Transcript Slide 1

Technology and Research with Seniors
American Geriatric Society
Orlando, Florida
May 13, 2010
Alan D. Sadowsky, Ph.D., Director
Loring Institute for Geriatric Research and Training
Senior Vice President
PRESENTATION OUTLINE
Campus- MorseLife
Research- summary
Operational Challenges
Implications
Future Directions
OVERVIEW
Perfect Storm – Eric Dishman.
Average Age SNF/HCBS Residents.
Our Data – Majority Seniors Disconnected.
IFAS – Who will care for us?
Weinberg Initiative RFP $9 Million – Caregivers.
BACKGROUND
SELECTED STATISTICS
Florida
19%
65+
Palm Beach County
24%
65+
Jewish Population
of Palm Beach County
60%
65+
No family in immediate surrounding counties.
RELEVANT TRENDS
Life expectancy.
Shortage of healthcare personnel – geriatric care
(geriatricians, nurses, care managers).
Shift left – monitoring role.
$100,000
COST
$80,000
Shift
Left
$60,000
$40,000
$20,000
$0
AGE
Increasing need to manage scarce resources.
Long Term Care increasingly difficult to operate in black.
Policy (State-National) – move to HCBS.
MORSELIFE
280 beds SNF.
65 Short Term Stay – to be 80.
144 IL/AL (180 in active development).
14 levels of care.
Loring Institute for Geriatric Research &
Education.
MORSELIFE SENIORS CAMPUS
INSTALLATION
Motion Sensor
INSTALLATION
NAPS Unit
INSTALLATION
The Pad
INSTALLATION
Fall Sensor
INSTALLATION
Data Manager
WEBSITE REPORTING: SUMMARY PAGE
WEBSITE REPORTING: ACTIVITY
WEBSITE REPORTING: ACTIVITY
WEBSITE REPORTING: SYSTEM STATUS
Shows the last firing for
each sensor that is
installed.
Orange indicates that it
hasn’t fired in 48 hours.
Black indicates that it has
not fired for a week
(usually means the
battery needs to be
replaced).
BATHROOM ACTIVITY ANALYSIS
SLEEP PATTERNS AND QUALITY
Community
Resident
Note: Blue bars indicate that the sleep period was disrupted in some way
SLEEP PATTERNS AND QUALITY
AL
Resident
Note: Blue bars indicate that the sleep period was disrupted in some way
SLEEP PATTERNS AND QUALITY: CASE STUDY
Normal sleep behavior until increase in overall restlessness over a 3 month span
– Complained of depression and fatigue in February and March
– Paxil prescribed in middle of March note immediate change
OA0010 - Restlessness Levels
600
500
400
300
200
100
4/7/2008
4/2/2008
3/28/2008
3/23/2008
3/18/2008
3/13/2008
3/8/2008
3/3/2008
2/27/2008
2/22/2008
2/17/2008
2/12/2008
2/7/2008
2/2/2008
1/28/2008
1/23/2008
1/18/2008
1/13/2008
1/8/2008
1/3/2008
12/29/2007
12/24/2007
12/19/2007
12/14/2007
12/9/2007
12/4/2007
11/29/2007
0
11/24/2007
Restlessness Index for Day
•
SLEEP PATTERNS AND QUALITY
ILResident
Note: Blue bars indicate that the sleep period was disrupted in some way
SUBJECTIVE ANALYSIS: HR-QOL
Healthy Days: Physical
General Health
30.0
5.0
Monitored Group
Monitored Group
Non-Monitored Group
Non-Monitored Group
27.5
4.0
*
Days
Rating
25.0
3.0
22.5
20.0
*
2.0
17.5
1.0
Baseline
15.0
Study Avg
Baseline
Healthy Days: Mental
Study Avg
Healthy Days: No Activity Limitation
30.0
30.0
Monitored Group
Non-Monitored Group
*
Days
25.0
22.5
27.5
*
25.0
Days
27.5
**
*
Monitored Group
**
Non-Monitored Group
*
22.5
20.0
20.0
17.5
17.5
15.0
Baseline
Study Avg
15.0
Baseline
Study Avg
* Indicates at least a 90% probability that the differences between baseline and study are NOT found by chance.
**Indicates at least an 85% probability that the differences between baseline and study are NOT found by chance.
OPERATIONAL CHALLENGES
Labor intensive –
Website – initial issues.
Logger problems.
Windows platform.
Dial-up.
Single unit dweller.
IMPLICATIONS TO PROVIDER
COMMUNITY
We can monitor virtually anything.
How, why, when for what purpose.
Baselines must be normalized to individual.
Labor intensive.
Do not undertake without clear goals.
IMPLICATIONS CONTINUED
Data can help in staffing decisions.
Sleep monitoring – new iterations.
Not for profit communities role –
evaluate and pilot.
Tipping point concept.
Discussion.
CONVERGENCE
SMART Band-Aids ©
Smart Band Aids*
Patch Drug Delivery
* Band Aid is a registered trademark of J&J
CONVERGENCE
Targeted Drug Therapy
Remote, Mobile Clinics
27
THE INTELLIGENT CONNECTION
TO HEALTH
Connects patients with their
doctor using mobile phone
video chat, instant messaging,
email, and text messaging
Any network, any device,
anywhere
28
PHONE REMINDS PATIENTS TO TAKE
THEIR MEDS
29
30
MORSE GERIATRIC CENTER
4847 Fred Gladstone Drive•West Palm Beach, Florida 33417•(561) 471-5111
•Board Certified Fellowship Trained Geriatrician as Medical Director
•280 Beds Include Long-Term Care, Short-Term Rehab & Hospice Inpatient Care
ADMISSIONS
Hours: 8:30am-5:00pm•Monday-Friday•(561) 687-5755
LEE & DAVID LEVINE REHABILITATION CENTER
(561) 687-5755
VOLUNTEER SERVICES
(561) 687-5871
INSTITUTE FOR GERIATRIC RESEARCH
4920 Loring Drive•West Palm Beach, Florida 33417•(561) 687-5751
JUST CHECKING!
(561) 540-1376
FRIENDS OF MORSELIFE
4847 Fred Gladstone Drive•West Palm Beach, Florida 33417•(561) 687-5750
NEARLY NEW SHOP
2218 South Dixie Highway•West Palm Beach, Florida 33401 •(561) 655-3230
Hours: 9:30am-4:00pm•Tuesday-Saturday
LOLA & SAUL KRAMER SENIOR SERVICES AGENCY
Providing Community and Home Based Programs and Services
WEST PALM BEACH LOCATION
4920 Loring Drive•West Palm Beach, Florida 33417•(561) 616-0707
BOYNTON BEACH LOCATION
8500 Jog Road•Boynton Beach, Florida 33437•(561) 509-0111
PROGRAMS
•Home Health Care •Two Adult Day Care Centers •Homebound Mitzvah Program
•Community Education Programs• Kosher Meals-on-Wheels
THE TRADITION OF THE PALM BEACHES
A Senior Living Community
SHEILA & ALEC ENGELSTEIN THE TRADITION INDEPENDENT LIVING
RUTH & CARL J. SHAPIRO ASSISTED LIVING RESIDENCE
4920 Loring Drive•West Palm Beach, Florida 33417•(561) 687-3005 (AL 10577)
MORSELIFE FOUNDATION
4847 Fred Gladstone Drive•West Palm Beach, Florida 33417•(561) 242-1583
www.morselife.org
MARILYN & STANLEY M. KATZ SENIORS CAMPUS