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Intelligent monitoring of mild - mentally retarded clients

Intelligent monitoring of mild - mentally retarded clients. Case study Innovation in Care. Content. Background and motivation of this project Challenges in innovation of Care Technology Project: the design, partners and ambitions The case: ‘mild - mentally retarded people’ Themes

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Intelligent monitoring of mild - mentally retarded clients

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  1. Intelligent monitoring of mild - mentally retarded clients Case study Innovation in Care

  2. Content • Background and motivation of this project • Challenges in innovation of Care Technology • Project: the design, partners and ambitions • The case: ‘mild - mentally retarded people’ • Themes • Technologies • Users • Organisation • Clients • The market and some financial economic aspects • Legal and ethical aspects • Upscaling Lectoraat New Business & ICT

  3. How it all started Observation in the Care industry in general (among other markets): • Issues in the labour market • Ageing & outflow of youth: there is an acute shortage of staff expected in the Care industry; in the northern parts of the Netherlands as from 2013 • Issues of expenses • More people demanding for more care • Less people contributing to care • Issues of quality • How to maintain quality in Care & how to improve this with less money and less available employees Solution… • Technology !? Lectoraat New Business & ICT

  4. Challenges in Care & Science Lots of projects and pilots, but little sustainable applications... Known bottlenecks • Acceptance of consumers • Businesscase not satisfactory for al participants, after financing the pilot • Embedding in the organization and adaptation of processes • Legal/ethical issues • Infrastructural problems • Profession-protocols are set too tight • Ability to focus on exceptions • ‘Cost of failure’ • Upscaling / “not invented here” Lectoraat New Business & ICT

  5. Project IM LVG With an additional mission : “How to survive the pilot?” • Flow • August 2009 – July 2011 • Development of a basic system • Implementation and baseline measurementswillbedone • Effect of measurements are taking place Partners • Stichting NOVO • AVICS • Hanzehogeschool Groningen (coordin.) Finances • Budget € 250.000 • 60% by Province Groningen (IAG2-program) • NOVO supplies expertise in care • HG supplies expertise and knowledge (doctor, lecturers) capacity in research and labor (students) • AVICS provides equipment and knowledge • Ambition • Bymulti-diciplinaryapproachgettingcontrol over thoseconstraintsthat are important in achieving a sustainableinnovation in care Lectoraat New Business & ICT

  6. Stichting NOVO The Nederlands / attending mild – mentally retarded clients • NOVO: ca 1850 clients / 1300 employees • NOVO cares over 390 clients: region of Groningen city, Haren, Hoogkerk, Roden, Nieuw Roden, Leek, Tolbert, Paterswolde, Kornhorn en Ulrum • 175 clients in a residential community and 65 clients in support centers. • 150 clients are resided independently (of which 40 clients with a personal care budget • Family situation: • Most of the clients are not married • In the region Groningen city NOVO attends 28 female clients with 1 or more children • NOVO attends 8 couples • Clients who are resided independently often do live in an endangered environment • 70 clients don’t have a contact person Lectoraat New Business & ICT

  7. First of all – providing the basic needs in safe housing Reliable attendant Safe social surroundings, safe relationships, far away from crime Health: addiction, nutrition on a regular basis, correct medication, hygiene Work or daytime activities: daily structures Remediation of debts, taking care of income, taking care of administration And then: Continuously providing the basic needs Teaching doing this all by themselves: being on your own, supported, in self confidence And then: Self-development and expansion Stichting NOVO Activities: if you don’t have a home or a place to go to Lectoraat New Business & ICT

  8. NOVO Residentialcommunities WGS Lohman WGS Kornalijn WGS Antillenstraat WGS JG Huis WGS Confiance Lectoraat New Business & ICT

  9. NOVO independent residences Lectoraat New Business & ICT

  10. AVICS Very experienced in ICT projects in the Care industry • Since 2002 • 35 employees • Yearlyturnoverapprox. €6 M • Over 150 projectsrealized • System Integrator • Independent of suppliers • No reseller / distribitor / producer • National projectswith a high level of complexity • Nationwide • Consultancy-Functional-Technical-Realization-Service • In-company Research and Development (3 fte) • National and internationale subsidyprojects (WBSO, IAG1, IAG2, AAL Rosetta) • Markt • Care 98% • Telecom 1 % • Industrial automation 1 % Lectoraat New Business & ICT

