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Technology and Innovative Home and Community Based Care

Technology and Innovative Home and Community Based Care. Majd Alwan, Ph.D., Director Center for Aging Services Technologies (CAST) Medicaid Congress June 5, 2008. What is CAST?. Government Agencies. Providers of Aging Services. University Researchers. Tech Industry Partners. CAST.

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Technology and Innovative Home and Community Based Care

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  1. Technology and Innovative Home and Community Based Care Majd Alwan, Ph.D., DirectorCenter for Aging Services Technologies (CAST)Medicaid CongressJune 5, 2008

  2. What is CAST? Government Agencies Providers ofAging Services University Researchers Tech Industry Partners CAST Associations A national coalition of more than 400 organizations working together to improve the aging experience through technology

  3. Why We’re Here • CAST Mission • Help older adultsmaximizetheirindependence • Supportprofessional and familycaregivers’needs • Improvequalityof care and quality of life • Reduceour nation’s health carecosts • Increaseaging services providers’efficiency

  4. The Trends

  5. HOME CARE Healthy, Independent Living 100% Community Clinic Chronic Disease Management Doctor’s Office RESIDENTIAL CARE ACUTE CARE Assisted Living QUALITYof LIFE Specialty Clinic Skilled Nursing Facility Community Hospital ICU 0% $1 $10 $100 $1,000 $10,000 COST of CARE/DAY “Shift Left” through Technology

  6. Technology-Enabled Care Services Personal Health Maintenance Service Provider Analysis & Archiving Older Adult Data Adult Child Improved Communications Healthcare Professional Preventive Interventions

  7. Seniors At Home Longer Earlier Intervention Costs Efficiency Value Innovative care models with smart technology …more efficient care with reduced care burden

  8. Categories of Aging Services Technologies Safety in the Environment Physical & Mental Health/ Wellbeing Social Connectedness to others EHRs & Point of Care/ Point of Service

  9. Safety Technologies • Wearable devices (PERS, automatic fall detectors, fall prevention patches)

  10. Sensor Element Safety Technologies • Environment/Passive (motion-based sensor monitoring systems, embedded fall-detectors, stove use detectors, temperature/smoke monitors, safe lighting technologies)

  11. Physical & Mental Health/Wellbeing • Wearable devices (activity monitors, cardio monitor, ambulatory blood pressure monitors) • Environment/Passive (motion-based activity monitors, sleep/bed sensors)

  12. Physical & Mental Health/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)

  13. Social Connectedness • Phone enhancements (amplified phones, easy to use cell phones) • One-way displays • Two-way video conferencing • Entertainment/ Theraputainment (cognitive and/or Physical exercise)

  14. EHRs & Point of Care Technologies • EHRs • Point of Care systems; Electronic clinical charting; ePrescribing

  15. What is needed? • Funding for large-scale demonstration projects (objective outcome evaluations) • Reimbursing for efficacious and cost-effective technologies

  16. Used two-way video to talk to her son and the grand children. Electronic medication caddy notified son she took her medicine, so he did not have to nag her. u Wearable sensors transmit health vitals to healthcare professional. Wristwatch tells caregiver of her location. Telemedicine helped her send a picture of a scrape to her doctor, avoiding a trip to the office. Instrumented walker assesses gait and balance.

  17. Questions? Majd Alwan, Ph.D. Director, CAST malwan@agingtech.org (202) 508-9463 www.agingtech.org

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