Innovative Technologies in Services and Supports for Individuals with Disabilities
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Reinventing Quality ConferenceAugust 7, 2012
Greg Wellems
Innovative Technologies in Services and Supports for
Individuals with Disabilities
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Bob and Judy Charles SmartHome, Boulder, CO
Charles Family SmartHome, Longmont, CO
Imagine! SmartHomes
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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
© Imagine! Consulting
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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
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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
© Imagine! Consulting
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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
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Areas of TechnologyIndividual SupportsFamily Communication and AccessOperational – Management and Line Staff (DSP) Support and InformationEnvironmental – Home Management and Remote Monitoring Systems
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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
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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
®
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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
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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
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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
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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
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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.
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Patterns in SIS changes
Part B: Community Living Activities◦ Q1 – Getting from place to place throughout the
community
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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
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Greg Wellems [email protected]
SmartHome - http://Imaginesmarthomes.org
FaceBook – http://www.facebook.com/pages/Imagine-SmartHomes/86609388388
Twitter - http://twitter.com/ImagineColorado