-certified bridge bridge Reservation, Scheduling, and Billing FeaturesReservation, Scheduling, and Billing Features

Up to 9,600 portscurrently configured for 453

Satellite Studio Equipment

Average installed cost: $150K

HD Camera System Video Switcher

CODEC

Green Screen & LightingDownlink System

Broadcast Center Terrestrial Link

Two for each BC-to-Hub terrestrial linkTwo for each BC-to-Hub terrestrial link Allows for HD 720p up to 4Mbps transmission Allows for HD 720p up to 4Mbps transmission rate rate

HDX 7000-720 HD CODEC

Broadcast Center Terrestrial Link

Links broadcast centers to uplink hub cost Links broadcast centers to uplink hub cost effectively—replaces need for multiple effectively—replaces need for multiple uplinksuplinks

T-1s from BCs allow for up to 1.5 Mbps T-1s from BCs allow for up to 1.5 Mbps transmission ratetransmission rate

T-3 capacity at hub allows for cost-effective T-3 capacity at hub allows for cost-effective wireline service wireline service for video & audio for video & audio conferencing conferencing

GS00T07NSD0008

• ITV/VTC USED IN COMBINATION• Shared programming (bridging

existing networks)

• Guest speaker not at uplink facility (used as one-way)

• Student has access only to VTC (used as one-way—quality permitting including Webcasting)

-- Navy Learning Network*, Army TNET & Classroom XXI

* Discontinued 22 Sep 13

Linking VTC to ITV

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Satellite Down Link Equipment

40” HD Flat Screen TVDVD RecorderCisco D9865D Satellite ReceiverAT Products audio conference unit & mics

Average installed cost: $7,900

Non-penetrating roof-mount

Satellite IPTV Downlink Equipment

Average installed cost: $27,900 CONUS$43K OCONUS

Non-penetrating roof-mount

Cisco D9865D Satellite Receiver

BrightEye Video Converter

HaiVision IP Video Distribution System

OCONUS Link through DECC

NOCNOC

Defense Enterprise Computing Centers

Defense Education & Training Network

AMEDDC&SJB San Antonio TX

NOCNOCNPS-TV NPS-TV Shepherdstown WVShepherdstown WV

ATTV (2)Wright-Pat AFB OH

Gateway to Gateway to WestPacWestPacTBD CA

BRTV BRTV Buckley AFB COBuckley AFB CO

SPTV SPTV Peterson AFB COPeterson AFB CO

DEOMIDEOMIPatrick AFB FLPatrick AFB FL

KETVKETVKeesler AFB MSKeesler AFB MS

TYWN TYWN Tyndall AFB FLTyndall AFB FL

AUTV AUTV Maxwell AFB ALMaxwell AFB AL

RRTV RRTV Robins AFB GARobins AFB GA

LITV LITV JB San Antonio TX

DRTV DRTV Dobbins ARB GADobbins ARB GA

GBS GatewayGBS GatewayNorfolk VANorfolk VATRADOC BridgeTRADOC Bridge

Ft Eustis VAFt Eustis VA

ANTV ANTV Andrews AFB MDAndrews AFB MD

ANG TECTVANG TECTVMCGHEE TYSON AFB, TNMCGHEE TYSON AFB, TN

Terrestrial T-1 connection

Broadcasting Center

Galaxy 25Galaxy 25 3 HD & 5 SD Channels 3 HD & 5 SD Channels

17 Broadcast Centers17 Broadcast Centers

390 Earth Stations390 Earth Stations

667 Classrooms667 Classrooms

in CONUS, Europe, in CONUS, Europe,

WestPac, & SWAWestPac, & SWA

FAAOklahoma City OK

USAFWright-Patterson AFB OH

Terrestrial T-1 connection

Broadcasting Center

GETN

ANGMcGhee Tyson ANGB TN

DOJColumbia SC

Galaxy 25Galaxy 25

4 Uplinks shared by 4 Uplinks shared by

10 agencies reaching 10 agencies reaching over 1,300 locationsover 1,300 locations

