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Technology and Research with SeniorsAmerican Geriatric Society
Orlando, FloridaMay 13, 2010
Alan D. Sadowsky, Ph.D., Director Loring Institute for Geriatric Research and Training
Senior Vice President
PRESENTATION OUTLINE
Campus- MorseLife
Research- summary
Operational Challenges
Implications
Future Directions
OVERVIEW
Perfect Storm – Eric Dishman.
Average Age SNF/HCBS Residents.
Our Data – Majority Seniors Disconnected.
IFAS – Who will care for us?
Weinberg Initiative RFP $9 Million – Caregivers.
BACKGROUNDSELECTED STATISTICS
Florida 19% 65+
Palm Beach County 24% 65+
Jewish Population of Palm Beach County60% 65+
No family in immediate surrounding counties.
RELEVANT TRENDSLife expectancy.Shortage of healthcare personnel – geriatric care (geriatricians, nurses, care managers).Shift left – monitoring role.
Increasing need to manage scarce resources.Long Term Care increasingly difficult to operate in black.Policy (State-National) – move to HCBS.
Shift Left
$0
$20,000
$40,000
$60,000
$80,000
$100,000
AGE
COST
MORSELIFE
280 beds SNF.
65 Short Term Stay – to be 80.
144 IL/AL (180 in active development).
14 levels of care.
Loring Institute for Geriatric Research & Education.
MORSELIFE SENIORS CAMPUS
INSTALLATION
Motion Sensor
INSTALLATION
NAPS Unit
INSTALLATION
The Pad
INSTALLATION
Fall Sensor
INSTALLATION
Data Manager
WEBSITE REPORTING: SUMMARY PAGE
WEBSITE REPORTING: ACTIVITY
WEBSITE REPORTING: ACTIVITY
Shows the last firing for each sensor that is
installed.
WEBSITE REPORTING: SYSTEM STATUS
Orange indicates that it hasn’t fired
in 48 hours.
Black indicates that it has not fired for a week (usually means the battery
needs to be replaced).
BATHROOM ACTIVITY ANALYSIS
SLEEP PATTERNS AND QUALITY
Community
Resident
Note: Blue bars indicate that the sleep period was disrupted in some way
SLEEP PATTERNS AND QUALITY
AL
Resident
Note: Blue bars indicate that the sleep period was disrupted in some way
SLEEP PATTERNS AND QUALITY: CASE STUDY
• Normal sleep behavior until increase in overall restlessness over a 3 month span– Complained of depression and fatigue in February and March
– Paxil prescribed in middle of March note immediate change
OA0010 - Restlessness Levels
0
100
200
300
400
500
600
11/2
4/20
07
11/2
9/20
07
12/4
/200
7
12/9
/200
7
12/1
4/20
07
12/1
9/20
07
12/2
4/20
07
12/2
9/20
07
1/3/
2008
1/8/
2008
1/13
/200
8
1/18
/200
8
1/23
/200
8
1/28
/200
8
2/2/
2008
2/7/
2008
2/12
/200
8
2/17
/200
8
2/22
/200
8
2/27
/200
8
3/3/
2008
3/8/
2008
3/13
/200
8
3/18
/200
8
3/23
/200
8
3/28
/200
8
4/2/
2008
4/7/
2008
Re
stl
es
sn
es
s In
de
x f
or
Da
y
SLEEP PATTERNS AND QUALITY
ILResident
Note: Blue bars indicate that the sleep period was disrupted in some way
SUBJECTIVE ANALYSIS: HR-QOLGeneral Health
1.0
2.0
3.0
4.0
5.0
Baseline Study Avg
Rat
ing
Monitored Group
Non-Monitored Group
Healthy Days: Mental
15.0
17.5
20.0
22.5
25.0
27.5
30.0
Baseline Study Avg
Day
s
Monitored Group
Non-Monitored Group
**
Healthy Days: Physical
15.0
17.5
20.0
22.5
25.0
27.5
30.0
Baseline Study Avg
Day
s
Monitored Group
Non-Monitored Group
**
Healthy Days: No Activity Limitation
15.0
17.5
20.0
22.5
25.0
27.5
30.0
Baseline Study Avg
Day
s
Monitored Group
Non-Monitored Group****
**
* Indicates at least a 90% probability that the differences between baseline and study are NOT found by chance.**Indicates at least an 85% probability that the differences between baseline and study are NOT found by chance.
OPERATIONAL CHALLENGES
Labor intensive –
Website – initial issues.
Logger problems.
Windows platform.
Dial-up.
Single unit dweller.
IMPLICATIONS TO PROVIDER COMMUNITY
We can monitor virtually anything.
How, why, when for what purpose.
Baselines must be normalized to individual.
Labor intensive.
Do not undertake without clear goals.
IMPLICATIONS CONTINUED
Data can help in staffing decisions.
Sleep monitoring – new iterations.
Not for profit communities role – evaluate and pilot.
Tipping point concept.
Discussion.
CONVERGENCE
SMART Band-Aids ©
Patch Drug Delivery
Smart Band Aids*
* Band Aid is a registered trademark of J&J
27
Targeted Drug Therapy
Remote, Mobile Clinics
CONVERGENCE
28
Connects patients with their doctor using mobile phone video chat, instant messaging, email, and text messaging
Any network, any device, anywhere
THE INTELLIGENT CONNECTIONTO HEALTH
29
PHONE REMINDS PATIENTS TO TAKE THEIR MEDS
30
MORSE GERIATRIC CENTER4847 Fred Gladstone Drive � West Palm Beach, Florida 33417 � (561) 471-5111
� Board Certified Fellowship Trained Geriatrician as Medical Director � 280 Beds Include Long-Term Care, Short-Term Rehab & Hospice Inpatient Care
ADMISSIONSHours: 8:30am-5:00pm � Monday-Friday � (561) 687-5755
LEE & DAVID LEVINE REHABILITATION CENTER(561) 687-5755
VOLUNTEER SERVICES (561) 687-5871
INSTITUTE FOR GERIATRIC RESEARCH4920 Loring Drive � West Palm Beach, Florida 33417 � (561) 687-5751
JUST CHECKING! (561) 540-1376
FRIENDS OF MORSELIFE4847 Fred Gladstone Drive � West Palm Beach, Florida 33417 � (561) 687-5750
NEARLY NEW SHOP2218 South Dixie Highway � West Palm Beach, Florida 33401 � (561) 655-3230
Hours: 9:30am-4:00pm � Tuesday-Saturday
LOLA & SAUL KRAMER SENIOR SERVICES AGENCYProviding Community and Home Based Programs and Services
WEST PALM BEACH LOCATION4920 Loring Drive � West Palm Beach, Florida 33417 � (561) 616-0707
BOYNTON BEACH LOCATION8500 Jog Road � Boynton Beach, Florida 33437 � (561) 509-0111
PROGRAMS � Home Health Care � Two Adult Day Care Centers � Homebound Mitzvah Program
� Community Education Programs � Kosher Meals-on-Wheels
THE TRADITION OF THE PALM BEACHESA Senior Living Community
SHEILA & ALEC ENGELSTEIN THE TRADITION INDEPENDENT LIVINGRUTH & CARL J. SHAPIRO ASSISTED LIVING RESIDENCE
4920 Loring Drive � West Palm Beach, Florida 33417 � (561) 687-3005 (AL 10577)
MORSELIFE FOUNDATION4847 Fred Gladstone Drive � West Palm Beach, Florida 33417 � (561) 242-1583
www.morselife.org
MARILYN & STANLEY M. KATZ SENIORS CAMPUS
