Healthcare Facilities

This summer, the mountains moved in Hoopa Valley (CA). As a wildfire burned through trees and vegetation, a thunderstorm dropped two inches of rain in one day. Meanwhile, online, residents were clamoring to Facebook to learn what had happened. Others started to email Frank, who serves as a youth coordinator with Save California Salmon and Miss Na:tini-we’, a cultural and political ambassador for the Hoopa Valley Tribe.

Institutions that provide essential services, including education, health care, government functions, and the workforce, have a duty to make their services universally accessible. But because of the persistence of the digital divide, these institutions cannot fully integrate and modernize internet-based technologies into their services; doing so would effectively deny service to people who cannot adequately access the internet. As a result, institutions have been unable to fully leverage the benefits of technology to make their services even more effective, efficient, and innovative.

With just over a month remaining until the Federal Communications Commission's deadline for broadband map challenges, the Schools, Health & Libraries Broadband (SHLB) Coalition is raising concerns over how the map displays community anchor institutions (CAIs) and is asking the FCC to revise its process.

A partnership led by the Maine Connectivity Authority is seeking to build a 530-million "middle-mile" fiber broadband network that would serve tens of thousands of residents and businesses across the state. Middle-mile infrastructure is the regional fiber optic infrastructure made up of high-capacity fiber that carries large amounts of data at high speeds over long distances and between various elements of telecommunications infrastructure. The network would encompass 131 communities, representing over 11,000 unserved residents and local businesses.

Telemedicine is a way for health care providers to deliver clinical health care to patients remotely through a computer or telephone, without an in-person office visit. The demonstrated benefits of telemedicine include improved access to care, convenience, and slowing the spread of infection. During the COVID-19 pandemic, legislation expanded coverage for telemedicine healthcare services. Key findings from this research include the following: 

Older adults and people with disabilities cannot equitably access the same health information and care as people without disabilities when hospital websites are not accessible. The American Health Information Management Association (AHIMA) found the following key insights relating to digital accessibility and its importance to older Americans:

• Hospitals and health care systems in the U.S. need continuing education on the role of web accessibility in American Disability Act (ADA) compliance given the significance of newly issued federal guidance.

As society works to address the systemic barriers that contribute to the maternal health crisis, it is important to recognize the role that telehealth could play in improving the United States’ maternal health outcomes. Policymakers should take the following into consideration: 

Healthcare is facing a new frontier, as the industry has seen a boom in digital health tools and technologies on both the patient and provider side. An explosion of health dat has also been driving increasingly sophisticated predictive and prescriptive insights into individuals and populations. Unfortunately, this frontier has proven to be hostile to marginalized communities. There is a growing digital divide, where healthcare technology has actually posed challenges, instead of benefits.

The Rosebud Indian Reservation and the Pine Ridge Indian Reservation in South Dakota will have their own broadband services after being awarded an almost $70 million federal grant that officials predict will connect 3,300 homes. The money will come from the National Telecommunications and Information Administration's Tribal Broadband Connectivity Program (TBCP). The funding can also be used for telehealth, distance learning, broadband affordability, and digital inclusion.

Telemedicine’s ultimate success will depend in large part on technology—how seamless patients will find the process, and the digital divide that now keeps many physicians from offering telehealth services and patients from accessing them.