QuietCare Instruction Manual for AL Staff Training
- 1. Understanding System Features March 2009 1
- 2. TABLE OF CONTENTS VISION AND KEY FEATURES 3 QuietCare® is an innovative, QUIETCARE AT WORK IN AN ASSISTED LIVING COMMUNITY 4 proactive care technology that QUIETCARE’S COMPONENTS 5 helps caregivers look out for the KEY ACTIVITIES TRACKED 6 well-being of residents in senior USING QUIETCARE 7 communities and in homecare, LOGGING IN TO WEBSITE REPORTS 8 helping them live more GROUP SUMMARY: RESIDENT CURRENT STATUS 9 QUIETCARE ALERTS 10 independent lives. URGENT ALERTS: BATHROOM RISK (FALL) ALERT/ROOM TEMPERATURE 11-12 The QuietCare system uses URGENT ALERTS: LATE MORNING WAKEUP 13-14 advanced algorithms to analyze NON-URGENT ALERTS: NIGHTTIME BATHROOM ACTIVITY/SLEEP DISRUPTION 15-17 motion sensor data to learn how OPTIONAL URGENT ALERTS: WANDER AND NIGHT MOTION 18-21 residents live and sends alerts CUSTOMIZE RESIDENT INFORMATION: VACATION, CAREGIVER ACCESS 22-23 when certain out-of–the– CUSTOMIZE ALERTS: WAKEUP WINDOW, TIME IN BATHROOM, ROOM 24-25 ordinary events occur. It allows TEMPERATURE, OPTIONAL NIGHT MOTION AND WANDER ANALYTICS AND REPORTING 26 delivery of personalized care to ALERTS SENT AND RESPONSE TIME 27-28 help improve caregiver response GROUP MANAGEMENT OVERVIEW 29 times and identify problems ANALYTICS AND STAFF ACCOUNTABILITY: AVAILABLE REPORTS 30-31 before they become ADDITIONAL INFORMATION 32 emergencies. PAGER INFORMATION 33-35 QUIETCARE ALERT MESSAGES 36-37 The purpose of this System CUSTOMER SERVICE AND TECHNICAL ASSISTANCE CONTACTS 38 Features document is to introduce you to the basic features of QuietCare, system alerts and reporting so they can be integrated into your QuietCare is a registered trademark of Living Independently Group, Inc. everyday care and staff © 2009 Living Independently Group, Inc. 3/09 management 2
- 3. The QuietCare®Vision: Empower every person to live a more independent, confident, healthier life through connected technologies Key features of the QuietCare System • Data generated by compact wireless motion sensors – no cameras, video or audio monitoring; no buttons or pull cords • Learns and trends residents’ patterns of living in their home and changes in behavior • Sends alerts when out-of-the-ordinary situations occur so that care staff can promptly intervene • Provides information to help identify emerging health problems • Works even if resident cannot summon help—no action needed 3
- 4. QuietCare® at Work in an Assisted Living Community 4. Powerful software analyzes 3. Communicator data, looking for emergencies transfers data to the & significant changes in daily 1. Motion sensors are placed QuietCare server throughout residence to track routines resident behavior 5. Alerts for potential emergencies are sent to staff so they can respond promptly 2. Resident activity is relayed by the sensors to a communicator 6. Password-protected, full resident reports are also available online 4
- 5. QuietCare’s components Five or six small, wireless motion sensors are placed strategically throughout the residence (bedroom, bathroom, kitchen, living room and near medications). Each sensor transmits data about specific daily routines to the communicator, which regularly transmits, over a toll free number, the data to the QuietCare server using the existing telephone line. The QuietCare central server analyzes the data, identifying potential emergencies or note- worthy changes in a resident’s routines. Emergency alerts are generated to staff via pager. Potential emerging problems are reported to the website. Resident status and activity are regularly reported to a privacy-protected website accessible to community professionals 5
- 6. Key activities that are tracked daily and over time Morning wakeup time—exiting bedroom Bathroom visits (frequency, time spent) Room temperature (excessively hot/cold) Overall activity level Nighttime bathroom activity Meal preparation Medication interaction 24/7 bathroom visits Motion through Door Optional Alerts o Night Time Wander o Night Motion (leaving bed and active) 6
