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Technology Best Practices 19 th Annual Florence Cellar Conference Mayfield Heights, Ohio

Technology Best Practices 19 th Annual Florence Cellar Conference Mayfield Heights, Ohio April 8, 2011. Alan D. Sadowsky, Ph.D. Senior VP Home and Community Based Services Director Loring Institute for Geriatric Research and Training. PRESENTATION OUTLINE. Overview Selected statistics

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Technology Best Practices 19 th Annual Florence Cellar Conference Mayfield Heights, Ohio

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  1. Technology Best Practices 19th Annual Florence Cellar Conference Mayfield Heights, Ohio April 8, 2011 Alan D. Sadowsky, Ph.D. Senior VP Home and Community Based Services Director Loring Institute for Geriatric Research and Training

  2. PRESENTATION OUTLINE • Overview • Selected statistics • Campus- MorseLife • Research- summary • Operational Challenges • Implications • Emerging technologies • Future Directions

  3. OVERVIEW • Perfect Storm – Eric Dishman. • Average Age SNF/HCBS Residents. • Our Data – Majority Seniors Disconnected. • IFAS – Who will care for us? • Weinberg Initiative RFP $9 Million – Caregivers.

  4. THE PROBLEM • 77 million seniors are entering retirement • 90% would prefer to be cared for in their homes • We can’t build enough institutions to care for all the seniors entering the market • There is a shortage of clinical personnel and caregivers to provider needed services • Baby boomer are requesting, expecting and using more technology

  5. BACKGROUNDSELECTED STATISTICS • Florida 19% 65+ • Palm Beach County 24% 65+ • Jewish Population of Palm Beach County 60% 65+ • No family in immediate surrounding counties.

  6. RELEVANT TRENDS • Life expectancy. • Shortage of healthcare personnel – geriatric care (geriatricians, nurses, care managers). • Shift left – monitoring role. Shift Left • Increasing need to manage scarce resources. • Long Term Care increasingly difficult to operate in black. • Policy (State-National) – move to HCBS.

  7. MORSELIFE • 280 beds SNF. • 65 Short Term Stay – to be 80. • 144 IL/AL (180 in active development). • 14 levels of care. • Loring Institute for Geriatric Research & Education.

  8. MORSELIFE SENIORS CAMPUS

  9. INSTALLATION Data Manager

  10. KEY COMPONENTS

  11. INSTALLATION Fall Sensor

  12. WEBSITE REPORTING: SUMMARY PAGE

  13. WEBSITE REPORTING: ACTIVITY

  14. WEBSITE REPORTING: ACTIVITY

  15. SLEEP PATTERNS AND QUALITY Community Resident Note: Blue bars indicate that the sleep period was disrupted in some way

  16. SLEEP PATTERNS AND QUALITY AL Resident Note: Blue bars indicate that the sleep period was disrupted in some way

  17. SLEEP PATTERNS AND QUALITY: CASE STUDY • Normal sleep behavior until increase in overall restlessness over a 3 month span • Complained of depression and fatigue in February and March • Paxil prescribed in middle of March note immediate change

  18. 20

  19. 21

  20. How WellAWARE Works 23

  21. How WellAWARE Works 24

  22. LESSONS LEARNED • Website – initial issues. • Logger problems. • Windows platform. • Dial-up. • Single unit dweller.

  23. IMPLICATIONS • We can monitor virtually anything. • How, why, when for what purpose. • Baselines must be normalized to individual. • Labor intensive. • Do not undertake without clear goals.

  24. IMPLICATIONS CONTINUED • Data can help in staffing decisions. • Sleep monitoring – new iterations. • Not for profit communities role – evaluate and pilot. • Tipping point concept.

