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Integrating Technology Into Your Culture Change Journey…

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Presentation on theme: "Integrating Technology Into Your Culture Change Journey…"— Presentation transcript:

1 Integrating Technology Into Your Culture Change Journey…

2 Technology – Ready or Not…. Technology is coming, NOW Technology is coming, NOW Aimed at practical applications Aimed at practical applications MDS software, HIPPA compliance, benchmarking, telehealth, transportation, monitoring, etc.MDS software, HIPPA compliance, benchmarking, telehealth, transportation, monitoring, etc. Remember who its supposed to benefit Remember who its supposed to benefit Need strategy that includes the person! Need strategy that includes the person!

3 From a Housing Perspective

4 Meet Grandma This is Grace Margaret She is 83 years old. She is a mother, grandmother and a great-grandmother. She might be moving into your community next week.

5 She will be coming with more than a just a few clothes You are going to need more outlets!

6 Shes also coming with a lifetime of relationships She will expect to stay connected to all of them

7 Even if she is unable to have those expectations, her children and grandchildren will. Count on it!

8 Colorado LLC founded in 1999 Colorado LLC founded in 1999 Develop adaptive computer systems for older adults w/ disabilities Develop adaptive computer systems for older adults w/ disabilities Programs up and running in 37 states, Canada and Australia Programs up and running in 37 states, Canada and Australia Dementia engagement driving 50% of interest Dementia engagement driving 50% of interest

9 Examples of Customer Partnerships… Genesis Healthcare Genesis Healthcare Volunteers of America Volunteers of America Good Samaritan Society Good Samaritan Society Lutheran Homes and Services Lutheran Homes and Services Erickson Retirement Communities Erickson Retirement Communities Pinon Management Pinon Management Total Longterm Care (PACE) Total Longterm Care (PACE) Eden Alternative Eden Alternative Golden Living Golden Living Multiple CCRCs Multiple CCRCs

10 LSN Annual Conference and Expo Navy Pier, April 3, 2008 Internet Gaming – Not Just for Teens Nearly 25% of those 55+ spend a minimum of 43 hours a week playing online games. Nearly 25% of those 55+ spend a minimum of 43 hours a week playing online games. These games improve skills such as: These games improve skills such as: Reaction timesReaction times Spatial reasoningSpatial reasoning Short-term memoryShort-term memory

11 LSN Annual Conference and Expo Navy Pier, April 3, 2008 Old People Cant Learn New Things Decreased physical, psychological, and social activity combined with these perceptions add to a downward spiral of brain functioning. Decreased physical, psychological, and social activity combined with these perceptions add to a downward spiral of brain functioning. Brain plasticity processes with negative impact take over as one ages. Brain plasticity processes with negative impact take over as one ages.

12 LSN Annual Conference and Expo Navy Pier, April 3, 2008 Brain Plasticity The lifelong ability of the brain to evolve with new learning or experiences. The lifelong ability of the brain to evolve with new learning or experiences. Plasticity-based training engages older adults in programs targeting cognitive, physical, and sensory activities. Plasticity-based training engages older adults in programs targeting cognitive, physical, and sensory activities. ACTIVE national clinical trial – appropriate training and practice improves cognitive abilities in older adults. ACTIVE national clinical trial – appropriate training and practice improves cognitive abilities in older adults.

13 LSN Annual Conference and Expo Navy Pier, April 3, 2008 Impact of Technology on Persons with Dementia Interactive technologies promoting reminiscing enhances communication by persons with dementia. Interactive technologies promoting reminiscing enhances communication by persons with dementia. Cognitive stimulation activities may be as effective and more cost-effective comparing results with drug trials for dementia. Cognitive stimulation activities may be as effective and more cost-effective comparing results with drug trials for dementia.

14 LSN Annual Conference and Expo Navy Pier, April 3, 2008 Impact of Technology on Persons with Dementia Use of preferred music prompts motor functioning, memory recall, and decreased agitated behaviors among persons with dementia. Use of preferred music prompts motor functioning, memory recall, and decreased agitated behaviors among persons with dementia. Positive reactions to virtual reality Positive reactions to virtual reality Significant increase in the number of engagement behaviors in both individual and group activities. Significant increase in the number of engagement behaviors in both individual and group activities.

15 How it all Works……

16 Technology Therapy Benefits Increased patient participation Increased patient participation Increased RUGS categories and Part B caseloads Increased RUGS categories and Part B caseloads Therapist Job satisfaction Therapist Job satisfaction Family Satisfaction Family Satisfaction Individualized Activities Individualized Activities

17 Commonly Used CPT Codes 92507 Speech, Language, Communication Treatment 92507 Speech, Language, