1 / 22

Intelligent monitoring of mild - mentally retarded clients

Intelligent monitoring of mild - mentally retarded clients. Case study Innovation in Care. Content. Background and motivation of this project Challenges in innovation of Care Technology Project: the design, partners and ambitions The case: ‘mild - mentally retarded people’ Themes

boardman
Download Presentation

Intelligent monitoring of mild - mentally retarded clients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Intelligent monitoring of mild - mentally retarded clients Case study Innovation in Care

  2. Content • Background and motivation of this project • Challenges in innovation of Care Technology • Project: the design, partners and ambitions • The case: ‘mild - mentally retarded people’ • Themes • Technologies • Users • Organisation • Clients • The market and some financial economic aspects • Legal and ethical aspects • Upscaling Lectoraat New Business & ICT

  3. How it all started Observation in the Care industry in general (among other markets): • Issues in the labour market • Ageing & outflow of youth: there is an acute shortage of staff expected in the Care industry; in the northern parts of the Netherlands as from 2013 • Issues of expenses • More people demanding for more care • Less people contributing to care • Issues of quality • How to maintain quality in Care & how to improve this with less money and less available employees Solution… • Technology !? Lectoraat New Business & ICT

  4. Challenges in Care & Science Lots of projects and pilots, but little sustainable applications... Known bottlenecks • Acceptance of consumers • Businesscase not satisfactory for al participants, after financing the pilot • Embedding in the organization and adaptation of processes • Legal/ethical issues • Infrastructural problems • Profession-protocols are set too tight • Ability to focus on exceptions • ‘Cost of failure’ • Upscaling / “not invented here” Lectoraat New Business & ICT

  5. Project IM LVG With an additional mission : “How to survive the pilot?” • Flow • August 2009 – July 2011 • Development of a basic system • Implementation and baseline measurementswillbedone • Effect of measurements are taking place Partners • Stichting NOVO • AVICS • Hanzehogeschool Groningen (coordin.) Finances • Budget € 250.000 • 60% by Province Groningen (IAG2-program) • NOVO supplies expertise in care • HG supplies expertise and knowledge (doctor, lecturers) capacity in research and labor (students) • AVICS provides equipment and knowledge • Ambition • Bymulti-diciplinaryapproachgettingcontrol over thoseconstraintsthat are important in achieving a sustainableinnovation in care Lectoraat New Business & ICT

  6. Stichting NOVO The Nederlands / attending mild – mentally retarded clients • NOVO: ca 1850 clients / 1300 employees • NOVO cares over 390 clients: region of Groningen city, Haren, Hoogkerk, Roden, Nieuw Roden, Leek, Tolbert, Paterswolde, Kornhorn en Ulrum • 175 clients in a residential community and 65 clients in support centers. • 150 clients are resided independently (of which 40 clients with a personal care budget • Family situation: • Most of the clients are not married • In the region Groningen city NOVO attends 28 female clients with 1 or more children • NOVO attends 8 couples • Clients who are resided independently often do live in an endangered environment • 70 clients don’t have a contact person Lectoraat New Business & ICT

  7. First of all – providing the basic needs in safe housing Reliable attendant Safe social surroundings, safe relationships, far away from crime Health: addiction, nutrition on a regular basis, correct medication, hygiene Work or daytime activities: daily structures Remediation of debts, taking care of income, taking care of administration And then: Continuously providing the basic needs Teaching doing this all by themselves: being on your own, supported, in self confidence And then: Self-development and expansion Stichting NOVO Activities: if you don’t have a home or a place to go to Lectoraat New Business & ICT

  8. NOVO Residentialcommunities WGS Lohman WGS Kornalijn WGS Antillenstraat WGS JG Huis WGS Confiance Lectoraat New Business & ICT

  9. NOVO independent residences Lectoraat New Business & ICT

  10. AVICS Very experienced in ICT projects in the Care industry • Since 2002 • 35 employees • Yearlyturnoverapprox. €6 M • Over 150 projectsrealized • System Integrator • Independent of suppliers • No reseller / distribitor / producer • National projectswith a high level of complexity • Nationwide • Consultancy-Functional-Technical-Realization-Service • In-company Research and Development (3 fte) • National and internationale subsidyprojects (WBSO, IAG1, IAG2, AAL Rosetta) • Markt • Care 98% • Telecom 1 % • Industrial automation 1 % Lectoraat New Business & ICT

