Reinventing Quality ConferenceAugust 7, 2012

Greg Wellems

Innovative Technologies in Services and Supports for

Individuals with Disabilities

Bob and Judy Charles SmartHome, Boulder, CO

Charles Family SmartHome, Longmont, CO

Imagine! SmartHomes

People are living longer. Care is becoming increasingly complex. Increased focus on wellness promotion. Caregivers need more information. Workforce crisis. Transparency. Reimbursement policies. Funding streams will be more self-directed. Benefits of “The Cloud”.

The Case for Technology

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Improve Organizational Management Improve/Support Supports/Service Automate Notification and Prompting Improve Learning/Independence Improve Health/Wellness Increase Stakeholder Involvement Transparency Reduce Risk

Benefits

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Smart Supports

Enterprise Applications

RemoteMonitoring

AssistiveTechnologies

Education◦ Software and Application◦ Benefits of Technology

Prioritization◦ Analyze “pain” points◦ Greatest Impact

Planning◦ Impacts on the Organization

Implementation◦ Project Management (DIGs)

Maintenance and Support

Inserting Technology into Services

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Enterprise Applications◦ Enterprise Resource Planning (ERP)◦ Customer Relationship Management (CRM)◦ E-MAR, Learning Management, Document Imaging

Remote Monitoring Applications◦ 3rd Party Monitoring Services◦ In-House Monitoring

Assistive and Adaptive Technology◦ Communication Systems◦ Environmental Controls◦ Learning/Prompting Systems◦ Community Navigation/Support◦ Apps/Apps/Apps

Know What’s Out There

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Analyze “Pain” Points◦ What Takes the Most Time?◦ What Costs the Most Money?◦ Where are the Workflow Bottlenecks?◦ Where are You at Risk?

Greatest Impact◦ Simplify Current Workflows◦ Change Static to Dynamic

Increase Communication Reduce Risk by Reducing Errors/Judgment

Prioritization

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Impact on the Organization – Culture Change◦ Change in Current Practices◦ Change in Personnel – Build Capacity◦ IT Infrastructure/Support

Equipment Support

Help Desk – Track/Identify trends Education

◦ Cost Capital Expenditures Ongoing Return on Investment (ROI)

Planning

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Designed for the End User Replicate/Improve Current Workflow Does it Integrate with Other Systems? Does it Scale? Can you Customize?

◦ Security/User Roles◦ Dashboards◦ Report Functions◦ Additional Data Fields

Don’t Over Develop (Know When to Stop)

Keys to Selecting Effective Technology

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Project Management◦ Identify Project Team

Use an experienced Project manager Representative of the Organization

◦ Adequately Staffed Free up content area experts to configure work flow Design for the end user Involve end user early in any implementation

◦ Create and Follow Project Plan Accountability and timelines Ensures clear communication

Implementation

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Avoid Siloed Data ◦ Integration across Applications◦ Dashboards for Business Intelligence

Build in Internal Competencies◦ Learning Management Systems◦ Systematic Processes

Analyze Trends◦ Monitoring Metrics for Success◦ Maintain Momentum and Interest

Maintenance and Support

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Bob and Judy Charles SmartHome, Boulder, CO

Charles Family SmartHome, Longmont, CO

Imagine! SmartHomes

Areas of TechnologyIndividual SupportsFamily Communication and AccessOperational – Management and Line Staff (DSP) Support and InformationEnvironmental – Home Management and Remote Monitoring Systems

Support

Network

Using RFID Information

Sensors Alerts

Sensors Just In Time Log

Portal Use

Profiles Alert Preferences

StaffMembers

Clients

Managers

•Alerts & Notifications•Live View•Care Zone Summary•Performance Metrics

Staff Members

Staff Members

•Global Perspective•Client Overview•Employee Overview

ManagersManagers

• Live View• Historic Trends• Health information • Social information

CARE System

Medication Administration and prompting systemIntuitive User Interface improves efficiency and accuracyEasily manage staff and medications records from a central location or remotelyImproved compliance with Medication AdministrationImproved communication between DSP and Nursing75% reduction of medication administration errors Reduces staff training by 18 hours per residence (houses who support medically fragile individuals offers a greater differential)Integrated with Pharmacy to reduce transcription errorsOver three year period reduced 2 nursing FTE

®

The MEDIAssistant Mobile is a portable system that uses both infrared transmission and Insteon™ radio transmission to operate up to 24 devices.

Environmental Control Units

Motions SensorsDetect Falls/Proximity

Security/ Health and Safety SensorsDoors/Windows - Alarms

GPS- Community Remote Health Monitoring RFID – Specific Location

Environmental Control Data – Trends Cameras

PTZ – Fixed Units

Remote Monitoring Systems

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Research Question

Does living in the Bob and Judy Charles Smarthome enhance the quality of life for the residents?

Quality of Life Indicators Studied Increased service to customers Increased active participation with

community Increased communication Increased independence Improved health Satisfaction with services provided through

the SmartHome

Results -Choices and Decision Making

There was a large increase in residents’ perception in control of their own lives.

5 resident’s mean scores stayed the same or increased 2 resident’s mean scores

increased by one point 1 resident’s mean scores

increased by two points 2 resident’s mean scores

increased by 4 points 1 resident’s mean

scores decreased by 3 points

-5 -4 -3 -2 -1 0 1 2 3 4Change in mean scores

0

1

2

3

4

5

6

7

8

Choices & Decision Making 1 (n=6)

Number of Residents

Results -Service Coordination

There was a decrease in getting what’s needed from service coordinator and knowing service coordinator. This was not expected.

3 resident’s mean scores stayed the same or increased

4 resident’s mean scores decreased 2 resident’s mean scores

decreased by 1 point 1 resident’s mean scores

decreased by 3 points 1 resident’s mean scores

decreased by 5 points

-5 -4 -3 -2 -1 0 1 2 3 4Change in mean score

0

1

2

3

4

5

6

7

8

Service Coordination (n=7)

Number of Resi-dents

Supports Intensity Scale – SIS Overview

Evaluate and measure the type, frequency and intensity of supports needed for an individual with a developmental disability in 85 areas covering the following domains: Home Living Community Living Lifelong Learning Employment Health and Safety Social Protection and Advocacy Medical Behavioral

Collected directly from participants in a structured interview format.

Patterns in SIS changes

Part B: Community Living Activities◦ Q1 – Getting from place to place throughout the

community

Identify - “low hanging fruit” Adopt Best in Breed Solutions Supportive Corporate Structure Seek Collaboration/Consulting Evaluation Process and Feedback Loop Fail Fast Advertise/Market Success

◦ Fundraising/Grant Writing

Best Practices -

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Best Practices - Incorporating Consumer Technologies

◦ Technology Screening◦ Individual Technology Plan

Part of Individual Plan Process◦ Data/Tracking Methodology◦ Build Systems for Replication◦ Job Expectations and Job Descriptions◦ Staff Training/Staff Training/Staff Training

Hiring and Recruitment Group Similar Technology Curriculum Development

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Fourth AnnualANCOR Technology

Summit November 3, 2012Westin Westminster Hotel

Westminster, Colorado

In conjunction with the Coleman Institute Conference

on Cognitive Disability and TechnologyNovember 2, 2012

www.ancor.org

Greg Wellems -Gwellems@imaginecolorado.org

SmartHome - http://Imaginesmarthomes.org

FaceBook – http://www.facebook.com/pages/Imagine-SmartHomes/86609388388

Twitter - http://twitter.com/ImagineColorado