October 2009

Disproportionate share hospitals face IT disadvantages

Disproportionate share hospitals, which serve more poor patients, are lagging behind other hospitals in adopting electronic health records, according to a new survey. Researchers reported in Health Affairs that without federal funding this digital divide would continue - and expressed concern that any funding would actually reach these hospitals. The study, which examined EHR use in 2,368 acute care hospitals, was supported by the Robert Wood Johnson Foundation and the federal Office of the National Coordinator for Health Information Technology. The research was lead by Ashish Jha, MD, associate professor at the Harvard School of Public Health, in collaboration with Massachusetts General Hospital and George Washington University.

Maximizing Network Value with Next Generation Policy

Network service providers are caught between the proverbial rock and the hard place. Demand for Internet protocol (IP) access and bandwidth continues to grow at a tremendous pace driven by network technologies that require faster speeds and subscriber demand for bandwidth-intensive services, such as streaming videos, Internet protocol television (IPTV), and peer-to-peer (P2P) applications. Operators are left with little choice but to deploy faster networks with more capacity. However, the flat-rate, "all-you-can-eat" service plans used by most operators make it difficult to increase revenues in order to cover the additional capital and operational expenditures required to manage heavier network traffic. Within this environment, operators are finding it difficult to capitalize on the explosion in demand for their core assets. That is the "rock". The "hard place" is the financially driven imperative to avoid being relegated within the value chain as a low-value provider of commoditized access services. The number of over-the-top (OTT) providers of IP-based applications, services, and content is growing as companies, such as content providers, Internet companies, and device providers, attempt to monetize on the delivery of rich and valuable Internet content to consumers and businesses. In the meantime, telecommunications providers and cable multiple system operators (MSOs) are in danger of being disintermediated as mere transporters of Internet traffic and being bypassed from participating in emerging revenue models. Next generation policy management enables network service providers to overcome these challenges. With intelligent, dynamic control over subscriber entitlement to network resources and real-time charging capabilities at the network-edge, operators have an opportunity to play a central role in the evolving ecosystem of IP content, applications, services, devices, and networks. Service providers are uniquely positioned to use next generation policy to deliver highly individualized, interactive, and integrated experience to consumers and businesses and to monetize the value delivered to subscribers with a variety of new revenue models. Next generation policy enables service providers to become competitive and strategic players in the value chain.

DOCSIS 3.0 -- An Opportunity to Reinvent the Cable Business Model

In the broadband battle, cable operators were the early leaders, boasting faster speeds than the DSL service offered by their telco counterparts. However, as the telcos launch their ultra-fast fiber-to-the-home (FTTH) services, such those offered by Verizon and AT&T in the U.S.; FastWeb, Telefonica, and TeliaSonera in Europe; and Korea Telecom and PCCW in Asia, cable risks falling behind, hampered by its bandwidth limitations. DOCSIS 3.0 promises a way for cable operators to counter the telco threat by providing faster speeds to the end user—up to 160 Mbps downstream and 120 Mbps upstream—offering a more cost-effective approach for cable operators to compete and win against FTTH service providers with ultra high-speed data delivery. However, long-term success depends on going beyond competing on speed and focusing on using the extra bandwidth to create truly compelling offerings. DOCSIS 3.0 can help cable operators take that step by providing not only the necessary bandwidth, but the opportunity to truly differentiate their services by delivering high-definition digital entertainment and broadband services. However, without proper management DOCSIS 3.0 threatens to cannibalize existing cable revenues, as television networks explore over-the-top Internet distribution deals with content delivery networks or deliver content directly via the Internet. It also threatens profit margins, as the marginal cost of adding network bandwidth will not be covered by the marginal revenue. To take advantage and fully leverage new network technologies and opportunities, MSOs need to look at their existing OSS and billing environments and assess whether they can support these next generation services. Cable back office systems have historically been heavily customized, often in-house solutions that were generally developed to address a specific service or geographic region and designed to support static services billed on a flat-rate basis. Transforming these systems to support a new business model is a complex and challenging undertaking; however, those operators that succeed in this effort are rewarded with increased revenues, reduced operational costs, and stronger customer relationships.

