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 Facebook

Hi 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 basedInterdisciplinary 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