Aging Services and Health Informatics

50 %
50 %
Information about Aging Services and Health Informatics

Published on October 15, 2014

Author: michaelobice



How Information Technology Can Impact Care of the Aging

1. Health Informatics and Aging Services

2. Agenda • LeadingAge and the Center for Aging Services Technology (CAST) • State of Technology in Aging Services • Aging Technology Ethical Issues • TeleHealth Overview • Case Study: The VA and TeleHealth • Continua Health Alliance • Reflections

3. LeadingAge Imperatives • Strengthen not-for-profit leadership • Engage consumers • Create the new financing paradigm • Lead innovation • Cultivate talented people • Pioneer technology – Technology is potentially the single most important phenomenon that can synergize the other driving forces to assure value for all concerned

4. CAST FUTURECASTS • Holistic Approach • Simplified Coordination • Person-Centered Service • Hands On Case-Management

5. CAST FUTURECASTS • Transparency • Person-Centered Follow Through and Feedback • Connectivity • Technology Enabled Services and Supports

6. 10 Aging Services Technologies • Intuitive computer interfaces • Wireless data communication networks • Electronic health record (EHR) systems • Electronic records sharing • Telemedicine/Telehealth

7. 10 Aging Services Technologies • Behavioral/activity monitoring systems • Fall prevention/detection systems • Tracking/wander management systems • Medication adherence systems • Brain and physical fitness technologies

8. State of Technology in Aging Services • Potential of Aging Services Technology – Help older adults maximize their independence – Support the needs of professional and family caregivers – Improve quality of care and quality of life – Reduce our nation’s health care costs – Increase aging services provider efficiency

9. Open Letter from Andy Grove • The average American spends $440,000 on health care in his lifetime, and $280,000 will be spent after age 65. • 50% of that post-65 outlay goes to assisted-living facilities and nursing homes. • Keep elderly patients in their own homes longer, without degrading quality of care a cheaper and better system.

10. Open Letter from Andy Grove • Using everyday, low-cost technology - the sensors, microchips, small radios you'd find in today's PCs, in cell phones, and in Bluetooth earpieces. • Endorsement and reimbursement by Medicare is critical • The savings achieved by keeping just 10% of the aging population in their homes can amount to $30 billion a year.

11. State of Technology in Aging Services • Barriers to Implementation – Negative Experience and Misconceptions – Privacy and Security – Usability – Provider Workflow and Interoperability – Liability – Lack of Consensus on Value – Lack of Financial Incentives

12. AARP Healthy@Home 2.0 • Home Safety Devices – Roughly 80% believe the devices would make them feel safe, and be a comfort to family/friends – Roughly 80% are concerned about the costs to install and maintain the devices – 54% would be willing to pay $1 to $50 per month for the devices and 41% would not be willing to pay anything

13. AARP Healthy@Home 2.0 • Personal Health and Wellness Devices – 70% believe that devices would make them feel safer, and benefit family but, 80% are concerned about costs to install and maintain – 50% or more are concerned about stigma and privacy – 51% would be willing to pay $1 to $50 per month for the devices and 42% would not be willing to pay anything

14. State of Technology in Aging Services • Recommendations – Raise Awareness of Benefits – Support Research on Value Equation – Provide Investment Incentives – Develop Technology Infrastructure – Incorporate Older Adults in Design – Promote Collaboration Among Technology Firms

15. Three Types of Technologies • Health and Wellness • Safety • Social Connectedness

16. Health and Wellness Technologies • Health Management Programs • Robots • Medication Adherence Devices • HD Audio and Video

17. Polycom Healthcare Delivery Technology • Lockable Drawer • Available over Ultimate HD architecture • Two monitor functionality with one monitor – Send images while simultaneously showing participants • Easy connectivity to Medical Peripheral Devices – Otoscopes, Handheld camera, Stethoscopes, Dermascope, etc • End to end encryption • Based on AES (the strongest possible encryption algorithm) • Stereo sound provides high quality audio for medical interactions HDX / VSX Practitioner Cart

18. Safety Technologies • Remote Monitoring • Bio-Sensor Systems • Smart Homes

19. High Technology for Low Vision • Customizing a computer LowBrowse • Cellphone with camera and feedback KnfbReader Mobile • GPS system Trekker Breeze • Mini magnifiers • Prosthetic contacts

20. Social Connectedness Technologies • Wii – Best Wii Games for Seniors • Brain Fitness • Jitterbug Cell Phone

21. Aging Technology Ethical Issues • Privacy of Information • Privacy of Person/Place • Informed Consent • Equity of Access

22. Aging Technology Ethical Issues • Autonomy Versus Dependence • Paternalism • Patient and Provider Relationship • “Medicalization” of Home

23. Telehealth Leadership Initiative • What are the Different Types of Telehealth? – Tele-Dermatology – Tele-Radiology – Tele-Nursing or Ask-a-Nurse – Tele-Psychiatry – Tele-Dental – Tele-Ophthalmology – Tele-education / Continuing Education

