In Response to: Joe Coughlin’s It’s the Services Stupid”

I just read an extremely insightful blog entry called

It’s the Services Stupid! Transforming Old Age & New Technology Into Business Innovation

by one of my favorites in the industry, Joseph F Coughlin.

I have included a link to his blog entry below, but he basically starts out with “There is not a shortage of technology being developed for old age so why haven’t these gadgets flooded retail shelves or become a routine government procurement tantalizing contractors in the Fed’s Commerce Business Daily? President Bill Clinton’s advisor James Carville coined the phrase ‘it’s the economy stupid’ to capture what the 1992 American public was most concerned about – the economy. Today’s investors, technology researchers and the aging community need to see the promise of technology but understand what older people, families and payers really care about – complete service solutions that lead to improved outcomes in living.”
… this kind of thing has been on my mind these days…what are the stumbling blocks and what can we do to overcome them? Here is my list of just some initial hurdles that we need to get through in order to get to the point where Digital Home Health Technology & Services can easily be deployed in a retail situation or in a medical situation:
1. REIMBURSEMENT!!! Insurance providers and Medicare providers need to recognize telehealth & remote monitoring as worthwhile and cost-effective investments…they will save money. How many studies do we need to prove this is the case? In the same way that computers saved banks money (eventually, after the learning curves)….this will be a huge cost savings (not to mention, we simply don’t have the physical caregivers nor the brick and mortar to support the massive disruptive demographics)
2. Hardware costs need to come down!  Just like the early laptops and cell phones, the cost of the touchcomputers and bluetooth enabled telehealth devices are significant….mass adoption will drive these costs down and make the solutions more affordable to the software developers and end-users.
3. Acceptance of the public!  This will come with time…GrandCare has been in this market since Jan 2005 and the acceptance has already grown by leaps and bounds (maybe not as fast as we expected), but it’s coming around. People are starting to understand WHAT this is and HOW it can apply to their own lives.
4. Acceptance in the Long Term Care & In-Home Care industry. Again…we are getting there…moving there. It is changing from being viewed as competition to being viewed as a caregiving tool…but how do they best utilize and who should play that role? Plays into #5.
5. There is a new role that will be created for the person that can help implement the right technology into the right situation. Just like in the 90’s when a brand new job role emerged (IT)…there is a need for someone that has enough technical know-how, with a healthcare/caregiving background. This person would be responsible for helping a person transition from hospital to home or even to develop a care plan that married hands-on care along with technology…  I wrote about this new role in my white paper “Healing in Place”: Mitigating Hospital Readmissions Using Technology –
6. Business Models!! We need to create sufficient business models for in-home care providers, hospitals & Long Term Care Facilities. How do they charge? How should they monitor? How should they deploy? We need to define the exact process…in fact, I am working on defining this process at the moment for in-home care providers. What new roles they may need to hire, what an example charge could be and how they might utilize the socialization piece, perhaps add some in-home hands-on care and supplement with 24-7 monitoring.
Thanks again for your thoughtful post Dr. Coughlin!
-Laura Mitchell
GrandCare Systems
www.grandcare.com
reposted on http://www.grandcare.wordpress.com
Read the full blog entry here

“The GrandCare technology is result driven; a proactive versus reactive care solution” – Stacey Pierce, Director of LIVE@HOME Technologies

Testimonial from Stacey Pierce, Director of LIVE@HOME Technologies:

LIVE@HOME Technologies understands the new frontier of in-home care through technology, using both low and high tech technology to meet the needs of our clients. We use everything from telephone check ins, Personal Emergency Response Units and Remote Telehealth & Activity of Daily Living Monitoring Systems such as GrandCare Systems. The GrandCare technology is result driven; a “proactive versus reactive care solution”. As one example, Mr. C has had many heart surgeries, Congestive Heart Failure, and Diabetes. We have worked with his doctors to set wellness parameters and goals to prevent a future “event”. This type of awareness and proactive care can mitigate hospital stays and detect potential symptoms before it becomes life-threatening. Using GrandCare technology, we have kept Mr. C in his home for two years now, saving him and his family, roughly $112,000.

