Technology%20and%20Innovative%20Home%20and%20Community%20Based%20Care

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Technology and Innovative Home and Community
Based Care
Majd Alwan, Ph.D., DirectorCenter for Aging
Services Technologies (CAST)Medicaid
CongressJune 5, 2008
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What is CAST?
Government Agencies
Providers ofAging Services
University Researchers
Tech Industry Partners
Associations
CAST
A national coalition of more than 400
organizations working together to improve the
aging experience through technology
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Why Were Here

CAST Mission ? Help older adults maximize their
independence ? Support professional and family
caregivers needs ? Improve quality of care and
quality of life ? Reduce our nations health
care costs ? Increase aging services providers
efficiency
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The Trends
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Shift Left through Technology
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Technology-Enabled Care
Services
Personal Health Maintenance
Service Provider
Analysis Archiving
Older Adult
Data
Adult Child
Improved Communications
Healthcare Professional
Preventive Interventions
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Value

• Innovative care models with smart technology

more efficient care with reduced care burden
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Categories of Aging Services Technologies

1. Safety in the Environment
2. Physical Mental Health/ Wellbeing
3. Social Connectedness to others
4. EHRs Point of Care/ Point of Service

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Safety Technologies

• Wearable devices (PERS, automatic fall detectors,
  fall prevention patches)

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Safety Technologies

• Environment/Passive (motion-based sensor
  monitoring systems, embedded fall-detectors,
  stove use detectors, temperature/smoke monitors,
  safe lighting technologies)

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Physical Mental Health/Wellbeing

• Wearable devices (activity monitors, cardio
  monitor, ambulatory blood pressure monitors)
• Environment/Passive (motion-based activity
  monitors, sleep/bed sensors)

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Physical Mental Health/Wellbeing

• Telemedicine/ Tele-health (biometrics blood
  pressure, heart rate, glucose, temperature,
  weight, breathing daily wellness check 2- way
  video health consultations care coordination
  medication compliance)

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Social Connectedness

• Phone enhancements (amplified phones, easy to use
  cell phones)
• One-way displays
• Two-way video conferencing
• Entertainment/ Theraputainment (cognitive and/or
  Physical exercise)

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EHRs Point of Care Technologies

• EHRs
• Point of Care systems Electronic clinical
  charting ePrescribing

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What is needed?

• Funding for large-scale demonstration projects
  (objective outcome evaluations)
• Reimbursing for efficacious and cost-effective
  technologies

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u
Used two-way video to talk to her son and the
grand children.
Electronic medication caddy notified son she took
her medicine, so he did not have to nag her.
Wearable sensors transmit health vitals to
healthcare professional.
Wristwatch tells caregiver of her location.
Telemedicine helped her send a picture of a
scrape to her doctor, avoiding a trip to the
office.
Instrumented walker assesses gait and balance.
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Questions?

• Majd Alwan, Ph.D.
• Director, CAST
• malwan_at_agingtech.org
• [phone]
• www.agingtech.org