GETN Satellite Networks

Defense Education & Training Network

Government Education & Training Network

Overview

• Who are we?• What is ITV?• What are ATN, DETN, & GETN?• Basics of MIST• Basics of MIST-NG

What: • Public Law 107-314 of the FY03 Defense Authorization Act

directed the DOD and VA to implement a Heath Care Incentive Fund

• In 2005, the VA (as Lead Agent) proposed a joint agency, satellite based, educational channel using current medical content from the CDC, VA, DOD Services, and other providers

• Grant of $2M was approved and implementation started July 2006—VHA Employee Education System (EES), St Louis MO, with ATN PMO & Army Satellite Education Network

• Army transferred operational oversight & MIST funding to ATN PMO—Defense Education & Training Network (DETN) founded

Basics of MIST

Why• Increasing need to share medical information and training—

rapidly and universally—using existing infrastructures• Permits exchange of medical training and information• CME/CEU credits for selected programs • Offers access to very large segment of DOD population

thanks to single hub (DETN) and compatible downlinks • Cost-effective—centrally funded, no local costs• Allows for rapid, cost-effective deployment of additional

infrastructure where neededWhen & Where: • Programs are broadcast during duty days to sites across

DOD, but only AF has rooms inside medical facilities—Army & Navy must rely on VTC systems not collocated with medical facilities

Basics of MIST

A few of our providers

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• Veteran’s Administration - Our Turn To Serve – Welcoming Wounded Veterans

- Hepatitis C - General Information - Post Traumatic Stress Disorder In Veterans - Stress and Aggression In The Workplace

• Alabama Dept of Public Health- Vulnerable Populations- Building Competency in Health Care- Chronic Disease Self-Management- Diabetes & Hypertension- Fundamentals of HIV Prevention

• Centers For Disease Control- The Diabetes Epidemic: Preventing the Preventable- Hospitals Response to Emergency Events - Mass Vaccination Clinics: A Reality Check - Immunization Update

• DOD Titles- Annual Trauma Symposium (2 Days) – USN- Physician’s Assistant Recertification (5 Days) – US Army- Tobacco Cessation – US Army

Course offerings - Sample Titles

Overview

• Who are we?• What is ITV?• What are ATN, DETN, & GETN?• Basics of MIST• Basics of MIST-NG

What: • In March 2013, a second proposal called “MIST-Next

Generation” (MIST-NG) successfully submitted by ATN PMO (lead agent) & VHA EES & to secure $11,868K of which $7,861K was DOD’s share to do the following:

– Greatly expand existing shared-training between DETN and VHA EES—encourage convergence on technology

– Link major medical teaching institutions in DOD to DETN satellite hub

– Add downlink classrooms to all remaining medical centers, hospitals, and clinics CONUS & OCONUS—currently only CONUS AF facilities have downlink classrooms.

– Add IPTV downlink capability at all medical centers, hospitals, and most clinics world-wide—and since downlinks installed at LAN head-ends of bases & posts, IPTV will be available for other DOD DL

Basics of MIST-NG

Basics of MIST-NG

Why• Need to increase training cost-effectiveness: MIST already

succesful—71K student training hours at $2.63 per student-hr—MIST-NG will yield estimated 4-fold increase resulting in $0.69 per student-hr cost avoidance of $173M in CME/CEU training

• Need to Expand reach: 108 med facilities CONUS & 47 OCONUS do not have connectivity

• Need to increase training programs: AMEDD, BAMC, METC, WRNMMC, AFSAM, NMCSD, NMCP, & DHHQ

• Need to provide a blended learning environment: Need to reach desktops for shorter courses

• Can support disaster recovery

Basics of MIST-NG

How will it be managed?• VA/DOD Health Executive Council has oversight of MIST-NG• General and financial & operational management conducted

by ATN PMO Director, HQ Air University OL-A (HQ AU/OL-A), under HQ AU Education Operations & Logistics Directorate (HQ AU/A3/6)—reports to DOD Co-Chair of VA-DOD Health Executive Council (HEC) Workgroup