In home care can be very expensive and many simply cannot afford or do not need 24 hours of hands-on care. We utilize technology, such as GrandCare Systems, to work in conjunction with professional caregiving staff. Live@Home Technologies has placed GrandCare technology in many homes, not only as a cost- effective way to stay at home, but also to assess if and when additional care might be warranted.

Live@Home Technologies has also designed programs to save money for Long Term Care Facilities as well as their residents. The average cost of Independent Living at The Oaks, a CCRC in South Carolina, is $2,000.00 per month and goes up to $3,5000.00 for Assisted Living. Live@Home Technologies implemented a new “Monitoring Independent Area of Living” program at the Oaks by using GrandCare motion, door and bed sensor technology to monitor several residents at once. This concept allows the Oaks to reduce unnecessary footsteps and save money by making fewer caregivers more efficient and effective. Each resident has seen a cost savings of $1200.00 per month, that’s almost $15,000.00 per year.

Through the setting of individual rules, we monitor activities such as wandering, being out of bed, leaving apartments in middle of night, not accessing medications, or too much motion in bathroom; all of which have been directly related to UTIs, medications not being taken properly and increased Sundowners. Using the GrandCare technology, we assess each individual’s ADLs, allowing us to be proactive and respond to any notable changes in daily life. Although, technology does not replace care giving and human touch, it can be a helpful tool to gain information on a possible event, save health care costs and give an added peace of mind, while staying at home.

We eagerly anticipate the many exciting ways we can take advantage of the advances in technology to provide top-notch in-home care that meets the demands of our caregiving staff, our residents and their family members.

-Stacey Pierce
Director of LIVE@HOME Technologies

 

About LIVE@HOME Technologies

The Methodist Oaks has more than 50 years of experience of mission and ministry with seniors giving care and services at our Faith Based Continuing Care Retirement Community (www.theoakssc.com). In the last few years, recognizing the need to expand our care giving to a greater community, the Board of The Oaks made the decision to offer our expertise in the integration of Care and Technology throughout South Carolina and portions of North Carolina and Georgia.

The Oaks created LIVE@HOME Technologies to offer the latest in rapidly changing technological advances to assist people in staying at home. LIVE@HOME Technologies constantly researches and test various technologies which are available and utilizes that which best suits the client’s situation. LIVE@HOME Technologies learned early on that the most critical step of helping people stay at home rather than moving to an Assisted Living or other living option is the evaluation of the needs and desires of the potential client and the family.

GrandCare saved us over $230,000…

Carol Roberts with her mother Jean in Daytona Beach, FL

My name is Carol Roberts and I have been using the GrandCare System for my mother since February of 2006. In late 2005, my mom started experiencing Petit Mal Seizures during the night.  The after effect would be disorientation and confusion, which worried our family and her doctors.  We were advised that her only option was assisted living. Mom found that idea to be absolutely abhorrent. She was physically fit, mentally acute and a fiercely independent person. Mom was the one that found GrandCare Systems online back in late 2005 and we decided to give it a shot and see if it might help us to keep her home for a little bit longer, although we had no idea it would be 6+ years longer.

In February of 2006, 2 GrandCare team members flew into Daytona Beach to install the GrandCare System, a series of motion sensors, door sensors and action alert buttons.  It was so simple for me to log in from my home computer and view the motion graphs, and set up alert parameters.  I opted to receive alert phone calls if the front door opened during the night or if wandering motion was detected (a symptom of the seizures).  The GrandCare staff even volunteered to be “on call” for me if I was unable to take the phone call.

GrandCare has the ability to grow with you. We upgraded mom to an Interactive touchscreen and added the blood pressure device recently.  GrandCare has kept me on top of mom’s overall wellness.   I recently noticed that mom’s sleeping patterns were irregular, she was agitated and exhibiting signs of sundowners.  I took her vital charts and the motion graphs to the doctor consultation to figure out the problem.  Thanks to the information that GrandCare had collected, the doctor saw that the time frame of the changes was at the same time he had altered her medications.  He made a few changes and she started sleeping better, was in a better mood and was more mentally acute.