Smart Energy Internet Grant

The Department of Energy today announced major funding for 37 ambitious research projects including "Liquid Metal Grid-Scale Batteries." Created by Professor Don Sadoway, a leading MIT battery scientist, the all-liquid metal battery is based on low cost, domestically available liquid metals with potential to break through the cost barrier required for mass adoption of large scale energy storage as part of the nation's energy grid. If successful, this battery technology could revolutionize the way electricity is used and produced on the grid, enabling round-the-clock power from America's wind and solar power resources, increasing the stability of the grid, and making blackouts a thing of the past. And if deployed at homes, it could allow individual consumers the ability to be part of a future "smart energy Internet," where they would have much greater control over their energy usage and delivery.

Department of Agriculture Celebrates 60 Years of Supporting Rural Telecommunications

In 1949, the Department of Agriculture's telecommunications loan program was established to provide telephone service to rural America. At the time, only one in three farms had access to telephone service. As it did with the rural electrification program, the Telephone Loan Program revolutionized the lives of millions of rural families and businesses by providing connectivity, access to emergency services and business activities that fueled economic growth. Today, Rural Utilities Service (formerly REA), provides loans and grants for telecommunication, electricity and water and environmental services. It is also administering a program, funded through the American Recovery and Reinvestment Act, to provide broadband service to underserved communities.

Twitter entries satirize works of literature

Twitterture: To Tweet or not to Tweet. Two snarky English literature geeks satirize Great Books for fun and profit.

Senate Judiciary Committee
Thursday, Oct. 29, 2009
SD-226
http://judiciary.senate.gov/

Business meeting to consider:

S.448, to maintain the free flow of information to the public by providing conditions for the federally compelled disclosure of information by certain persons connected with the news media,

H.R.985, to maintain the free flow of information to the public by providing conditions for the federally compelled disclosure of information by certain persons connected with the news media,

S.1490, to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information,

S.139, to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information,



House Subcommittee on Energy and the Environment
House Commerce Committee
2123 Rayburn House Office Building
October 27, 2009
10am

The Subcommittee on Energy and the Environment will hold a hearing titled, ": H.R. 2165, the Bulk Power System Protection Act of 2009, and H.R. 2195, a bill to amend the Federal Power Act to provide additional authorities to adequately protect the critical electric infrastructure against cyber attack," on Tuesday, October 27, 2009, in 2123 Rayburn House Office Building. The hearing will examine pending bills to address the protection of the electric grid from cyber and other malicious attacks.

INVITED WITNESSES:
•Joseph McClelland, Director, Office of Electric Reliability, Federal Energy Regulatory Commission
•The Honorable Patricia Hoffman, Principal Deputy Assistant Secretary, Office of Electricity, Department of Energy
•The Honorable Gary A. Brown, Chairman, New York Public Service Commission
•David Cook, Vice President and General Counsel, North American Electric Reliability Corporation
•John DiStasio, General Manager and CEO, Sacramento Municipal Utility District



Keeping access open to all

[Commentary] The idea that "content is king" is a favorite slogan among media people, since it's comforting to think that the industry is ruled by its creative side. Comforting, but fictional. Who does rule the media kingdom? Not the content creators, but the people who control their physical access to the public, that's who. Sooner or later, channels trump content. That's why people who care about freedom of expression have to start by caring about the freedom of the channels over which expression flows. Hence the importance of the simmering controversy over so-called net neutrality -- a policy that is intended to keep the companies that rent us access to the Internet from playing favorites among Web services, information exchanges, content providers of all kinds. Why does that matter? Because the pace and direction of media development have been historically set by the people who controlled the contact points with the public.

NTIA's Strickling Describes Role of BTOP in Broadband Plan, Innovation Strategy

Speaking at the State of Telecom Conference, National Telecommunications and Information Administration head Larry Strickling said that a national broadband plan is key to the innovation strategy of the Obama administration, along with expanding research and development, increasing education and providing a strong technological ecosystem.He said that not every good Broadband Technologies Opportunity Program project will be funded, as there simply are not enough funds. At the same time, he said he wanted to make sure that the NTIA did not fund any bad projects.