using technology to create community-based service programs

Using Technology to Create Community-Based Service

Programs

April 18, 2011Sterling Wind

BRAINSTORM 2011

What is Imagine!

• Established in 1963 in Boulder County, Colorado, United States

• Community Centered Board (CCB)• Variety of Supportive Services• 85% Funding from Medicaid• Provided support services to 2,500 people in

2008

About Imagine!

The Mission of Imagine! is to create and offer innovative support services to people of all ages with cognitive, developmental, physical, and health related needs so they may live fulfilling lives of independence and quality in their homes and communities.

US Supportive Services are Changing

Care is becoming increasingly complexCaregivers need more informationPeople are living longer Wellness PromotionReimbursement PoliciesConsumer/Family Involvement Health Professional Shortage

Find People with the Knack

Leveraging Opportunity … Product Development/Customer BaseResearch and Development/Stable OrganizationAcross Service Realms/Similar Service NeedsFamilies/Demand ManagementInternal - D.I.G’s/Staff Tenure and Development

Change to Survive

Improve Consumer Services/SupportsAssess Service/Support NeedsFacilitate Communication/Involvement Families

Improve Organizational Efficiency /IT IQCoordinate InformationAssess/Evaluate DSP (Direct Service Professional)

Research and DevelopmentDesign/Develop New ProductsDemonstrate Success/Failure

Create New Service ModelsAddress Waiting Lists

Establish/Develop New PartnershipsSocial Ventures

The goal of the Imagine! SmartHome: Through the application of technology, we will improve the quality and efficiency of supportive services for individuals with developmental and other disabilities in a permanently affordable, cost effective, and energy efficient community setting.

http://imaginesmarthomes.org

Long Term Goal

Through the application of technology, we will improve access and availability of supportive services for individuals with developmental and other disabilities so that they may lead fulfilling lives in their homes and communities.

Participatory Process

Consumer/Family InvolvementDesignSelection ProcessOutline Expectations

House GuidelinesConsumer/Family SatisfactionTechnology Assessment/Evaluation

Areas of Technology

Consumer Specific Supportive ServicesFamily Communication and AccessOperational – Management and Line Staff (DSP) Support and InformationEnvironmental – Home Management and Monitoring Systems

Partners

Accessible Desktop

Accessible Desktop

Accessible Desktop

Consumer/Family Specific

Universal Interface - UMPCEnvironmental Control SystemCommunication – VOIPRFID, IR and GPS CapableTeaching and Prompting Systems Family Information Systems

Operational

SaaS ModelManagement Interface -Browser BasedEmployee Time TrackingDSP Interface - Browser Based Automate Documentation

Incident TrendingCare PlansBilling/Utilization

Multiple Platform IntegrationLMSFamily Access/Portal

Advanced Process Solutions: The CARE System

Variety of Remote Monitoring Systems

• Cameras PTZ – Fixed Units

• Motions Sensors Detect Falls/Proximity

• Security/ Health and Safety Sensors

Doors/Windows - Alarms• GPS- Community• RFID – Specific Location

Environmental Control Data - Trends

SaaS Models Create a Support Network

Data Rich Environment Data System Informed Communities of Care

Support

Network

Transforming Data into Information

Sensors Alerts

Sensors Log Portal Use

Profiles Alert Preferences

StaffMembers

Consumers

Managers

•Alerts & Notifications•Live View•Supports Summary•Performance Metrics

Staff Members

Staff Members

•Global Perspective•Client Overview•Employee Overview

ManagersManagers

• Live View• Historic Trends• Health information • Social information

CARE System

Staff

Integrated Alert System

Making Alerts Meaningful

• Who, What, Where, When • Customizable• Insightful

Advanced Process Solutions: The CARE System

Consumer SummaryInformation Summary and Documentation Hub

* Metrics * Communication * Quick Documentation *

Advanced Process Solutions: The CARE System

Engaging the Family and Support

Network• Sense of Connection alleviates concerns• Transparency engages families as members of the support network.• Opportunities to contribute provide a sense of belonging and purpose.

Networked Gaming

®

• Web-Based – manage records from a central location

• Intuitive User Interface • Improved compliance with Medication

Administration• 75% reduction of medication

administration errors • Reduces staff training by 18 hours per

residence• Pharmacy Interface

®

Case Study • 190 consumers• 16 Staffed Sites/3 Group Homes/90 Foster Care Residences• This organization has experienced 12% growth in their residential program for the

last 6 years. During that time the nursing headcount has remained flat increasing the nursing/caonsumer ratio from 1:27 to 1:56

• Quality Assurance audits showed a 48% decrease in Medication errors• Cost of Ownership: for 1$ spend on MedSupport® saved $ 15.5

Headcount # Rate Savings Details

Nurses 5 FTE $30/hr 16 hrs/nurse/mth 960 hrs saved= $28,800 or 1 nurse PTE or 1 Med Tech FTE

Administrative Staff 4 FTE $18/ hr 2842 hrs/ yr in increase productivity

2842 hrs saved = $51,156

New Staff/ month 20 $15/hr 11hrs/staff 11 hrs training time saved per staff= $39,600

Total Savings $131,112

Yearly MedSupportSubscription

$8460

Energy Management

Energy EfficiencyIntelligent Monitoring –Data Mining to Create Usage Profiles Create and Optimize Load ProfilesIntegrate Adaptive Technology with GridAgents Technology

Changing Static to Dynamic

Consumer ActionsDirect Care InteractionsBilling for ReimbursementNotification and PromptingHealth/WellnessFamily Involvement

Current and Potential Research

Working with Colorado WIN PartnersIdentified 31 areas of research

Quality of LifeEffectiveness of servicesProvide Cost and Energy SavingsImproved Health and Safety

Funded through Grants

Areas of Development

Consumer AssessmentIntegrating Multiple IT PlatformsDSP Training (Learning Management Systems)Product Development and Assessment

Adaptive EquipmentBehavioral SupportsBehavioral Patterns Recognition through Energy UsageSocial Networking

Capturing Life History

Sterling Wind – swind@imaginecolorado.org

SmartHome – http://Imaginesmarthomes.org

FaceBook – http://www.facebook.com/pages/Imagine-SmartHomes/86609388388

Twitter – http://twitter.com/ImagineColorado