The GrandCare System saved our lives!  Mom got to keep her independence, I got to live my own life and with some “peace of mind”.  I am proud to report that 6 years later, we are still actively using and relying on our GrandCare System.   The average cost of assisted living in Daytona Beach is around $3200. The GrandCare System has already saved us about $230,000 and still counting.

Mom and I consider the folks at GrandCare as a part of our extended family. They truly care about us, the quality system they provide and are genuinely good people.  I highly recommend them and the GrandCare System.

Thanks,

Carol Roberts

Daytona Beach Florida

Watch the 2010 CBS Early Show Interview on Jean & Carol using GrandCare here: http://www.cbsnews.com/stories/2010/08/05/earlyshow/leisure/gamesgadgetsgizmos/main6745504.shtml

LifeWise Renovations

Just ran across this great blog recommendation on GrandCare that we thought we would share.

Two Technologies For Aging In Place

By Katy Dodd

See the whole post by LifeWise Renovations

A team of my constituents and I were recently asked to look at the emerging technologies in aging in place and assess their feasibility for long-term use in the home.  There were two technologies that caught our eye: GrandCare Systems and the Care-O-Bot.

GrandCare Systems is a company based out of Wisconsin that has integrated all the different telehealth technologies into one system. The system connects to any internet connection and communicates with “wireless” sensors throughout the residence. Caregivers can log into the GrandCare website to send communications to a loved one, view activity and tele-wellness sensor information (blood pressure, heart, weight) and customize the automatic caregiver alerts. You can also use GrandCare for socialization, entertainment and communication purposes. Family can send pictures, emails, calendar appointments, voice messages, family videos and more right to the GrandCare System.  You can also play brain bender games, watch the news, listen to the weather, etc. See video.

As with most things, this technology is not for everyone. It does come with a higher price tag than most other systems on the market.  GrandCare does, however, come with more options than any other we have come across thus far.  It is also user friendly and does not require computer experience to operate.

The other technology that caught our eye is the Care-O-Bot.  I think it will be a few more years before we see service robots in the home, but they do offer a solution to the growing problem of not having enough workers to meet the need as well helping to alleviate some of the many issues faced by long term caregivers. The Care-O-Bot can help with dish washing, the lifting of objects, walking, getting up from a chair or bed, the fetching of items, and other basic tasks. See video.  

In a perfect world, I would like to see the two technologies come together and integrate themselves into one easy to use, affordable system (I will speak more on this later).  The reason I mention affordable is because both are relatively high priced. The likelihood that people will be able to afford these luxuries outright is relatively slim.  My suggestion would be to set up a leasing office where customers could apply a monthly payment (similar to a car leasing structure).  If you ask me, this beats paying the monthly cost of assisted living.  People go from owning a home outright to essentially having a mortgage again. This would be much less than a mortgage payment and would allow for one to maintain their independence longer.  It will be interesting to see how this market changes and grows over time, given it is still in its infancy.

February 2nd Webinar: Overview of AARP’s Innovation@50+ program


Thursday, February 2nd

2p ET – 1p CT
grandcaresystems.webex.com
Call in: 1-408-600-3600

With guest speaker Jeff Makowka

In late 2010, AARP created a new group focused on Thought Leadership with the mission of exploring and establishing new ways in which AARP can achieve its social mission: “to improve the quality of life for all as they age”. The Innovation@50+ program is the group’s flagship campaign to engage both the investment and entrepreneurial communities to stimulate innovation to meet the needs and wants of people over 50.

Jeff Makowka, AARP, Senior Strategic Advisor, Thought Leadership

Jeff has over a decade of experience in strategic analysis, management consulting and market research. For over 5 years, he has been focused on the wants and needs of the 50+ both domestically and internationally. As Senior Strategic Advisor in AARP’s newly formed Thought Leadership group, he supports AARP’s Innovation@50+ Program which aims to spark innovation and entrepreneurial activity across public and private sectors. Anchored by AARP’s social mission – to enhance the quality of life for all as we age – the program enlists the expertise of visionary aging/technology thinkers, and builds the business case for all sectors to collaborate on meeting the needs and wants of people over 50.

