1
Technology Adoption, Spending, Trends and Boomer Consumers
Majd Alwan, Senior VP of Technology, LeadingAge
Executive Director, LeadingAge Center for Aging Services Technologies (CAST)
Ziegler-CAST Technology Adoption Survey
Chief Technology/Information Officers
Source: LeadingAge Ziegler 150
21%
37%
0%
5%
10%
15%
20%
25%
30%
35%
40%
2013 2016
Percent of “LZ 150” with a CIO/CTO
+15%
- 9%
28%In 2017
for LZ 200
Source: 2016 LeadingAge Ziegler 150Source: 2018 LeadingAge Ziegler 200 Publication
Source: 2018 LeadingAge Ziegler 200 Publication
Source: 2018 LeadingAge Ziegler 200 Publication
✓ Developed a model
amenable to be applied
across multiple LTPAC
settings
✓ Create a framework to
assess the level of EHR
adoption and sophistication
of use
✓ Support post acute
providers on their
technology focused
initiatives towards better
health outcomes
Advanced EHR(Internal Quality-Focused)
Stage
5External Ancillary Services Integration
Stage
4
Basic Information System
Stage
1
Stage
6
Stage
7
Engagement & Basic Information Exchange
Interoperability & Health Information Exchange
Basic EHRStage
2
Ancillary & Clinical Administration (Non-Integrated)
Stage
3
CAST’s 7-Stage EHR Adoption Model
Advanced Functionalities- I
• Stage 4-Advanced EHR:– Clinical Decision Support Systems
– eMAR/eTAR at the Point of Care
– Quality Reporting, Analytics, and Dashboards• LeadingAge InSight, eHDS offering
• Stage 5-External Ancillary Integration:– Pharmacy
– Lab
– Hospital Discharge/ Referral
Advanced Functionalities- II
• Stage 6-Engagement & Basic HIE:– Physician Portals & eSignature
– Sending & Receiving Care Documents, like CCDs• ONCs Project Direct, eHDS CareWatch Connect
• Stage 7-Interoperability & HIE:– HIEs
– EHR Repositories
– Directly to other providers
LTPAC Sector According to Vendors
LZ-150 EHR Adoption by Stages
Stage Respondents
Percentage of Providers
at each Stage
Stage 1 2 1.7%
Stage 2 3 2.6%
Stage 3 18 15.4%
Stage 4 26 22.2%
Stage 5 33 28.2%
Stage 6 21 17.9%
Stage 7 14 12.0%
N = 117
Ziegler-CAST Technology Spending Surveys
Technology Spending
Categories
Percent Technology Spending
14
LeadingAge & LTSS Boomer Survey
Affordability of Aging Services is a Major Factor
Technology Related Trends
Trends to Watch
• Mobility• Enterprise mobility
• Device Management
• Mobile Apps.
• Client mobility (including Wearables)
• Internet of Things & Smart Homes!
• Increased demand on bandwidth
If we want to mitigate the shortage of workforce in Aging Services, we need to include technology in our
strategies to attract, prescreen, shorten the hiring cycle, engage, and retain staff, especially millennials!
Technology and Caregiver Shortage
Seniors & the Internet47% of all seniors have broadband at home
• 27% have Tablets/ eReaders• 18% have Smartphones• Communications with friends
and family, shopping, access to information are top motivations
90% of wealthy seniors use the Internet watch 55% more TV
www.pewinternet.org/2014/04/03/older-adults-and-technology-use/http://s3.amazonaws.com/rdcms-himss/files/production/public/FileDownloads/2015-10-
29%20Time%20Warner%20Connectivity%20advantage%20for%20sen%20living%20skilled%20nursing%20facilities.pdf
Nielsen’s Law of Internet Bandwidth
High-endusers'
bandwidth grows by 50% per year (10%
less than Moore's Law for computer
speed).
Advanced Materials and Smart Things!
Explosion of Data
Exponential Growth in Demand on Bandwidth
Need for better ways to visualize, contextualize, mine and use data!
LeadingAge & CAST Tools
LeadingAge 2030 Scenarios
http://www.leadingage.org/2030-aging-services-scenarios-documents
Strategic IT Planning Tools
http://www.leadingage.org/strategic-it-planning-tools
Interactive Online Tool
CAST Technology Selection Tools
EHR Telehealth/RPM
http://leadingage.org/technology-selection-
tools
Medication Management
Functional Assessment
Shared Care Planning
& Coordination
ocial
Social ConnectednessAnd Engagement Safety Technology
Most Important Questions• ROI to whom?
– Aging Services Care Provider– Payer
• Which payer?
– Care Recipient– Care Recipient’s Family
• Under what care delivery/ business/ payment model?– Providers operate in multiple settings– Have a mix of payers– Have complex case mix!
Provider Case Studies
Updated Business Case Studies
http://www.leadingage.org/members/cast-business-case-studies
http://www.leadingage.org/strategic-it-planning-case-studies
http://www.leadingage.org/cast/case-studies/cast-supporter-and-patron-case-studies
CAST Patron/ Supporter Case
Studies
Initiative Case Studies
DIGITAL PLATFORM EXTENDS SERVICESfrom 600 residents to 4,000+ CCRC at-home clients
http://www.leadingage.org/sites/default/files/Evangelical_Homes_of_Michigan_Case_Study.pdf
3-6%
Readmits
from 16% to 5%Readmits for congestive heart
failure
http://www.leadingage.org/sites/default/files/Jewish_Home_Lifecare_Case_Study.pdf
CAST Cybersecurity Resources
• Whitepaper
• Benchmarking Questionnaire
• Provider Case Studies
http://www.leadingage.org/cybersecurity-
resources
Thank You…[email protected]