Tag Archive for: disability provider

Caregiver with mentally challenged senior man

Disability Care Staffing Solutions: How Enabling Technologies Are Solving the Provider Shortage

While many disability service providers struggle with staffing shortages, some are finding solutions to mitigate the problem, cutting costs and increasing independence and outcomes for their residents using enabling technologies.

We recently hosted an engaging discussion with three leaders from organizations utilizing enabling technologies such as GrandCare during our webinar, Combatting DSP Staffing Shortages with Assistive Technology. Our guest speakers included Brian Hart, the COO of LADD and the CEO of ShiftAbility, and Heather Weitz and Christine Gilbertson of Wisconsin-based provider, Opportunity Inc.

LADD is an agency in Ohio that, four years ago, wanted to use technology-enabled supports to change the way they delivered services. As they looked to solve a staff shortage, they devised a Smart Living model. “The Smart Living model is not just a piece of technology or software, it’s a new way of delivering services using technology first, value-added supports, a way we assess staff, cultural methodology of inclusive services, and a whole bunch of different models.” Out of that bore ShiftAbility, a consulting arm, as a way to share how to implement these models for other organizations.

A smart home uses technology like GrandCare touchscreens, sensors, health devices and med dispensers that work as a support system and other home technologies like smart refrigerators and stoves.

“There’s never going to be enough people to provide the support. If you want to provide more supports, you have to do it a different way.” Brian Hart.

Opportunity Inc. is a nonprofit organization in Wisconsin that provides supports in AFH (adult family home) settings and community supportive living settings. Heather and Christina work in the community supportive living program.

“GrandCare has given us a way to actually implement self-sufficiency. Instead of just having staff come in, teach them something and 20 minutes after we walk about the door they completely forget everything that we went through, with GrandCare we’re able to upload videos and add reminders. This has been a huge way that GrandCare has helped us get to the independent living skills and maintain those independent living skills,” said Christina.

A GrandCare system is a remote monitoring and remote support platform on a stationary 17-inch touchscreen that can be set on a countertop or mounted on a wall. The touchscreen can deliver cognitive assists in the form of reminders for ADLs, medication, calendar appointments and much more. It can connect with motion sensors in the home and health devices such as pulse oximeters. Notification rules, simple if-then statements, can be customized for each individual and their support team. The touchscreen provides secure video calls, plus the system includes games, live radio and other entertainment features.

“It helps with staffing as well. We have some clients in their own homes that just need us to go check that they took their medications. Now they can mark off that they did it, and if we need a visual we can video chat instead of having somebody go over. Some of them like that because they want their privacy,” said Heather.

Christina added that many of their high functioning clients use a button on the touchscreen to check in for the night, which sends a notification to the staff that they’re safe at home, and that allows the staff to focus on the people who they need to be physically present for.

“They like that they feel more independent. Instead of coming to us all the time they can go on to their own GrandCare system and look for their schedules, see if they have doctor appointments or when the staff might be coming, and what they’re going to be doing with staff that day.” Heather Weitz

What’s the ROI on Assistive Technology?

The first LADD smart home was part of a two-year study by Xavier University. Researchers set out to measure “occupational performance” (the ability to do everyday tasks without help), resident satisfaction, and the cost of care in the new smart home setting. The results were remarkable. LADD was able to safely reduce direct caregiving hours by an astonishing 75%. This had a profound impact on the cost of care. Prior to GrandCare and remote monitoring technologies, the cost of supporting these individuals was $5,260 per week. Supportive technologies slashed the support costs by over 50% to only $2,607 per week.

“The technology ROI is less than nine months. It’s getting even faster now as we get more efficient,” said Brian. “Each year we’re able to do more with the same amount of resources.”

Learn More

Want to learn more about the GrandCare technology, choosing residents, setting up tech, staff training and funding? You can view the recording of our webinar.

“The big issues we have in our field are staffing, funding and transportation. We can solve for a lot of staffing and funding using technology.” Brian Hart

Have questions or would like to see a free demo? Contact us.