- 7. Using QuietCare Logging In to Website Reports Resident Status Overview Urgent Alerts Bathroom Risk, Room Temperature, Morning Wakeup Non-Urgent Alerts Nighttime Bathroom Activity, Overall Activity Level, Meal Preparation Optional Alerts Night Time Wander, Night Motion Customizing Client Information Analytics and Reports Additional Information Nobody’s watching... But everybody’s looking out for me 7
- 8. Logging In to Website Reports www.quietcaresystems.com Log In Screen 8
- 9. Group Summary: All residents at a glance Resident Current Status Most important activities are measured and trended Status indicated by color Greenindicates normal activity for that client based on past data Yellow a change noting a potential emerging problem—Meal Preparation Red an alert for significant change or potential distress—Bathroom Risk Click on client to review individual summary page data. 9
- 10. QuietCare Alerts Urgent Alerts Bathroom Risk, Room Temperature, Morning Wakeup Non-Urgent Alerts Nighttime Bathroom Activity, Overall Activity Level, Meal Preparation Optional Alerts Night Time Wander, Night Motion 10
- 11. Urgent Alert--Emergency alert sent to pager for Bess L. Bathroom Risk (Fall) Individual client summary page Confirming Potential Bathroom Fall (Risk) alert Confirming response to alert Timely response by caregiver (within 2 minutes) See more information— 11 over seven days
- 12. Seven day pattern overview for all activities tracked Accessible from individual client summary View resident activity over time Multiple Red Alerts Bess has had three days of possible bathroom risk or distress-- needs follow up. Multiple Alerts—Room Temperature Red Alert on Sunday @ 60 degrees generated an emergency pager alert. With two subsequent yellow alerts reported for temperatures in the low 60 degree range, this may indicate a room problem. Red alerts are generated after four hours of cold temperature and two hours of high temperature. 12
- 13. Urgent Alert--Emergency alert sent to pager for Eleanor P. Late Morning Wakeup Confirming alert Eleanor did not exit the bedroom before the user-established “wake-up window” set at 8am. Alert @ 8:12am. Confirming response via motion through door activity. Within minutes…. Assistance sent Bathroom visit Additional activity in/out of room thru morning is tracked 13
- 14. View Eleanor’s status over past seven days To view, click on Red Alert status button on Client Summary page Late bedroom exit is intermittent over past week Overall activity chart (accessed from client summary) High activity in 1am hour (dense bars) Bedroom activity @ 2-3am and 7am hours 14
- 15. Non-Urgent Alerts QuietCare establishes norms for behavior Alert reports indicate changes or deviations from these norms that need attention Reported in summaries by 10am Nighttime Bathroom Activity Frequent short visits— much higher activity than usual. Alert appears on website group and client summary. Check on Betty. This panel shows frequency and duration of night To see detail-- bathroom visits Click on Red Alert status button OR Click for 7 days of data 15
- 16. View Betty’s 7 Day resident summary We can see this is a sudden onset and not typical behavior for Betty. But how is her sleep during the night? 16
- 17. Betty’s overall activity chart confirms sleep disruption and need for attention Nighttime activity in/out of bedroom and bathroom are indicators High bar density and index numbers indicates high activity In and out of the In and out of the bedroom between bathroom over the same 2am and 7am hours period of time Other non-urgent alerts: Overall Activity Level, Meal Preparation. Alerts are generated by 10am daily to appear on reports. 17
- 18. Optional Urgent Alerts: Wander Optional alerts are special settings and configurations in the system for those identified with these special needs Wander checks motion in and out of the residence door coupled with lack of activity in the residence. Programmable by community between 8pm to 8am. Anna Marie has 5 wander alerts. These are emergency alerts sent by pager. Total events show high level of activity in passing through the front residence door. This can be in or out, and could be caregiver as well as Anna Marie. However….the report details excessive activity not related to another activity, such as bathroom visits. A Wander Alert for Anna Marie indicates that she requires 18 immediate attention.