  25. Obama Health Care Reform -What We Know • 2,400 page (40,000 pages referenced) • Emphasis on outcome data/ care coordination • Technology-remote wireless strategies prominent • HCBS to expand -acute care to contract • PAC role to increase • New Alliances will develop (ACO’s) data will be driving force

  26. CATEGORIES OF PRODUCTS • PERS • Tele-Health • Medication devices- smart pills • Behavioral monitoring and motion sensors • GPS and 911 cellular triangulation • Convergence (phone) • New products on the horizon

  27. PERSONAL EMERGENCY RESPONSE SYSTEMS

  28. GPS AND 911 TRIANGULATION • Outdoor/indoor location determination • Geofencing-predefined set of boundaries • Reverse tracking • Fall detection- now with directionality

  29. Automated Dispensing • MorseLife research-automated dispensing • Existing laws • Levels of access • Eliminate waste • Personnel attracted to LTC with medication issues • AHCA and Florida Board of Pharmacy • Current barriers

  30. MEDICATION DEVICES

  31. MEDICATION DEVICE TECHNOLOGIES • Intended primarily for the IL/AL low acuity market • Time consuming to fill, but smaller and less complicated/intimidating • Small and portable; requires a caregiver for filling • Allows some remote control (prn meds); less pharmacy-friendly (uses soufflé cups instead of trays)

  32. SMART BAND-AIDS* • BandAid is a registered trademark of J&J

  33. TELE-HEALTH SYSTEMS

  34. Convergence - Phone as key platform

  35. Wireless Mobile Devices and Biosensors Will Transform Healthcare

  36. Diagnostics Using Cellular Technology CardioNet Wireless Solution Traditional Holter Monitor Solution “CardioNet proved nearly 3x more effective than LOOP event monitors for diagnosing clinically significant arrhythmias.” - The Journal of Cardiovascular Electrophysiology

  37. One Touch Access to all things Morse Real-time HCR Resources Senior-related FAQs MLI Calendar Live video feeds from campus events FaceTime with a Morse Representative

  38. One Touch Access to all things Morse Find out more about Health Care Reform and Medicare www.healthcare.gov www.medicare.gov www.ssa.gov/mediinfo.htm www.medicare.org www.medicaremadeclear.com www.seniorshealth.com www.morselife.org Real-time HCR Resources Senior-related FAQs MLI Calendar Live video feeds from campus events FaceTime with a Morse Representative

  39. One Touch Access to all things Morse Find out more about Health Care Reform and Medicare www.healthcare.gov www.medicare.gov www.ssa.gov/mediinfo.htm www.medicare.org www.medicaremadeclear.com www.seniorshealth.com www.morselife.org Health Care Reform FAQ Will I lose my benefits? No. Your Medicare coverage is guaranteed for life. Can I still see my same doctor? Yes. All physician’s that currently accept Medicare, must continue to accept Medicare. What is the CLASS program? CLASS (Community Living Assistance Services and Supports) is a new public insurance program designed to help people pay for long-term care at home. Real-time HCR Resources Senior-related FAQs MLI Calendar Live video feeds from campus events FaceTime with a Morse Representative

  40. One Touch Access to all things Morse Find out more about Health Care Reform and Medicare www.healthcare.gov www.medicare.gov www.ssa.gov/mediinfo.htm www.medicare.org www.medicaremadeclear.com www.seniorshealth.com www.morselife.org Get Back to Class Register Today! Health Care Reform FAQ Will I lose my benefits? No. Your Medicare coverage is guaranteed for life. Can I still see my same doctor? Yes. All physician’s that currently accept Medicare, must continue to accept Medicare. What is the CLASS program? CLASS (Community Living Assistance Services and Supports) is a new public insurance program designed to help people pay for long-term care at home. Real-time HCR Resources Senior-related FAQs MLI Calendar Live video feeds from campus events FaceTime with a Morse Representative