Prior to this role, Jeff held the position of Senior Manager, Global Member Value in AARP’s Membership Development group. Before his work at AARP, Jeff worked in the Monetizing Knowledge Practice at Edgewater Strategy Services as a Project Manager and Senior Business Analyst. He has also held positions as a Research Associate and Web Business Analyst with Jupiter Media Metrix.

Mr. Makowka earned a Bachelors of Arts in Philosophy and English Literature (double major) and received his Masters of Arts (Licentiate) in Philosophy (Magna Cum Laude).

Join Us Tomorrow for Our First Webinar of 2012!

Adapting to Healthcare Reform: Technologies to Put Your Agency in the Driver’s Seat as Your World Changes

With guest speaker Tim Rowan

Thursday,January 19th 2pm ET – 1pm CT
grandcaresystems.webex.com
Call in: 1-408-600-3600 Pin: 660 339 211#

When hospitals begin to select post-acute partners they can trust to lower their readmission rates, they will look for home care agencies that monitor patients between visits, improve medication compliance, reduce falls, communicate with family caregivers and submit regular readmission reports based on reliable data. Based on his 18 years in home care technology, consultant and writer Tim Rowan will explain the systems you will need to deploy to thrive in the very different reimbursement world that starts later this year.

  • Avoidable Hospital Readmissions will be THE topic of 2012, more important than winning referrals.
  • Hospitals will look to teams of post-acute care providers to form partnerships in the effort to curb readmissions. They will not rely on home health care providers alone.
  • Home health care providers invited to participate on these post-acute teams will be the ones with proven rehospitalization track records and with the latest remote patient monitoring technologies.

New Tech, Old Problems At Silvers Summit 2012

Blog.AARP.org

Posted on 01/13/2012 by // AARP Blog Author

We know that baby boomers are a big group of people. We know that in a 3-month period over this last year, baby boomers spent an average of $367 online every month, more than double the amount of those ages 18 to 22 spend online. We know that the dollars spent on caregiving every year can easily beat the number of dollars spent on the average wedding. So, if there’s this market of moms and dads and grandparents and caregivers putting their hearts and wallets into these statistics, where’s the venture capitalists? Where are the tech blog journalists with their miniature cameras?

You might be surprised.

The Silvers Summit, held during the mother-of-all-tradeshows, the Consumer Electronics Show, has run for the past 8 years. In 2012, it doubled in size. It exhibited a wide variety of products, hosted 39 speakers talking about everything from gaming to customer service, and awarded an inaugural Sterling Award to five companies in five categories. It had a hashtag. Over just one day, 117,430 people on Twitter.com saw coverage of its exhibitors and quotes from its speakers.

You might have expected to see ClearSounds here – my father, at 59, is dependent on products like theirs after early hearing loss – but you might not have expected to see Sterling Award winner LiveMocha, a “language learning community.” I’ve always wanted to visit Istanbul; given the time, I could join LiveMocha and not only take language lessons, but connect with others doing the same thing. Maybe I’d end up meeting a great travel partner; maybe I’d just get to practice my new Turkish with someone across the country I’ll never meet.

Much like the Nintendo Wii’s crossover appeal to older adults, Sterling Award winner AutoVerbal – aimed at helping kids with autism communicate with the help of pictures – has an obvious appeal for anyone struggling with muscle memory and vision. For caregivers, Sterling Award winner GrandCare’s all-in-one-sytem is invaluable – it’ll remind you to take your pills, could alert your caregiver that your blood pressure is out of whack, or – simplest of all – makes it easy for you to send your granddaughter a Facebook message. Made-for-seniors computing system MyGait, a Sterling Award winner in the “Entertainment” category, simplifies all that clicking into an easy-to-use PC system – and for our money, the best part is the keyboard. (It’s the simple things.) Check it out – big keys, bright colors!

