Using Technology to Create Community-Based Service Programs
1. Using Technology to Create
Community-Based Service
Programs
April 18, 2011
Sterling Wind
BRAINSTORM 2011
2. What is Imagine!
• Established in 1963 in Boulder County, Colorado,
United States
• Community Centered Board (CCB)
• Variety of Supportive Services
• 85% Funding from Medicaid
• Provided support services to 2,500 people in
2008
3. About Imagine!
The Mission of Imagine! is to create and offer
innovative support services to people of all ages
with cognitive, developmental, physical, and health
related needs so they may live fulfilling lives of
independence and quality in their homes and
communities.
4. US Supportive Services are
Changing
Care is becoming increasingly complex
Caregivers need more information
People are living longer
Wellness Promotion
Reimbursement Policies
Consumer/Family Involvement
Health Professional Shortage
5. Find People with the Knack
Leveraging Opportunity …
Product Development/Customer Base
Research and Development/Stable Organization
Across Service Realms/Similar Service Needs
Families/Demand Management
Internal - D.I.G’s/Staff Tenure and Development
6. Change to Survive
Improve Consumer Services/Supports
Assess Service/Support Needs
Facilitate Communication/Involvement Families
Improve Organizational Efficiency /IT IQ
Coordinate Information
Assess/Evaluate DSP (Direct Service Professional)
Research and Development
Design/Develop New Products
Demonstrate Success/Failure
Create New Service Models
Address Waiting Lists
Establish/Develop New Partnerships
Social Ventures
7. The goal of the Imagine! SmartHome:
Through the application of technology, we will
improve the quality and efficiency of
supportive services for individuals with
developmental and other disabilities in a
permanently affordable, cost effective, and
energy efficient community setting.
http://imaginesmarthomes.org
8. Long Term Goal
Through the application of
technology, we will improve
access and availability of
supportive services for individuals
with developmental and other
disabilities so that they may lead
fulfilling lives in their homes and
communities.
10. Areas of Technology
Consumer Specific Supportive Services
Family Communication and Access
Operational – Management and Line Staff (DSP)
Support and Information
Environmental – Home Management and
Monitoring Systems
18. Consumer/Family Specific
Universal Interface - UMPC
Environmental Control System
Communication – VOIP
RFID, IR and GPS Capable
Teaching and Prompting Systems
Family Information Systems
19. Operational
SaaS Model
Management Interface -Browser Based
Employee Time Tracking
DSP Interface - Browser Based
Automate Documentation
Incident Trending
Care Plans
Billing/Utilization
Multiple Platform Integration
LMS
Family Access/Portal
Advanced Process Solutions: The CARE System
20. Variety of Remote Monitoring Systems
• Cameras
PTZ – Fixed Units
• Motions Sensors
Detect Falls/Proximity
• Security/ Health and Safety Sensors
Doors/Windows - Alarms
• GPS- Community
• RFID – Specific Location
Environmental Control
Data - Trends
21. SaaS Models Create a Support Network
Data Rich Environment Data System Informed
Communities of Care
22. Transforming Data into Information
Portal •Alerts & Notifications
Sensors Log
Staff Use
Staff Staff •Live View
Members Members •Supports Summary
•Performance Metrics
• Live View
Sensors Alerts Support • Historic Trends
Network • Health information
Consumers • Social information
CARE System
•Global Perspective
Managers •Client Overview
Alert
Profiles
Preferences •Employee Overview
Managers
24. Making Alerts Meaningful
• Who, What, Where, When
• Customizable
• Insightful
Advanced Process Solutions: The CARE System
25. Consumer Summary
Information Summary and Documentation Hub
* Metrics * Communication * Quick Documentation *
Advanced Process Solutions: The CARE System
26. Engaging the Family and Support
Network
• Sense of Connection alleviates concerns
• Transparency engages families as members of the support network.
• Opportunities to contribute provide a sense of belonging and purpose.
