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.
- 9. Participatory Process Consumer/Family Involvement Design Selection Process Outline Expectations House Guidelines Consumer/Family Satisfaction Technology Assessment/Evaluation
- 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
- 11. Partners
- 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.
- 27. Networked Gaming
- 28. ®
- 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
- 31. Energy Management Energy Efficiency Intelligent Monitoring –Data Mining to Create Usage Profiles Create and Optimize Load Profiles Integrate Adaptive Technology with GridAgents Technology
- 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
- 35. Sterling Wind – swind@imaginecolorado.org SmartHome – http://Imaginesmarthomes.org FaceBook – http://www.facebook.com/pages/Imagine- SmartHomes/86609388388 Twitter – http://twitter.com/ImagineColorado
Editor's Notes
- #13: 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.
- #15: 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.
- #17: 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.
- #22: 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.
- #23: 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
- #24: 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.
- #25: 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.
- #26: 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.
- #28: 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.