Combatting DSP Staffing Shortages with Assistive Technology Wed May 3, 2023 12pm ET

Combatting DSP Staffing Shortages with Assistive Technology

GrandCare is teaming up with ShiftAbility, LADD and disability service provider Opportunity Inc. to provide a free educational webinar on how technology can help with staffing shortages on Wednesday, May 3, 2023.

Are you struggling with staffing? Are your recruiting initiatives falling short of your goals? Are you seeing an increase in need with a reduced caregiving team?

You are not alone.

Many disability service providers are understandably focused on dealing with the staffing crisis and have little time to explore things like assistive self-directed technology and remote supports. But what if you could solve your staffing issue and provide better and more cost-effective care through technology?

Xavier University’s Department of Occupational Therapy conducted a study of LADD’s smart home in 2020. The results indicated that remote patient monitoring and telehealth technologies including the flagship platform, GrandCare Systems, increased client independence, reduced in-person caregiving hours, and cut staffing costs by 75%. This helped with LADD’s staffing shortage, not to mention the profound impact it had on the cost of care.

Want to know how you can implement this kind of technology? Join us for our free webinar as we walk you through steps you can take to not only minimize the effect of low staff numbers and incorporate assistive/remote technology, but also increase independence and better outcomes for your residents in a way that could actually save you money. Hear about real-life examples from other providers, such as LADD’s smart living program, ask questions, and more. Provider attendees will receive a one-time special discount for purchasing GrandCare Systems. Contact GrandCare for more details.

We will cover:

  • Choosing your technology
  • Installation
  • Resident selection & training
  • How to set up onsite/remote staff supports
  • Funding sources
  • And more

Speakers:
Laura Mitchell, CEO of GrandCare Systems
Brian Hart, COO LADD & CEO ShiftAbility
Heather Weitz, DSP, Opportunity Inc.
Christina Gilbertson, DSP, Opportunity Inc.

When:
Wednesday, May 3rd
9am PT/12p ET

You can’t afford to miss this! Open to all. Register now.

Funding a Technology-Based Service Delivery Model: ID/DD Providers

As a provider interested in serving more people with intellectual and developmental disabilities, you are now seriously considering a shift to a technology-based service delivery model. So, here’s the million-dollar question: how do you get funding for it?

Look into paying for it via a Medicaid waiver. One provider charged $1,000 a month per person living in a smart home powered by GrandCare technology, and was able to get 90% of the fee reimbursed through a waiver, with the rest supported through fundraising and grants. Of course, waivers might be different where you operate, so find out what your state provides. For instance, look for phrases like “assistive technology” on your state’s list of waivers from the Medicaid website. To get answers to all of your waiver questions, it can be very helpful to talk directly with someone from the state, e.g. the county board, or service and support administration.

There are times when a waiver is not currently available in a state, in which case a grant may be the way to go, at least initially. Your state might be offering grants for projects as innovative as what you’re thinking of doing, especially if benefits have been seen in other states. With this funding, you can run a small pilot that not only provides your organization with the evidence for the effectiveness of your technology-based service delivery model, but also paves the way for the state to develop a long-term waiver.

The lack of a waiver did not stop one provider from shifting to a technology-based service delivery model. With private pay, they ran a pilot that ultimately demonstrated that they can reduce in-person support hours while demonstrating better outcomes for their residents: greater success in doing their ADLs independently, and greater satisfaction. Now, their state’s director is eager to connect with other states’ directors to explain the benefit they’re seeing. This is because it can be eye-opening for a state agency to learn that under a technology-based service delivery model, staff are not being removed from a situation, but simply interacting in a different way; they can actually be there more often, via virtual means!

LADD, Inc., a Cincinnati-based disability support provider, was able to safely reduce in-person support hours by 75%, cutting the total cost of support for residents in half.

Your technology-based service delivery model can save the system hundreds of thousands of dollars while still providing you with the margin you need to provide your service. And yes, you’ll be able to provide service to more people, which is why we’re in this in the first place.