Track 4.02 Commercial Marketplace and Nursing Home Transformation –

Following Consumer DemandJune 15, 2007

12:15 PM

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Daniel H. WiltVice President

Information Technology

Erickson Retirement Communities

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Erickson Retirement Communities

• Erickson, a developer and manager of campuses for middle-income people over age 62, current supports more than 19,000 residents at 18 campuses in 9 states (Maryland, Virginia, Pennsylvania, Michigan, New Jersey, Massachusetts, Texas, Colorado, Illinois).

• Each campus is supported by Erickson HealthSM, the nation’s largest and most completely integrated wellness and health care system and has independent living apartments, assisted living and nursing home facilities with climate-controlled walkways providing access to all campus amenities including multiple restaurants, convenience markets, on-site medical center, bank branches, hair salons, barber shops and interfaith pastoral staff.

Erickson HealthSM

• Integrated Wellness Care Delivery Model– Primary Care Providers– Skilled Nursing and Assisted Living– Home Health– Rehab– EMS– Care Coordination– Mental Health and Wellness

• Erickson AdvantageSM

– Medicare Advantage Demonstration Project• Health Information Exchange (HIE) Participation• Personal Health Records (PHR)

Current Skilled Nursing Product

Current Assisted Living Product

Where we’re heading to, More Assisted Living Product

Why More Assisted Living?

• Cognitive impaired – i.e. dementia continuing to increase

• Benefit from enhanced daily programming • Increased and better screening tools to get the

right resources for residents• Resident needs and guardian feedback • Enhanced Service offering• Decreased institutional setting• Opportunities for transition from IL, AL, SNF

Moving towards the Household Model

Program is designed for a smaller living environment supported by household staff

Household Staff includes Household Nurses and Household Associates

Household Associates provide nursing, programming, housekeeping, and dining support to the residents

Functional Activity Based Programming

Functional Activity Based programs areindividually designed to address:• The needs of the resident• Personal preferences• Behavioral status • Life long history • Strengths and capabilities• Cognitive challenges of each individual• Functional capacity as determined by selected

screening tools • Individual Program Plan

Program Highlights

• Activities based on cognitive assessment• 5 meal plan & 24 hour snack availability • Custom Interiors • Life skill activities • Resident preferences: morning/ evening bath or

shower, early or late riser, activities of choice

Life Skill Activities

Current Dining Experience

Participatory Dining Experience

Participatory Dining Experience

Technology that Supports the Operations

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SNF Technology Adoption Model

Stage Levels of EMR Adoption9 Resident Access to Personal Health Records

8 Medical record fully electronic: Care Delivery Organization able to contribute to EHR as a by product of EMR. Clinical analysis of data driving resident outcomes.

7 Closed loop medication administration (eMAR integrated with CPOE and pharmacy to maximize point of care safety processes)

6 Clinical and Business Processes restructure for enhanced workflow and automated clinical support

5 Ancillary: Electronic documentation from Rehab, Labs, X-Rays, and Clinical Reports

4 Physician Documentation (Protocols, outcomes, variance and compliance alerts)

3 Order Entry and Electronic Administration Entry (Medications and Treatments)Clinical Decision Support System (error checking within than order entry, i.e. drug-drug, drug-food, drug-lab conflicts)

2 Clinical Documentation (vital signs, assessments, interdisciplinary notes, care plan charting, and, flow sheets),

1 Point of Care Documentation (Activities of Daily Living and Care Delivery Services)

0 MDS and Care Planning

How is technology changing the environment?

• Care Plans• Assessments• Orders: Medications

and Treatments• Medication

Administration Records

• Activities of Daily Living

• Labs18

How is technology changing the environment?

• Wireless• Laptops• Point of Care

Documentation• Paper reduction• Universal Access to

Information

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Personal Health Records

• Resident Access to medical information: Medications, Problems, Labs, etc.

• Portable to any place• Improved quality of

information because of their ability access the information

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External Integration

• Linking with Hospitals and Specialists

• Building a more complete clinical picture

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Electronic Prescribing

• Improving communication

• Reducing transcription errors

• Reducing duplicative work for staff

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Thank You

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