24. Telehealth Leadership Initiative • Telehealth can: – Reduce unnecessary delays in receiving Rx – Reduce or eliminate travel expenses – Reduce or eliminate the separation of families during difficult or emotional times – Provide MD services in underserved areas – Allow patients to spend less time in waiting rooms

25. Value of Remote Monitoring • There is increasing evidence to support the value of remote monitoring for individuals with chronic conditions, including: – 35-56% reduction in mortality – 47% reduction in risk of hospitalization – 6 days reduction in length of hospital admission – 65% reduction in office visits – 40-64% reduction in physician time for checks – 63% reduction in transport costs

26. Agency for Healthcare Research and Quality: Telehealth • Telehealth can improve patient safety and quality of care. • Guidelines for reimbursement of telehealth are necessary for sustainability. • Telehealth systems should be integrated with electronic health record (EHR) systems to promote continuity of care across clinical settings.

27. Medicare Payment for Telehealth • Medicare reimbursement for telemedicine or telehealth services is divided into three areas: – Remote patient face-to-face services seen via live video conferencing – Non face-to-face services that can be conducted either through live video conferencing or via store and forward telecommunication services – Home telehealth services

28. The VA and Telehealth • Telehealth/Telemedicine: “The use of electronic information and communications technologies to provide and support health care when distance separates the participants.” • Types of Telehealth – Synchronous: Real-time – Asynchronous: Store-and-forward

29. VISN 8 Sunshine Network

30. Synchronous TeleHealth • Telemental health • Telesurgery • Telerehabilitation • Telecardiology

31. Asynchronous Telehealth • Teledermatology • Telepathology • Teleradiology • Teleretinal imaging

32. Home Telehealth Technologies Flexible Sensor Connectivity BBlloooodd ssuuggaarr TThheerrmmoommeetteerr BBlloooodd pprreessssuurree SStteetthhoossccooppee CCaammeerraa EECCGG PPuullssee OO22 309 DDiiggiittaall SSccaallee

33. VA Telehealth Outcomes: Patient Census Growth Year Census Change FY03 2,000 Base Year FY04 4,430 121% FY05 8,922 101% FY06 21,572 142% FY07 31,570 46%

34. Use Reductions Condition # of Patients % Decrease in Utilization Diabetes 8,954 20 Hypertension 7,447 30 CHF 4,089 25 COLD 1,963 21 Depression 337 56

35. Continua Health • Continua Health Alliance was established June 6, 2006 with 22 member companies. More than 240 companies are members today. • Mission: to establish an eco-system of interoperable personal connected health systems that empower individuals and organizations to better manage their health and wellness. • Market segmentation: Living independently longer, wellness, and managing chronic conditions

36. Continua Health • Continua member companies will select connectivity standards and publish Guidelines for strict interoperability. • Continua is establishing a test and certification program with a recognizable logo signifying the promise of interoperability with other certified products. • Interfaces and standards set for: – personal devices (weight scale, glucose meter, pulse oximeter) – health records (E H R, PHR, NwHIN, HIE)

37. AST Research Opportunities • How aging services technologies can be incorporated into the structure of ACOs and patient centered medical homes • Translational research that examines the efficacy and cost-effectiveness of technology • Demonstrate that in-home technologies preserve health, independence and dignity • Produce practical implementation guides that providers could use to replicate tested strategies and create sustainable business models

Add a comment

Related presentations

Trabajo de democracia

Trabajo de democracia

October 23, 2014


Confrontando mitos mari

Confrontando mitos mari

November 6, 2014


Mitos y realidades de las sustancias psicoactivas

Mitos y realidades de las sustancias psicoactivas.

Confrontando mitos

Confrontando mitos

November 6, 2014

Confrontando mitos

Related pages

Aging Services and Health Informatics - Healthcare

1. Health Informatics and Aging Services ; 2. Agenda • LeadingAge ...
Read more

Health informatics and the delivery of care to older people.

Health informatics and the delivery of care to older ... In the light of an aging society, ... Delivery of Health Care* Female; Health Services for the Aged*
Read more

HSRIC: Health Informatics

Access health informatics data, ... National Information Center on Health Services Research and Health ... Aging Population Issues; Child Health Services ...
Read more

State of Technology in Aging Services Report - LeadingAge

State of Technology in Aging Services ... “Economic analyses for ICT in elderly healthcare: questions and challenges” Health Informatics ...
Read more

Informatics Academic & Training Programs | AMIA

... with expertise in both bioinformatics and health informatics as well as health ... leader in medical informatics and health services ...
Read more

Strengthening the Role of Medical Informatics in Promoting ...

... a health informatics system, ... require more health care services and incur higher ... health and positive aging throughout the lifespan;
Read more

A demand for more personalized accessible medical ...

in health and care-services. It can, when implemented and used with ... promoting a positive aging with the help of medical informatics. AGECVD, ...
Read more

Aging Services | LinkedIn

View 4828 Aging Services ... Commission on Aging, ... of Human Services Division of Aging Services Past Director of Health and Wellness and ...
Read more