Sometimes, great products for the aging are just well-designed versions of things we’ve known all our lives. In the “cause-worthy”

http://blog.aarp.org/2012/01/13/new-tech-old-problems-at-silvers-summit-2012/

GRAND CARE Connects Seniors

A Fantastic interview available on gabradio.com.

Grand Magazine Radio live from the 2012 Consumer Electronics Show talks to Laura Mitchell about GrandCare. This systems connects seniors to medical professionals and family through an efficient and simple touch pad system.

Listen to the interview Here.

http://www.gabradio.com/shows/grand-magazine/item/2196-laura-mitchell-on-gmr

 

Thursday, January 19th Webinar – Adapting to Healthcare Reform:

Technologies to Put Your Agency in the Driver’s Seat as Your World Changes

Thursday,January 19th 2pm ET – 1pm CT
grandcaresystems.webex.com
Download Here

With guest speaker Tim Rowan

When hospitals begin to select post-acute partners they can trust to lower their readmission rates, they will look for home care agencies that monitor patients between visits, improve medication compliance, reduce falls, communicate with family caregivers and submit regular readmission reports based on reliable data. Based on his 18 years in home care technology, consultant and writer Tim Rowan will explain the systems you will need to deploy to thrive in the very different reimbursement world that starts later this year.

  • Avoidable Hospital Readmissions will be THE topic of 2012, more important than winning referrals.
  • Hospitals will look to teams of post-acute care providers to form partnerships in the effort to curb readmissions. They will not rely on home health care providers alone.
  • Home health care providers invited to participate on these post-acute teams will be the ones with proven rehospitalization track records and with the latest remote patient monitoring technologies.

Tim Rowan, Editor, Home Care Technology Report

Tim Rowan has been the Editor of home care’s premier technology news and analysis newsletter, now known as Home Care Technology Report, since 1998. In this position, Tim has had the opportunity to keep an eye on the leading edge of healthcare technology innovation and develop insights into the strengths and weaknesses of the companies that provide software and other technologies to home care providers.
Tim has extensive experience in network design, installation and administrator training since 1986.  He was the Information Technology Director for Physicians Home Health Care in Denver and Colorado Springs from 1993 – 1998, before becoming home care’s most trusted technology reporter. As a consultant, Tim has also helped numerous home care agencies wade through the software selection process.
Tim holds a Masters in Education from Loyola University in Chicago. Most importantly, when he is not writing or speaking at conferences, he spends his time playing with his five grandchildren.

Sponsored By AgeTek

CES 2012, Day One: Stay Connected, Live Longer

Posted on 01/11/2012 by // AARP Blog Author

The Consumer Electronics Show, held every year in Vegas, promises the newest, best, and the flashiest gadgets. New sparkly TVs may not quite make your lunch, but they will let you order takeout online; for $129, a robot can read your Facebook feed to you. (What? I’ve always wanted my friends’ political speeches and baby updates enunciated in robot voice.)

Robots and 3D TVs aside, what you might’ve seen at the Silvers Summit took all that gadgetry and reduced it down to something very simple: stay connected with your friends and family, live longer.

 

It’s no Facebook robot, but GrandCare‘s all-in-one system could remind you to take your pills, might alert your caregiver that your blood pressure is out of whack, or – simplest of all – makes it easy for you to send your granddaughter a Facebook message.

Made-for-seniors computing system MyGait simplifies all that clicking into an easy-to-use PC system – and for our money, the best part is the keyboard. (It’s the simple things.) Check it out – big keys, bright colors!

LiveMocha makes it possible for you to learn a new language with your friends – or meet new ones while absorbing those complicated Mandarin letters. Shiny gadget? Nope, but what if you met a few new friends while learning Russian together? We’ll take that over any shiny gadget.

As an OnStar rep aptly put it yesterday, “It’s not about adapting our lives for tech, it’s about adapting tech for our lives.”

That’s Day One. Tomorrow, we’ll look at smart fridges that know when you’re out of milk, smart washing machines that buzz your smartphone when they’re done, and smart fingernail clippers. (Maybe not the last one, but this is CES – you never know.) Stay tuned – you can bookmark all our CES blogs right here.