• Day-to-day management conducted by MIST Program Manager, under ATN PMO Director

• After 2 years, out-year costs to be added to DOD’s POM supported by OASD(HA) (bandwidth, maintenance, & admin)

• If POM not approved, MIST goes “Space A” on existing bandwidth

40

How will it work?• VA and CDC will provide both interactive and prerecorded

content via satellite• Other DOD content providers ( 8 sources so far) will link

via terrestrial T-1 lines to ATN hub • Content provided outside DOD will continue to be

downlinked and rebroadcast via ATN hub • CME/CEU credits awarded by content providers• 17 Oct 13 VA Memo: EES to continue to grant non-VA

learners and expand CEUs to co-sponsored DOD programs

Basics of MIST-NG

41

How will it be executed?• Funding received by HQ AU on 27 Jun• Initial planning meetings w/VA & w/DHHQ• Build advocacy from HQ down to local medical facility• Phase I: Establish broadcast capabilities with AMEDD,

BAMC, METC, WRNMMC, AFSAM, NMCSD, NMCP, & DHHQ—PMO will set up in-briefs, site surveys, installation, faculty training, & assist in planning content delivery

• Phase 2: Install classroom downlinks at all remaining DOD facilities world-wide—PMO will conduct site survey & site coordinator training & establish satellite connectivity OCONUS

Basics of MIST-NG

42

How will it be executed?• Phase 3: Install IPTV capabilities at all med centers,

hospitals world-wide and at approx 40-60% of clinics• Phases 1 & 2 will start together, Phase 3 to begin after

completion of 1 & 2• Quarterly progress reports to be submitted to VA/DOD HEC

Basics of MIST-NG

VA-DOD MIST Infrastructure ModelVA-DOD MIST Infrastructure Model

Walter ReedWalter ReedNational Military Med CtrNational Military Med Ctr

Bethesda MD

Brooke Army Medical Center JB San Antonio TX

Naval Medical Center San DiegoSan Diego CA

Army Medical Dept Ctr & SchoolJB San Antonio TX

VHA-EES HubVHA-EES HubSt Louis MOSt Louis MO

Terrestrial T-1 connection

Broadcasting Center

NOCNOC

Galaxy 25Galaxy 25

Wright-Patterson AFB OH

Galaxy 18Galaxy 18

Defense Defense Health HQHealth HQFalls Church VAAir Force School

of Aerospace MedicineWright-Patterson AFB OH

Naval Medical Center PortsmouthPortsmouth VA

2 HD Channels (DOD) 2 HD Channels (DOD)

9 Broadcast Centers9 Broadcast Centers

219 Classrooms219 Classrooms

119 Bases with IPTV 119 Bases with IPTV

in CONUS, Europe, in CONUS, Europe,

WestPac, & SWAWestPac, & SWA

Medical Education & Training CampusJB San Antonio TX

44

How do we need your help?

• HQ buy-in & support—announcement to community—all target centers, hospitals, & clinics- Med/Va Publications, briefings, e-mails- Establish POCs at BCs—ensure all potential content

sources are contacted (leadership, dept heads, potential faculty, comm & tech personnel)

• Establish POCs at DLs—leadership, & training managers

Basics of MIST-NG

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Network Management: Philip Westfall, Ph.D., Director HQ AU OL-A DSN: 674-5480 Com:   (937) 904-5480 Mobile: (937) 902-4572 E-mail:  philip.westfall@afit.edu

MIST Program Management: Alex Autry, Asst Director & Chief Instr. Qual.HQ AU OL-A DSN: 674-5479 Com:   (937) 904-5479 Mobile: (937) 260-0233 E-mail:  alex.autry@afit.edu

Network Engineering: Clay Middlebrook, Chief EngineerHQ AU OL-A DSN: 674-5482 Com:   (937) 904-5482 Mobile: (937) 212-2202 E-mail:  clay.middlebrook@afit.edu

http://detn.govdl.org                                       

ATN/DETN POCs

Questions?