  11. The Case Mild - mentally retarded clients • IQ ca 50-85 • Need for peace, order and regularity • Limited sense of time, place, good/bad • Difficulties with taking action, planning, finishing things • Current support goes via humanintervention – observing, identifying and intervening • Current support is mainlyreactive Lectoraat New Business & ICT

  12. The Case Desired improvements • As much as possible human observing, identifying and intervening been taken over by technical resources (labor market and costs) • More and more advancing independency of the clients (more quality of life) • Escorting from reactive to proactive • Escorting from operational to tactical • Decreasing the number of incidents and escalations Lectoraat New Business & ICT

  13. Scenarios Selected for interest of the client • Day-/nightrythmclient (inhabitant) • Getting up in the morning • Living • Going to bed • Energy savings at home • Temperature • Central heatingon/off • Window open/closed • Traffic to work (inhabitant) • Location • Time • Duration Lectoraat New Business & ICT

  14. Technology System setup Hosted Domotica Server Ambulante Team Alarm Server Woon Rapportage Expert Systeem Werk LVG’er Zorgverlener Script Editor Database Lectoraat New Business & ICT

  15. Technology Sensors & actors can be added or removed • Sensors: • Carpet next to the bed • Motiondetection (bedroom, livingroom, bathroom) • Door-contact (front door) • Window-contacts • Measurement of temperature (by preference on the heater itself) • Actors: • Control of lights • Control of central heating (optional) • Unit for speaking<->listening Lectoraat New Business & ICT

  16. Users Clients are not the users • Users are: • Remedial teachers: using the system to develop effective interventions • Mentors: using the system to delegate a part of their tasks to the system • Interactive, explorative and iterative development-method (Agile) to realise users-acceptance • Intellectual ownership is cooperatively developed knowledge on effective interventions: co-development • The system can be used for other care-institutions, other types of clients, and other scenarios Lectoraat New Business & ICT

  17. Organisation This is not automation, but a route to change • The system doesn’t lead to consequences to distribute responsabilities • Developing new methods and procedures for proactive acting • Upscaling employees from operational to tactical tasks • Upscaling to other tasks / scenarios • Reliability • The system is reliable, but never for a 100% • Self test (system) • Fall back-scenarios en scripts (organisation) Lectoraat New Business & ICT

  18. Clients Quality of life • Goalsetting: less escalations, less problems getting back to ‘normal behaviour’ • Apparent opposition: more self-reliant by more support • Proactive interventions are the focus on teaching ‘hoped-for’ behaviour • How do mild – mentally retarded learn? • Conditioning versus causality • Punishment and rewardings • Relations with actors and effectiveness of interventions • This is yet reasonably unknown Lectoraat New Business & ICT

  19. Market - Finance, Economics Scientific setup for a validated calculation of output • Baseline- en effect-measurements for prove of: • Medical effectiveness • Decisionmaking • Businesscase • Businesscases for seperate links in a chain, shoudl work for the chain as a whole • Assumptions on costs and marketrates • Assumptions on upscaling • Assumptions on the value of not-measurable benefits (like quality of life) Health insurance Provider of care Supplier of ICT Lectoraat New Business & ICT

  20. Legal-ethical Carefully balancing the interests • The system breaks in on the privacy • Is that a problem? • Interest of the client: • Right on privacy, but also • Right on good care • Interest provider of care: good affordable care • Measures: • Clear agreements with clients • Carefully performed inforamtion-management: research and operation • Switch-off button • Liability • Consulting Medical Protection Society Lectoraat New Business & ICT

  21. Upscaling Step by step • Number of clients from 3 to 20 to 50 to … • Pilot is very important: • Does the system function technically? • Is the system functional? • Is there anything unforseen concerning the clients? • Upscaling in numbers means impact on the organisation • Further upscales • Mentors • Teams • Sensors & actors • Scenarios • Targetgroups Lectoraat New Business & ICT

  22. Kenniscentrum OndernemerschapZernikeplein 79747 AS Groningenwww.hanze.nl/kco

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