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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

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


PRESENTATION OUTLINE

  • Overview

  • Selected statistics

  • Campus- MorseLife

  • Research- summary

  • Operational Challenges

  • Implications

  • Emerging technologies

  • Future Directions


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.


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


BACKGROUNDSELECTED STATISTICS

  • Florida 19% 65+

  • Palm Beach County 24% 65+

  • Jewish Population of Palm Beach County 60% 65+

  • No family in immediate surrounding counties.


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.


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.



INSTALLATION

Data Manager



INSTALLATION

Fall Sensor





Sleep patterns and quality
SLEEP PATTERNS AND QUALITY

Community

Resident

Note: Blue bars indicate that the sleep period was disrupted in some way


Sleep patterns and quality1
SLEEP PATTERNS AND QUALITY

AL

Resident

Note: Blue bars indicate that the sleep period was disrupted in some way


Sleep patterns and quality case study
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






LESSONS LEARNED

  • Website – initial issues.

  • Logger problems.

  • Windows platform.

  • Dial-up.

  • Single unit dweller.


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.


IMPLICATIONS CONTINUED

  • Data can help in staffing decisions.

  • Sleep monitoring – new iterations.

  • Not for profit communities role – evaluate and pilot.

  • Tipping point concept.


Obama health care reform what we know
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


Categories of products
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



GPS AND 911 TRIANGULATION

  • Outdoor/indoor location determination

  • Geofencing-predefined set of boundaries

  • Reverse tracking

  • Fall detection- now with directionality


Automated dispensing
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



Medication device technologies
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)


SMART BAND-AIDS*

  • BandAid is a registered trademark of J&J



Convergence -

Phone as key platform


Wireless mobile devices and biosensors will transform healthcare
Wireless Mobile Devices and Biosensors Will Transform Healthcare


Diagnostics using cellular technology
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


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


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


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


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


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


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


Who pays
Who Pays?

  • Grants

  • Medicaid and other special state programs-

  • Communities on a bundled base

  • Private pay…Family/end user

  • Insurance Companies

  • Medicare


Buyer beware
Buyer Beware

  • Overpromise (key need for outcome research)

  • Reimbursement issues

  • Credentialing

  • Standards need to be developed (technical/clinical)

  • Technology –behavior connection


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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