Post on 24-Dec-2015
transcript
FROM CARING HOME TO SMART HOUSE
A NEEDS LED EVOLUTION
D A Bradley†, S Levy† & S J Brownsell‡
† School of Science & EngineeringUniversity of Abertay Dundee
‡ Barnsley District General Hospital
1944The Thistle Foundation
“ To provide housing suitable for disabled ex-service personnel and their families”.
1948 The birth of the NHS
Free, Universal and Comprehensive Service
based on need!
THE CARING HOME
Traditional, low-tech ‘Dumb House’
Changing epidemiological landscape
Improvements in medical technology
Supply pressures
Increasing expectations
Growing willingness to pay
Ageing population
‘ THE TIMES
THEY ARE e-CHANGIN '
Care
Assistance
Advice
REQUIREMENTS FOR INDEPENDENT LIVING
Human based provision
NeedsAssessment
Support
‘WITH RESPECT TO OLD AGE’
Royal Commission 1999
‘People constantly look for modern technology to improve their life-style’.
‘One of the ways in which life could be improved for older people is in the harnessing of new technology in new, imaginative and profitable ways’.
Sensors
TELECARE STRATEGIES
Only required information leaves home
Local Intelligenc
e
Smart
Local Processing
SUPPORTIVE
PREVENTATIVERESPONSIVE
CARE TECHNOLOGIES & OPERATIONS
PREDICTIVE/DEDUCTIVESYSTEMS
Activities ofdaily living
(ADL)
'Transfer'monitoring
Eventmonitoring
Gradualgeneraldecline
Fall prediction
Roomoccupancymonitoring
ALARMSYSTEMS
Respirationmonitor
Gasmonitor
Fall detector
(In)Activitymonitor
CardiotachometerIncontinence
monitor
Chairoccupancy
monitor
Bloodpressuremonitor
Smokedetector
'Panic'pendant
ASSISTIVE & SMARTHOME TECHNOLOGIES
Pacemaker
Smartwheelchair
TherapyUnits
Personalheatingsystems
Video'doorbell'Stair-lift
'Keyless'entry
systems
Drug dispenser/compliance unit
Dialysismachine
Reminder unit(dementia)
The ‘Smart House’
SUPPORTIVE
PREVENTATIVE
HOME BASED
RESPONSIVE
USER Needs
• Support independent living.
• Support next-generation community healthcare systems.
• Support the deployment of enhanced sensors.
• Support the use of machine based intelligence in the provision of community healthcare services.
• Support inter-agency communication and data transfer.
• Integrate automatically generated alarms with the operation of control centres.
• Prioritise calls and provide enhanced decision support for control centre operators.
• Provide enhanced management information features.
TELECARE SYSTEM FUNCTIONS
TECHNOLOGY COSTS FOR 11,500 USER INSTALLATIONS
Equipment Cost 175 500 700 1,000
Total home based equipment cost
1,909,000 5,362,000 7,487,000 10,675,000
Warden schemes
141,000 141,000 141,000
Control centre 50,000 50,000 50,000
GP and nurse equipment
241,000 337,000 482,000
Installation and training 279,000 531,000 550,000 579,000
Total initial expenditure
4,097,000 6,325,000 8,565,000 11,927,000
Cost (£)
Present system Proposed system
VARIABLES
Present system
Proposed system (Year)
System Costs
2 4 6 8 10
£500 9.2 9.2 9.2 9.2 9.2Average duration of a hospital stay for client base.
9.5 £700 8.75 8.5 8.5 8.5 8.5
£1,000 8.75 8.25 7.75 7.75 7.75
£500 18 18 18 18 18Percentage of people in hospital delayed in discharge
20 £700 16 12 10 10 10
£1000 10 5 5 5 5
£500 3.4 3.4 3.4 3.4 3.4Percentage of people in residential care.
3.5 £700 3.40 3.3 3.20 3.1 3
£1,000 3.1 2.9 2.9 2.9 2.9
£5,000£4,000£3,000£2,000£1,000
£0£1,000£2,000£3,000£4,000
Year
Cum
mul
ativ
e ca
shflo
w
£000
's
6% interest
10% interest
14% interest
System costs of £500
£8,000
£6,000
£4,000
£2,000
£0
£2,000
£4,000
Year
Cum
mul
ativ
e ca
shflo
w
£000
's
System costs of £700
£6,000
6% interest
10% interest
14% interest
£12,000£10,000
£8,000£6,000£4,000£2,000
£0£2,000£4,000£6,000£8,000
Year
Cum
mul
ativ
e ca
shflo
w
£000
's
System costs of £1,000
6% interest
10% interest
14% interest
COST RECOVERY