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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.