  11. The Case Mild - mentally retarded clients • IQ ca 50-85 • Need for peace, order and regularity • Limited sense of time, place, good/bad • Difficulties with taking action, planning, finishing things • Current support goes via humanintervention – observing, identifying and intervening • Current support is mainlyreactive Lectoraat New Business & ICT

  12. The Case Desired improvements • As much as possible human observing, identifying and intervening been taken over by technical resources (labor market and costs) • More and more advancing independency of the clients (more quality of life) • Escorting from reactive to proactive • Escorting from operational to tactical • Decreasing the number of incidents and escalations Lectoraat New Business & ICT

  13. Scenarios Selected for interest of the client • Day-/nightrythmclient (inhabitant) • Getting up in the morning • Living • Going to bed • Energy savings at home • Temperature • Central heatingon/off • Window open/closed • Traffic to work (inhabitant) • Location • Time • Duration Lectoraat New Business & ICT

  14. Technology System setup Hosted Domotica Server Ambulante Team Alarm Server Woon Rapportage Expert Systeem Werk LVG’er Zorgverlener Script Editor Database Lectoraat New Business & ICT

  15. Technology Sensors & actors can be added or removed • Sensors: • Carpet next to the bed • Motiondetection (bedroom, livingroom, bathroom) • Door-contact (front door) • Window-contacts • Measurement of temperature (by preference on the heater itself) • Actors: • Control of lights • Control of central heating (optional) • Unit for speaking<->listening Lectoraat New Business & ICT

  16. Users Clients are not the users • Users are: • Remedial teachers: using the system to develop effective interventions • Mentors: using the system to delegate a part of their tasks to the system • Interactive, explorative and iterative development-method (Agile) to realise users-acceptance • Intellectual ownership is cooperatively developed knowledge on effective interventions: co-development • The system can be used for other care-institutions, other types of clients, and other scenarios Lectoraat New Business & ICT

  17. Organisation This is not automation, but a route to change • The system doesn’t lead to consequences to distribute responsabilities • Developing new methods and procedures for proactive acting • Upscaling employees from operational to tactical tasks • Upscaling to other tasks / scenarios • Reliability • The system is reliable, but never for a 100% • Self test (system) • Fall back-scenarios en scripts (organisation) Lectoraat New Business & ICT

  18. Clients Quality of life • Goalsetting: less escalations, less problems getting back to ‘normal behaviour’ • Apparent opposition: more self-reliant by more support • Proactive interventions are the focus on teaching ‘hoped-for’ behaviour • How do mild – mentally retarded learn? • Conditioning versus causality • Punishment and rewardings • Relations with actors and effectiveness of interventions • This is yet reasonably unknown Lectoraat New Business & ICT

  19. Market - Finance, Economics Scientific setup for a validated calculation of output • Baseline- en effect-measurements for prove of: • Medical effectiveness • Decisionmaking • Businesscase • Businesscases for seperate links in a chain, shoudl work for the chain as a whole • Assumptions on costs and marketrates • Assumptions on upscaling • Assumptions on the value of not-measurable benefits (like quality of life) Health insurance Provider of care Supplier of ICT Lectoraat New Business & ICT

  20. Legal-ethical Carefully balancing the interests • The system breaks in on the privacy • Is that a problem? • Interest of the client: • Right on privacy, but also • Right on good care • Interest provider of care: good affordable care • Measures: • Clear agreements with clients • Carefully performed inforamtion-management: research and operation • Switch-off button • Liability • Consulting Medical Protection Society Lectoraat New Business & ICT

  21. Upscaling Step by step • Number of clients from 3 to 20 to 50 to … • Pilot is very important: • Does the system function technically? • Is the system functional? • Is there anything unforseen concerning the clients? • Upscaling in numbers means impact on the organisation • Further upscales • Mentors • Teams • Sensors & actors • Scenarios • Targetgroups Lectoraat New Business & ICT

  22. Kenniscentrum OndernemerschapZernikeplein 79747 AS Groningenwww.hanze.nl/kco

More Related