Technology and Innovative Home and Community Based Care Majd Alwan, Ph.D., Director Center for Aging...

Technology and Technology and Innovative Home and Innovative Home and Community Based Care Community Based Care

Majd Alwan, Ph.D., DirectorMajd Alwan, Ph.D., DirectorCenter for Aging Services Technologies (CAST)Center for Aging Services Technologies (CAST)

Medicaid CongressMedicaid CongressJune 5, 2008June 5, 2008

What is CAST?What is CAST?

A national coalition of more than 400 organizations working together to improve the aging experience through technology

Tech Industry Partners

Providers ofAging Services

University Researchers

Government Agencies

AssociationsCAST

Why We’re HereWhy We’re Here

CAST MissionCAST Mission

Help older adults maximizemaximize their independenceindependence

SupportSupport professional and family caregivers’caregivers’ needs

ImproveImprove qualityquality of care and quality of life

ReduceReduce our nation’s health care costscosts

IncreaseIncrease aging services providers’ efficiencyefficiency

The The

TrendsTrends

““Shift Left” through Shift Left” through TechnologyTechnology

$1$1 $10$10 $100$100 $1,000$1,000 $10,000$10,0000%0%

100%100% Healthy, Healthy, Independent LivingIndependent Living

Chronic Chronic Disease ManagementDisease Management

Doctor’s Doctor’s OfficeOffice

Community Community ClinicClinic

HOME CAREHOME CARE

Assisted LivingAssisted Living

Skilled Skilled Nursing FacilityNursing Facility

RESIDENTIAL RESIDENTIAL CARECARE

Community Community HospitalHospital

ICUICU

Specialty Specialty ClinicClinic

ACUTE ACUTE CARECARE

COST of CARE/DAYCOST of CARE/DAY

QUALITQUALITYY

of LIFEof LIFE

Technology-Enabled CareTechnology-Enabled Care

Older AdultData

Service Provider

Adult Child

HealthcareProfessional

ServicesPersonal Health Maintenance

Preventive Interventions

Improved Communications

Analysis&

Archiving

ValueValue

Innovative care models with smart technologyInnovative care models with smart technology

……more efficient care with reduced care burdenmore efficient care with reduced care burden

CostsEfficiencyEarlier

InterventionSeniors

At Home Longer

Categories of Aging Categories of Aging Services TechnologiesServices Technologies

1. Safety in the Environment

2. Physical & Mental Health/ Wellbeing

3. Social Connectedness to others

4. EHRs & Point of Care/ Point of Service

Safety TechnologiesSafety Technologies

• Wearable devices (PERS, automatic fall detectors, fall prevention patches)

Safety TechnologiesSafety Technologies• Environment/Passive (motion-based

sensor monitoring systems, embedded fall-detectors, stove use detectors, temperature/smoke monitors, safe lighting technologies)

Sensor Element

Physical & Mental Physical & Mental Health/WellbeingHealth/Wellbeing

• Wearable devices (activity monitors, cardio monitor, ambulatory blood pressure monitors)

• Environment/Passive (motion-based activity monitors, sleep/bed sensors)

Physical & Mental Physical & Mental Health/WellbeingHealth/Wellbeing

• Telemedicine/ Tele-health (biometrics: blood pressure, heart rate, glucose, temperature, weight, breathing; daily wellness check; 2- way video health consultations care coordination; medication compliance)

Social ConnectednessSocial Connectedness

• Phone enhancements (amplified phones, easy to use cell phones)

• One-way displays• Two-way video

conferencing• Entertainment/

Theraputainment (cognitive and/or Physical exercise)

EHRs & Point of Care EHRs & Point of Care TechnologiesTechnologies

• EHRs• Point of Care

systems; Electronic clinical charting; ePrescribing

What is needed?What is needed?

• Funding for large-scale demonstration projects (objective outcome evaluations)

• Reimbursing for efficacious and cost-effective technologies

u

Used two-way video to talk to her son and the grand children.

Wearable sensors transmit health vitals to healthcare professional.

Instrumented walker assesses gait and balance.

Electronic medication

caddy notified son she took

her medicine, so he did not have to nag

her.

Wristwatch tells caregiver

of her location.

Telemedicine helped her

send a picture of a scrape to

her doctor, avoiding a trip to the office.

Questions?Questions?Majd Alwan, Ph.D.

Director, CASTmalwan@agingtech.org

(202) 508-9463www.agingtech.org