29. ®
• Web-Based – manage records from a
central location
• Intuitive User Interface
• Improved compliance with Medication
Administration
• 75% reduction of medication
administration errors
• Reduces staff training by 18 hours per
residence
• Pharmacy Interface
30. Case Study
• 190 consumers
• 16 Staffed Sites/3 Group Homes/90 Foster Care Residences
• This organization has experienced 12% growth in their residential program for the
last 6 years. During that time the nursing headcount has remained flat increasing the
nursing/caonsumer ratio from 1:27 to 1:56
• Quality Assurance audits showed a 48% decrease in Medication errors
• Cost of Ownership: for 1$ spend on MedSupport® saved $ 15.5
Headcount # Rate Savings Details
Nurses 5 FTE $30/hr 16 hrs/nurse/mth 960 hrs saved= $28,800 or 1 nurse PTE or 1
Med Tech FTE
Administrative Staff 4 FTE $18/ hr 2842 hrs/ yr in 2842 hrs saved = $51,156
increase
productivity
New Staff/ month 20 $15/hr 11hrs/staff 11 hrs training time saved per staff= $39,600
Total Savings $131,112
Yearly MedSupport $8460
Subscription
32. Changing Static to Dynamic
Consumer Actions
Direct Care Interactions
Billing for Reimbursement
Notification and Prompting
Health/Wellness
Family Involvement
33. Current and Potential Research
Working with Colorado WIN Partners
Identified 31 areas of research
Quality of Life
Effectiveness of services
Provide Cost and Energy Savings
Improved Health and Safety
Funded through Grants
34. Areas of Development
Consumer Assessment
Integrating Multiple IT Platforms
DSP Training (Learning Management Systems)
Product Development and Assessment
Adaptive Equipment
Behavioral Supports
Behavioral Patterns Recognition through Energy Usage
Social Networking
Capturing Life History
Review bullet points. If possible, relate to situations previously described by the audience.This is a good place to refer to previously posted items on the flip chart or white board.
Review bullet points. If possible, relate to situations previously described by the audience.This is a good place to refer to previously posted items on the flip chart or white board.
Review bullet points. If possible, relate to situations previously described by the audience.This is a good place to refer to previously posted items on the flip chart or white board.
Advanced Process Solutions creates a data rich environment by installing and making use of existing sensor technology in a residence. The CARE system then collects, and translates data that delivers timely and relevant information to interested parties, creating a connected community of care.
The CARE System collects information from disparate sources, to creates views of information relevant to each role within the support network. From staff members collect information from sensors (such as location and alert response), just in time log in of services provided, and their use of the web-based information portal. From clients we collect information about their movement throughout the environment, and also from alerts they generateManagers provide the system with definition by completing profiles of Clients, and setting appropriate alert and notification preferences. The CARE Station translates this data into information relevant to each role: actionable cues for staff members: Alerts and notifications social and health information for client contacts (the support network) Global perspective for managers
This is the CARE systems live view of a smart house. Because staff and clients carry location badges, users check online to see where people are at the moment. This slide also demonstrates how the location information is integrated into our alert system. When marilyn calls for help, we know the location from where she called for help.
Managers and members of the support network can review the history of information collected by the system. Alerts history is now meaningful. I can view the history for an individual, time of day, group of clients, or the response of a particular staff member. The alert detail allows me to review the types of alert generated, when, who provided assistance, response time, and the type of assistance provided.
The Client Summary brings system information together and makes it meaningful for staff members. This view brings staff members up to date on what happened since they were last on shift. They can review the last 24 hours of information collected by the system such as movement, total alerts, and time spent in bed. This is also a place to quickly read and document observations. Because the information system is web based, managers and on-call nursing staff can access the CARE portal online, and allowing the team members to consult one another with an established and accessible point of reference.
Let’s Play… You might wonder what this photo has to do with getting social? When connected to the internet, your Wii become an interactive gaming device! Last Winter, Rebecca and her friend regularly challenged CU Boulder fraternity & sorority houses to on-line snow ball fights. When your gaming system is connected you can play with everyone on your own terms.