Emerging Technologies in Aging

1. Emerging Technologies in Aging Ideas for Today and Tomorrow

2. How Did We Get Here? • We are many organizations which are part of a larger association attempting to accomplish similar projects • Together we • touch 1 in 50 Americans each year • Total over $16.5B (Billion) in revenue/service annually • face the same challenges of reduced revenues, increased competition, changing landscape • How can we partner together to…..

3. Who and What is the Tech Team • The Tech Team is a small group willing to work on everyone’s behalf • We believe that this is the right time to work together to position LSA members, individually and collectively

4. Goals • Lutheran Services in America envisions significant opportunities for Lutheran health and human service organizations • to exercise leadership in the development and application of various technologies to the fields of aging, disabilities and then other areas of service as appropriate. • to shorten the collective learning curve for LSA members • to leverage the power of the large Lutheran health and human service organization market

5. LSA members are exploring new technologies The first emphasis will be on emerging technologies that assist people with disabilities or the frailties of age to remain at home independently • Monitoring technologices • Medication management technologies • Technologies to help manage chronic diseases Find out what the team is learning and get involved as they move forward.

6. Mapping the Lutheran System • Interviews/ conversations and what we are learning • Six Tech Team organizations profiled • Twelve additional interviews complete to date • More conversations scheduled and planned • We want to map the whole Lutheran system – including disabilities, community-based, campus-based…

7. The System (Aging) (page 1)

8. The System (Aging) Page 2

9. First Initiative Emerging Technology • The goals of this initiative are to: • Share a collective learning curve among Lutheran social ministry organizations about the effective integration of technology into supports and services. • Leverage the size of the Lutheran health and human service system and the expertise within it. • Negotiate relationships with technology vendors to the financial benefit of LSA members and LSA. • Create services that assist LSA members to implement and integrate select technologies into their operations. • Coordinate rather than duplicate work with CAST, Lutheran Information Technology Network, etc. • All with the goal, of course, of helping people to have greater choice and quality of life.

10. What we are learning from interviews • In the areas of monitoring, medication management and chronic disease management, many organizations are experimenting with and planning for use in a wide variety of ways. Many Organizations: • Provide Medicare licensed home health care& are using various tele-health systems to monitor vital signs, etc. They are eager to learn from others • Are experimenting with quality of life technologies – such things as Life Bio, Wii, Dakim brain fitness, etc. • Feel that they are “behind the curve” on technology, but are eager to work with others to learn and move forward

11. What we learned from interviews • Many Organizations are examining & exploring technologies but are concerned about: • Financial sustainability (some see it as a marketing or differentiator expense) • Immature market and not yet clear who will survive/ be appropriately capitalized • Interoperability • Acceptance of various types of technology by residents and their family members • and more….

12. What we learned from interviews • Several organizations are active in CAST and their state associations – • An organization in Washington is working with the state association & It’s Never 2 late, Microsoft and the Center for Aging and Technology • Several organizations are exploring WellAware a monitoring product offered by Good Samaritan Society and VOA • A consortium in Iowa is addressing monitoring technology

13. What we learned from interviews A Lutheran rehabilitation hospital is heavily engaged in technology including: Fall prevention program using advanced balance testing technology Assistive technology including: safe driver adaptive devices; agumentative communication devices; electronic aids to daily living & environment control Technology supported apartments Vocational program using assistive technologies to allow people to work or attend school

14. What we learned from interviews We talked with several organizations involved differently in technology: • One has installed 20 units of Quiet Care in homes and apartments out in the community, but has real concerns both about the technology and about finding a sustainable business model • One is using a “small pilot” approach. Using MedSmart for medication management and also has small pilots of HealthSense and QuietCare after doing a broad look at vendors. This same organization has a great story about using social networking to connect residents through a virtual Wii bowling league and using video conferencing for the bowling tournaments • One has hired a full time person for Technology in Every Day Life --- low and high tech solutions to needs and opportunities identified by staff and residents – building a library of solutions • One that serves a rural area is doing tele-pharmacy through nursing facilities in towns where the local pharmacy has closed; it also uses telehealth equipment for staff training at distant sites

15. DIAKON CASE STUDY

16. Innovative Design Intelligent Technologies for Independence Aging in Place Affordably DIAKON SMART HOMES Technology. Design. Safer Living.