  41. One Touch Access to all things Morse Find out more about Health Care Reform and Medicare www.healthcare.gov www.medicare.gov www.ssa.gov/mediinfo.htm www.medicare.org www.medicaremadeclear.com www.seniorshealth.com www.morselife.org Get Back to Class Register Today! Health Care Reform FAQ Will I lose my benefits? No. Your Medicare coverage is guaranteed for life. Can I still see my same doctor? Yes. All physician’s that currently accept Medicare, must continue to accept Medicare. What is the CLASS program? CLASS (Community Living Assistance Services and Supports) is a new public insurance program designed to help people pay for long-term care at home. Real-time HCR Resources Nutrition for Adults Senior-related FAQs MLI Calendar >> Live Feed << Live video feeds from campus events FaceTime with a Morse Representative

  42. One Touch Access to all things Morse Find out more about Health Care Reform and Medicare www.healthcare.gov www.medicare.gov www.ssa.gov/mediinfo.htm www.medicare.org www.medicaremadeclear.com www.seniorshealth.com www.morselife.org Get Back to Class Register Today! Health Care Reform FAQ Will I lose my benefits? No. Your Medicare coverage is guaranteed for life. Can I still see my same doctor? Yes. All physician’s that currently accept Medicare, must continue to accept Medicare. What is the CLASS program? CLASS (Community Living Assistance Services and Supports) is a new public insurance program designed to help people pay for long-term care at home. Real-time HCR Resources Nutrition for Adults MorseLife Representative >> Live Video Chat << Senior-related FAQs MLI Calendar >> Live Feed << Live video feeds from campus events FaceTime with a Morse Representative

  43. Who Pays? • Grants • Medicaid and other special state programs- • Communities on a bundled base • Private pay…Family/end user • Insurance Companies • Medicare

  44. Buyer Beware • Overpromise (key need for outcome research) • Reimbursement issues • Credentialing • Standards need to be developed (technical/clinical) • Technology –behavior connection

  45. MORSE GERIATRIC CENTER 4847 Fred Gladstone DriveWest Palm Beach, Florida 33417(561) 471-5111 Board Certified Fellowship Trained Geriatrician as Medical Director 280 Beds Include Long-Term Care, Short-Term Rehab & Hospice Inpatient Care ADMISSIONS Hours: 8:30am-5:00pmMonday-Friday(561) 687-5755 LEE & DAVID LEVINE REHABILITATION CENTER (561) 687-5755 VOLUNTEER SERVICES (561) 687-5871 INSTITUTE FOR GERIATRIC RESEARCH 4920 Loring DriveWest Palm Beach, Florida 33417(561) 687-5751 JUST CHECKING! (561) 540-1376 FRIENDS OF MORSELIFE 4847 Fred Gladstone DriveWest Palm Beach, Florida 33417(561) 687-5750 NEARLY NEW SHOP 2218 South Dixie HighwayWest Palm Beach, Florida 33401(561) 655-3230 Hours: 9:30am-4:00pmTuesday-Saturday LOLA & SAUL KRAMER SENIOR SERVICES AGENCY Providing Community and Home Based Programs and Services WEST PALM BEACH LOCATION 4920 Loring DriveWest Palm Beach, Florida 33417(561) 616-0707 BOYNTON BEACH LOCATION 8500 Jog RoadBoynton Beach, Florida 33437(561) 509-0111 PROGRAMS Home Health CareTwo Adult Day Care CentersHomebound Mitzvah Program Community Education ProgramsKosher Meals-on-Wheels THE TRADITION OF THE PALM BEACHES A Senior Living Community SHEILA & ALEC ENGELSTEIN THE TRADITION INDEPENDENT LIVING RUTH & CARL J. SHAPIRO ASSISTED LIVING RESIDENCE 4920 Loring DriveWest Palm Beach, Florida 33417(561) 687-3005 (AL 10577) MORSELIFE FOUNDATION 4847 Fred Gladstone DriveWest Palm Beach, Florida 33417(561) 242-1583 www.morselife.org MARILYN & STANLEY M. KATZ SENIORS CAMPUS

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