Integrating Technology Into Your Culture Change Journey

1

• Integrating Technology Into Your Culture Change
  Journey

2
Technology Ready or Not.

• Technology is coming, NOW
• Aimed at practical applications
• MDS software, HIPPA compliance, benchmarking,
  telehealth, transportation, monitoring, etc.
• Remember who its supposed to benefit
• Need strategy that includes the person!

3
From a Housing Perspective
4
Meet Grandma

• This is Grace Margaret
• She is 83 years old.
• She is a mother, grandmother and a
• great-grandmother.

She might be moving into your community next week.
5
She will be coming with more than a just a few
clothes

• You are going to need more outlets!

6
Shes also coming with a lifetime of relationships

• She will expect to stay connected to all of them

7
Even if she is unable to have those expectations,

• her children and grandchildren will.
• Count on it!

8

• Colorado LLC founded in 1999
• Develop adaptive computer systems for older
  adults w/ disabilities
• Programs up and running in 37 states, Canada and
  Australia
• Dementia engagement driving 50 of interest

9
Examples of Customer Partnerships

• Genesis Healthcare
• Volunteers of America
• Good Samaritan Society
• Lutheran Homes and Services
• Erickson Retirement Communities
• Pinon Management
• Total Longterm Care (PACE)
• Eden Alternative
• Golden Living
• Multiple CCRCs

10
Internet Gaming Not Just for Teens

• Nearly 25 of those 55 spend a minimum of 43
  hours a week playing online games.
• These games improve skills such as
• Reaction times
• Spatial reasoning
• Short-term memory

11
Old People Cant Learn New Things

• Decreased physical, psychological, and social
  activity combined with these perceptions add to a
  downward spiral of brain functioning.
• Brain plasticity processes with negative impact
  take over as one ages.

12
Brain Plasticity

• The lifelong ability of the brain to evolve with
  new learning or experiences.
• Plasticity-based training engages older adults
  in programs targeting cognitive, physical, and
  sensory activities.
• ACTIVE national clinical trial appropriate
  training and practice improves cognitive
  abilities in older adults.

13
Impact of Technology on Persons with Dementia

• Interactive technologies promoting reminiscing
  enhances communication by persons with dementia.
• Cognitive stimulation activities may be as
  effective and more cost-effective comparing
  results with drug trials for dementia.

14
Impact of Technology on Persons with Dementia

• Use of preferred music prompts motor functioning,
  memory recall, and decreased agitated behaviors
  among persons with dementia.
• Positive reactions to virtual reality
• Significant increase in the number of engagement
  behaviors in both individual and group activities.

15
How it all Works
16
Technology Therapy Benefits

• Increased patient participation
• Increased RUGS categories and Part B caseloads
• Therapist Job satisfaction
• Family Satisfaction
• Individualized Activities

17
Commonly Used CPT Codes

• 92507 Speech, Language, Communication Treatment
• 97530 Therapeutic Activities
• 97112 Neuromuscular Re-ed
• 97110 Therapeutic Exercise
• 97150 Group Therapeutic Procedures

18
Regulatory Benefits

• Relevant F-tags
• F240 Quality of Life
• Create humanizing environment
• F241 Dignity
• Activities that assist resident maintain or
  enhance dignity
• F242 Self determination and participation
• Choose activities inherent with interests
• Interact with community

19
Supporting a Relationship-Based Culture with IN2L

• Genesis Health Care
• Case Study
• AHCA 2008 Convention

20
2005 Two test sites

• Operations wow-ed by IN2L at the Pioneer
  Network conference
• Tested with two sites selected for independent
  resident population (AL and ICF unit)
• Trained Recreation and Rehab staff only
• Least successful adoption

21
2006 Linked to Culture Change

• 3 Nursing Centers invited to participate based on
  progress and commitment to culture change
• Leadership Team invited to presentation
  Administrator, DNS, SS, Recreation, Admissions,
  Culture Change Coordinator
• Responded to care presentations I-centered
  care family communiques
• Genesis Rehab Services pursued independently

22
2007-8 Expansion based on Culture Change

• Marketed to Operations Executives by current
  users
• Fourteen Nursing Centers and 1 Assisted Living
  selected
• Tied to Person-Centered Care commitments and
  marketed in one state
• Recreation Behavior Specialist supporting in
  state with highest concentration
• Genesis Rehabilitation Services signed agreement
  with IN2L

23
2007-8 Expansion (continued)

• Expanded training to two tiers, sequenced
• First, Leadership Training 3.5 hours
• Administrator, DNS, Admissions Director, Rehab
  Director
• Led by VP and enthusiastic Center support (Rec or
  Rehab)
• Objective see the possibilities for
  personalizing care, engaging families and the
  community, expanding recreational opportunities
  know who to send to the 2-day IN2L training

24
2007-8 Expansion (continued)

• Expanded training to two tiers, sequenced
• Second, Training for Support Team
• Two days, hands-on with IN2L staffhow to use
  equipment, software, troubleshooting
• Four-eight staff selected by the Leadership Team
  a therapist, Recreation Director, nurse
  assistant, and others based on interest and
  positive relationships
• Unit Manager, Weekend Supervisor, Cook,
  Housekeeper, Business Office Manager
• Introduce and support the integration of IN2L in
  daily life

25
Lessons Learned

• Not just another activity on the calendar!
• Supports unit-based activities and staff/resident
  relationships
• Opportunity for meaningful volunteer/community
  involvement
• Simulation games offering lost opportunities
• Multi-media encourages impactful resident
  personal histories and care needs
• Extends rehab participation

26
Get to Know Me Presentations

• IN2L introduced the concept from its community
  of users with multimedia Powerpoint (or other
  photoalbum software) presentations
• Adopted widely through Genesis internal culture
  change conferences non IN2L users as well began
• Opportunity to build positive relationships among
  staff and family

27
A Kids Perspective
28
The Story of Nathan and Mamie
29
The Power of the Story
30
(No Transcript)
31
The IN2L roadmap

• Cognitive therapy
• Staff training tool
• Short term rehab opportunities
• Migration to at home systems
• Web based loading of content
• Customer specific experience
• Integration of television / computing

32
Links

• Assistive technology
• http//www.loc.gov/nls/reference/circulars/assisti
  ve.html
• www.resna.org
• www.IN2L.com
• jyork_at_IN2L.com