17. DIAKON SMART HOMES Technology. Design. Safer Living. The Wiring Infrastructure

18. DIAKON SMART HOMES Technology. Design. Safer Living. Universal Design

19. DIAKON SMART HOMES Technology. Design. Safer Living. Home Automation Systems

20. DIAKON SMART HOMES Technology. Design. Safer Living. Environmental Controls

21. DIAKON SMART HOMES Technology. Design. Safer Living. Automated Shades Dimming Controls Energy Management Occupancy Controls Lighting Control Touch Control Pads Multi-Scene Presets

22. DIAKON SMART HOMES Technology. Design. Safer Living. Personal Emergency Response

23. DIAKON SMART HOMES Technology. Design. Safer Living. Information & Social Connection

24. DIAKON SMART HOMES Technology. Design. Safer Living. Stimulation & Entertainment

25. DIAKON SMART HOMES Technology. Design. Safer Living. • Measure blood pressure • Measure blood oxygen • Measure blood sugar • Measure weight • Record temperature • Monitor motion Supportive Monitoring ADLs & Vitals

26. DIAKON SMART HOMES Technology. Design. Safer Living. Medication & Reminders

27. Where do we go from here? Continue research, pilots, and development Educate, transform policy, empower older adults and their families to live long independent lives. Partner with other providers, vendors, universities Develop new service models supported by technology Expand the smart home concept into the local community

28. DIAKON SMART HOMES Technology. Design. Safer Living.

29. LUTHERAN LIFE COMMUNITIES CASE STUDY

30. Technology Initiatives • IN2L (It’s Never 2 Late) • Brain Fitness Clubs • Posit, Pogo, Wii • Senior Life Fit • Resident Monitoring • Tunstall Equipment • iPad • Staff in-facility/remote connectivity • Wii • Fitness Challenges

31. Higher Revenue The Bridge Focus of new initiatives Current Sphere of Influence

32. 30,000’ View (In a dream world) Database and correlation engine Monitoring Status Response / Services Services Activity Update Review Status Provide Feedback Review with DR Provide Feedback

33. The Process • Sales/Marketing • Assessment • Selection • Configuration • Installation • Monitoring

34. The Process and Playbook

35. Resident Centered Monitoring • Tele-monitoring is the monitoring of the daily activities of life • This information creates the baseline for personal, social and active life styles

36. Clinically, what can be monitored remotely? Virtual Medical Care Viterion scale

37. A Measurement Tool • Self-Test 1: Brain Speed Test Results • Your score is 49 milliseconds in auditory processing speed. • A lower score represents a faster brain. • As shown in the graph below, if you scored 30 ms or less, your brain is probably capable of capturing most of what it hears even when the speech is very rapid or takes place in a noisy environment—such as a crowded restaurant. • If you scored 120 ms or more, chances are that your brain has trouble catching the details of everything you hear. • That doesn’t mean you can’t understand what you hear when you hear it. What it means is that your brain makes less clear or “fuzzier” imprints. As a result, it’s harder for your brain to recall exactly what you heard when you try to remember it later.

38. WHAT ARE OUR NEXT STEPS

39. What’s next and how can you get involved? Ongoing interviews/conversations to continue to learn who is doing what in the Lutheran system Request for information from vendors; due diligence; negotiate arrangements with several Advisory committees of interested people from Lutheran organizations & regular communication vehicles to exchange information Encourage pilot projects & sharing of information; create FAQs, white papers; collaborative partners Understand state variance, engage in education & advocacy The sky is the limit! Fill out the form and turn it in to Richard or Jill…

40. AROUND THE FIREPLACE WITH JILL