- 19. View Anna Marie’s seven day resident summary In combination with High level of door motion… wander alerts… …indicate that Anna Marie is leaving her residence repeatedly, every night. 19
- 20. Optional Urgent Alerts: Night Motion Night Motion checks if resident has left their bed and is moving around apartment at night (programmable within 8pm to 8am). Inez has most likely been identified as requiring assistance in moving out of bed Both Night Bath and She has had two Door Motion (for caregiver assistance) emergency alerts today appear to be correlated in time and frequency— with door motion after night bath 20
- 21. Night Motion: Seven day overview Inez has relatively high normative frequency of night time bathroom visits. The Night Motion alert is frequently triggered multiple times per night, and correlates with Motion through Door. Her activity chart also confirms this. She appears to be receiving needed assistance but after she reaches the bathroom— perhaps to be assisted back to bed. 21
- 23. Client settings and customization Customize resident information Personalize for each resident Mark as on vacation or away from the site Add caregivers Change alert thresholds 23
- 24. Customize resident information and notifications If resident away, click here to set ―vacation‖ start/end to ensure that alerts are not sent to caregivers Update staff/caregiver access information here 24
- 25. Customize alert windows based on caregiver knowledge Wake-up window—this is set as 5am-8am Safe length of time in bathroom can be set for as little as 15 min., or as long as 90 min. Programmable room temperature alerts: red alert between 85°- 93° (high) and 60°- 65° (low) Optional Night Motion and Wander: require special configuration and activation. Can be set anytime between 8pm and 8am. ―BedCheck‖ is time control for motion through door sequence. 25
- 26. Analytics and Reporting Alerts Sent and Response Times Group Management Overview Explanation of Additional Reports 26
- 27. Summary for all alerts and actions for community 27
- 28. Community alerts and response times Madeline M.’s Wander alert shows green for door activity following the alert … indicating a timely response below 4 minutes There may be a caregiver response issue, as 4 residents have extremely slow response, with Jean deL’s Wander alert not being responded to for over 3 hours 28
- 29. Group Management Overview—Seven Days Compiles residents with greatest number of alerts and high frequency of activities that may indicate potential conditions, such as most nighttime bathroom visits and nighttime activity Weekly summary of all alerts: 29
- 30. Analytics and Staff Accountability Reports comparing the activities among all monitored individuals. These reports are accessed by clicking on the ‘client norms’ links at the bottom of the ‘Group Summary Page’. Unlike other QuietCare alerts that are generated by variations in an individual’s behaviors/activities, these reports enumerate the actual level of activity comprising that norm. This management tool provides one-page summary charts ranking the behavior of all participants, contrasting their ranking within the designated categories, and enabling, with one glance, the prioritizing of service delivery based on relative needs. The information is sorted in descending order of frequency. The reports also provide live links to more detailed information on each individual’s webpage. With the exception of the Sleep Index, which provides a daily report, and Motion Through Door which reports on a 7 day norm, the other categories reflect norms generated over the previous 30 days. The count of total minutes of activity between 10PM and 6AM as well as the total number of hours in which some activity was Sleep Index evidenced. A large number of minutes of activity may indicate sleep disturbance, which can be indicative of a wide range of Individuals medical problems as well as elevating fall risk. This report lists the average number of bathroom visits each individual had during the previous 30 day period. Some Bathroom Visits individuals may have a relatively normal number of nighttime bathroom visits but high numbers of visits during the day. Because the standard alerts are based on deviations from the clients’ individual norms, persons with chronically high numbers Nighttime Bathroom of bathroom visits might go unnoticed. This and other behavior-based reports are especially valuable when first implementing Visits QuietCare in a community in order to understand what constitutes the baseline behavior. By listing all individuals with bathroom risk alerts (and the average number of such alerts during the previous 30 day period) the reports can be used to allocate staff resources and document the need for additional care levels. For example, if the chart Bathroom Risk (Fall) indicates 0.5 Bathroom Risk alerts, that would mean that during the previous 30 days, there were 15 alerts. This feature lists all clients and their daily average number of meal preparation events during the previous 30 days (midnight to Meal Preparation midnight). For individuals with a medication sensor, this report notes the average daily medication-related events during the previous 30 Medication days (the average number of times each individual reached for their medication per day). Lists the average number of bedroom exit alerts during the previous 30 day period. Bedroom Exit This feature has two components: 24/7 motion through door and night motion through door. The count shown for both is a 7- day average of events. Night motion through door events can be indicative of a resident leaving their apartment or a staff member providing bed checks and other in home services. For residents not programmed for Wander alert, this report may Motion Through Door document a need. For residents who are scheduled to have bed checks or assistance with toileting this report can provide indication of whether such services have been performed. 30
- 31. Optional Displays This feature lists all clients programmed for the Wander alert and the number of such events each individual had during the previous 30 day period. QuietCare differentiates between a Wander event and other motion through door activity, such as a Wander staff visit, based on whether there is prior activity in the apartment before the door is opened. This feature lists all clients programmed for the Night Motion alert and the average number of such events each individual had Night Motion during the previous 30 day period. 31
- 32. Additional Information Pager Information and QuietCare Alert Messages Customer Service and Technical Assistance 32
- 33. Pager information and alerts 33
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- 38. Customer service and technical assistance information 38