Remote Monitoring and Technology-Enabled Support

Editor's Notes

• #40: 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
• #41: 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.
• #48: These research questions were developed by Imagine! And Colorado WIN Partners in December of 2008.4 research areas were discussed. The research question that elicited the biggest interest to Imagine & WIN Partners was how to Enhance the quality of life for consumers. The following is a list of the areas WIN Partners addressed in our data collection and analysis. Increased service to customers – Increased active participation with community –Increased communication – Increased independence – Improved health – Satisfaction with services provided through the SmartHome-
• #49: Measures the level of which resident has control in choosing , for example where to work and where to liveOverall, 5 out of 6 residents scores all increased, while only one resident had a decrease in score for Choices and Decision Making 1
• #50: Measures the extent to which residents feel respected by others in their home, at work, etc.Overall, most residents scores stayed the same or increased in their feelings of respect by others from the time before they moved into the SmarthomeHowever, 2 resident’s scores decreased indicating a change in their feelings of respect by others
• #51: Supports Intensity Scale (SIS): Identifies the type, frequency and duration of supports needed for an individual receiving services in order to complete particular tasks or participate in particular activities. This information is collected through an informal interview.SIS covers different domains, or categories, of support needed: Home Living ActivitiesCommunity Living ActivitiesLifelong Learning ActivitiesEmployment ActivitiesHealth and Safety ActivitiesSocial ActivitiesEach domain has 8 questions. For each question there are three answers that need to be addressed: 1. What type of support would be needed for that activity? 2. How frequently would that support be needed? 3. How much time in one given day would that support take?Responses to the questions are chosen from the rating key of the assessment.Type of support: “What type of support would be needed?”0=none1=monitoring2=verbal/gesture prompting3=partial physical assistance4=full physical supportFrequency: “How frequently would that support be needed?”0=none or less than monthly1=at least once a month but not once a week2=at least once a week but not once a day3=at least once a day but not once an hour4=hourly or more frequentlyDaily Support Time: “How much time in any given day would that support take?”0=none1=less than 30 minutes2=30 minutes to less than 2 hours3=2 hours to less than 4 hours4=4 hours or moreUses for SIS:Created for measuring and planning supports and services for person with intellectual disabilities. Can develop Individualized Services Plans and track and decrease or increase in support needs overtime.Plan for supports that will improve independence and quality of life. Supports refer to an array of resources and strategies including individuals, agencies, money or tangible assets, assistive devices or environments that enable people with developmental disabilities live in typical community settings. “Rather than mold individuals into pre-existing diagnostic categories and force them into existing models of service, the supports approach evaluates the specific needs of the individual and then suggests strategies, services and supports that will optimize individual functioning.”**SIS info/goals goes along with the basic tenants of the SmartHome and Imagine!. Like Sterling told me – “to rethink the way we have always thought.”
• #52: Support Needs Index is a single score indicating the overall level of supports needed for the individual. This is done by taking the raw scores of each Activity Subscale as ranked during the interview. Then using Standard Scores and Percentiles as noted in Appendix 6.2 to get to the Composite Standard Score (Appendix 6.3). These numbers represent the overall support needs of each individual from Round 1 which was administered prior to the residents moving into the SmartHome (Range from 2006-2008) and Round 2 which was administered August 2010, 1 year after moving into the SmartHome. Mandy – Increase of 3 (47-50)Rae – Decrease of 15 (18-3)Gerald – Remained the same (82)John – Decrease of 3 (7-4)Rebecca – Remained the same (13)Chris – Decrease of 41 (55-14)Donna – Decrease of 2 (37-35)Lana – Decrease of 12 (14-2)
• #53: Part B: Q1 – Getting from place to place throughout the communityHandheld GPS Device (UMPC) – Not rugged enough.Rae – Time 1: 7 (2,2,3), Time 2: 0 -**SmartHome staff know what factors resulted in this change?Chris – Time 1: 11 (3,4,4), Time 2: 0 – Possible result of the UMPC?Lana – Time 1: 8 (3,2,3), Time 2: 0 – SmartHome staff know what factors resulted in this change?***PICTURE OF TECH BEING USED – UPMC being used by Chris