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Transfer of Individuals with Motor Impairments and Tech Transfer

Transfer of Individuals with Motor Impairments and Tech Transfer. Steve Bauer, Director RERC on Technology Transfer. ICDR/IST Technologies and Strategies for Physical Transfer of Individuals with Motor Impairments State of the Art Conference Washington DC September 10-11, 2007.

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Transfer of Individuals with Motor Impairments and Tech Transfer

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  1. Transfer of Individuals with Motor Impairments and Tech Transfer Steve Bauer, Director RERC on Technology Transfer ICDR/IST Technologies and Strategies for Physical Transfer of Individuals with Motor Impairments State of the Art Conference Washington DC September 10-11, 2007

  2. Acknowledgement NIDRR ICDR

  3. Introduction • Nursing Homes (e.g.) • Olmstead Decision • Independent Living • “Transfer Industry” • Recommendations

  4. Caregiver Injuries • Nursing Homes (e.g.) • 1.37M professional caregivers (2002) • Plus 25% by 2012 • 211,000 injuries (2003) • Back, shoulders, upper extremities… • Well studied Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; Safe Lifting and Movement of Nursing Home Residents; http://www.cdc.gov/niosh/docs/2006-117/

  5. Public Health Model • A. Identify and prioritize problems • B. Quantify and prioritize risk factors • C. Identify existing or develop new, prevention strategies • D. Implement most effective measures • E. Monitor results Health and safety of professional caregivers National Institute for Occupational Health and Safety; National Occupational Research Agenda: Traumatic Occupational Injury Research Needs and Priorities; http://www.cdc.gov/niosh/pdfs/tramadoc.pdf

  6. Consequence • Guidelines, best practices, training materials • NIOSH, OSHA… • Transfer technology available & effective • Public Policy • TX, WA, MN, OH, RI, HA, NY; Safe “Handling;” Caregiver Protection • 1992-2005 • 70% reduction in rate of “injuries” • 52% reduction in rate of “lost workday injuries” Total Recordable Occupational Injury Cases in Nursing and Residential Care Facilities. URL: http://www.bls.gov/data/home.htm

  7. Case Study • Wyandot County Nursing Home • Assisted transfers w mechanical lifts; electric adjustable beds • No back injuries over five years • Reduced workers' compensation +$136,000 • Reduced absenteeism and overtime +$55,000 • Reduced staff turnover +$125,000 Total = $316,000 Annually U.S. Department of Commerce: Occupational Health and Safety Administration; Ergonomics: Guidelines for Nursing Homes http://www.osha.gov/ergonomics/guidelines/nursinghome/final_nh_guidelines.html

  8. Why Not Universal? • Perceptions • Equipment cost & installation • Training not technology • Assisted manual transfer is faster • Need transfer technology when & where needed • Real savings are not accounted for • Lost Days, Overtime, Turnover, Workman’s Compensation

  9. Hospitals Nursing Homes / Long Term Care Assisted Living Independent Living Migration Olmstead Decision • Supreme Court “Olmstead Decision” (1999) • Title II of ADA; prohibits unnecessary institutionalization of PWD • Demographics • Microsoft, Intel, Black & Decker, Whirlpool…

  10. Independent Living • Transfer & functional independence w / w o AT & EI & CG • Return on investment w / w o AT & EI & CG • Needed research on AT & EI • New business opportunities • Needed public policy changes (1999) Mann WC +, Effectiveness of Assistive Technology and Environmental Intervention in Maintaining Independence and Reducing Home Care Costs for the Frail Elderly, Arch Family Medicine, Vol. 8, May/June 1999

  11. Transfer “Industry” • About 100 companies producing transfer products? • Transfer devices for bed, bath, commode, car… • Floor lifts (~40), ceiling lifts (~30)… • Primarily small businesses Limited capacity to carry out research and development Little “user” input on product design Little “user” input on product needs Limited capacity to understand and use basic research (2003) Technology Assessment of the U.S. Assistive Technology Industry, Department of Commerce

  12. SBIR + STTR Awards • NIH, NSF, USDE, USDA, DOT • 1996-2005 • ~14,500 Phase I awards • ~750 awards for AT development (5% of total) • No awards related to transfer technology… About 10% of small AT businesses use SBIR programs… Small businesses not seeing a market opportunities? Small businesses not seeing a technical hurdles?

  13. Patents • USPTO • 1993-2007 • WC + Lift/Transfer + Car ~30 • WC + Lift/Transfer + Bath/Shower/Commode ~15 • WC + Lifts/Transfer + Bed ~33 Very Low Rate of Patentable Invention! Automatic Locking Brake for Institutional WC

  14. Recommendations • Primary market research. Industry profiles. What do users & caregivers want and need? Business opportunities. • Translate “hard” research (anthropometrics, biomechanics) into product design requirements. Migrate mature transfer research. • Foster R&D between researchers and small businesses (RERC) • Focused SBIR & STTR grant solicitations (NIH, NSF, DOT, USDE). NRC study. • Focused research grant solicitations (RERC, NSF RAPD) Product Development Cycle: 17 years? 8/9 years? 2 or less!!

  15. Questions

  16. Thank You! • Stephen Bauer • Email smbauer@buffalo.edu • Phone (716) 829-3141 x 117 • URL http://cosmos.buffalo.edu/t2rerc

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