janet sullivan wilson, phd, rn associate director, community based interdisciplinary research
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Staying Healthy, Engaged, and at Home: Preparing for the Baby Boomers. Janet Sullivan Wilson, PhD, RN Associate Director, Community Based Interdisciplinary Research Reynolds Center for Geriatric Nursing Excellence University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. - PowerPoint PPT PresentationTRANSCRIPT
Janet Sullivan Wilson, PhD, RNAssociate Director, Community Based Interdisciplinary Research
Reynolds Center for Geriatric Nursing ExcellenceUniversity of Oklahoma Health Sciences Center, Oklahoma City,
Oklahoma
Staying Healthy, Engaged, and at Home: Preparing for
the Baby Boomers
Donald W. Reynolds Center
of Geriatric Nursing Excellence
Funded by the Donald W. Reynolds Foundation, 2008
One of 10 centers of geriatric excellence across the country
As part of OUHSC College of Nursing, the Center benefits from: Interdisciplinary programs Faculty expertise Technology Statewide Case Management Program
Reynolds Center for Geriatric Nursing Excellence (RCGNE)
OUHSC College of Nursing Case Management Program
Our case managers:•Serve as care coordinators, advocates, for all healthcare needs•Help navigate the complicated health-care environment•Decipher complex medical language to help understand all facets of illness.•Help with understanding medical insurance , emotional issues related to caring for family members
Prepare, mentor doctoral students for gerontology scientist roles in community based interdisciplinary research
Translate gerontology science for use within Oklahoma to solve older adult problems
Support a community based aging in place model
Create a statewide network of faculty geriatric champions
Disseminate evidence based geriatric care practices and resources
Reynolds Center for Geriatric Nursing Excellence Mission
Health Care ReformInnovations in Technology
Baby Boomer Demographic Shift
Health Care’s Perfect Storm
2 Seminal Institute of Medicine Studies (IOM) Drove Healthcare Reform:
To Err is Human: Building a Safer Health System (2000)
Crossing the Quality Chasm: A New Health System for the 21st Century (2001)
http://www.iom.edu/About-IOM.aspx
Healthcare Reform
Create leadership, research, tools and protocols to enhance the safety knowledge base
Identify, learn from errors (e.g. Aviation industry model) so system continues to be made safer for patients
Raise standards by using oversight organizations, group purchasers, professional groups
Design safety systems inside health care organizations through implementation of safe practices at the delivery level
IOM Safety Recommendations
1. Care is based on continuous healing relationships
2. Care is customized according to patient needs and values
3. The patient is the source of control4. Knowledge is shared, information flows
freely5. Decision making is evidence-based
IOM 10 Rules for Healthcare Redesign
6. Safety is a system property7. Transparency is necessary 8. Needs are anticipated 9. Waste is continuously decreased10. Cooperation among clinicians is a
priority
10 Rules for Healthcare Redesign
American Telemedicine Association Vision Statement:
Telemedicine will be fully integrated into transformed healthcare systems to improve quality, equity and affordability of healthcare throughout the world.
Technology Innovation
Department of Commerce:◦ $482.4 million or 35 ARRA investments to bridge
tech gap, boost jobs, economy, improve education, healthcare
◦ Includes funding for telehealth, other IT projects◦ NTIA with Dept. Agriculture RUS are administering
$7 billion ARRA initiative to expand broadband services
DHHS: ◦ $32 million in federal funding to support rural health
care◦ $4 million for telehealth projects
Telehealth Monies
Mobile Technology Phone Apps for Health Promotion:
◦ Weight Watchers; Jenny Craig◦ Text4baby.org - free text messages to phones to
help through pregnancy + baby’s first year◦ HealthTxts – for behavior change (to exercise,
stop smoking, lose weight) Wearable Devices
◦ FitBit – tracks sleep, calories burned, exercise◦ DirectLife – weight control
Technology Innovations
Mobile Devise that Monitors EKG, Transmits to iPhone
Remote monitoring◦ Wireless devices◦ Videoconferencing & remote monitoring of exams ◦ Home Devices
ingested pills with microchips that transmit heart rate, body angle, temperature, sleep, and other parameters through electronic bandaid
Implanted monitors for glucose detection, etc.
Signaling Devises for:o medicationso Rx pick-up (Walgreen’s Rx Text Alerts)o Appointments o Exercise
Technology Innovations
Remote Wireless Monitor
Remote Wireless Display
Social Media Disease focused Face Book communities YouTube channels Mobile Technology Websites, blogs Twitter Patient Empowerment Blogs (“Why can’t
Medicine be more like Car Talk?”; CNN) Webcasts Webinars
Technology Innovations
Empowered Health Care Consumer◦ eRecord◦ Personal eRecords◦ Webinars◦ Online support groups
Technology Innovations
The Baby Boomers
Born between 1946-1964
Record # of births Make up 28% of
population today Women = 51% Baby boomer turns
50 every 8.5 seconds 1/1/06 – first baby
boomer turned 60
What The Boomers Look Like
74% work Hold $13 trillion in assets
or 50% of US asset base 50% of all visits to PCP
were made by Baby Boomers
27 million PCP visits made for diabetes
42% shop online for vitamins and natural food
more patients, fewer caregivers
What the Boomers Look Like
Boomers spend several hours online daily
16.5 million seniors engage in social networking including Facebook, Twitter and My Space.
Baby Boomers on My Space average 204 minutes a month.
Out of 130 million members on MySpace, Baby Boomers account for 6.9 million.
What the Boomers Look Like
Check out my photos on FacebookHi Janet-wilson,I set up a Facebook profile where I can post my pictures, videos and events and I want to add you as a friend so you can see it. First, you need to join Facebook! Once you join, you can also create your own profile.
Thanks,Lawrence
Lawrence Bostrom has:18 friends1 photo4 wall posts4 groups
Older Adults & the Social Media
99 Year Old Woman Using iPad
Client safetyEvidence based Interdisciplinary collaborationCommunity BasedThe Healing EnvironmentGreen HealthcareTelehealth
What This All Means
Design of 82-bed St. Joseph’s Hospital, Wisconsin
Maintainingquality, cost
Creating a Culture of Patient Safety
“Evidence-based practice involves using the results of research into what types of design promote patient health and staff efficiencies and incorporating those findings into actual building plans.”
George J. Mann, AIA
Evidence Based Practice
Tiger Place, Independent Living, Columbia, Missouri
Marilyn Rantz, PhD, RN, FAAN
No longer can each discipline work in their own silo
Purpose is to synthesize knowledge perspectives from across various disciplines for best
practices
Interdisciplinary Teams
Community Based
The Healing Environment
Sustainable, Environmentally Friendly, Energy Efficient
Telehealth
Create academic/community collaborations to utilize expertise to apply to problems of older adults
Create innovative solutions for Oklahoma older adult problems
Utilize gerotechnology for innovative solutions
Translate gerontology science for community use
The RCGNE Initiative
No one ever learned to navigate only in calm waters . . .
Navigating Healthcare’s Turbulent Waters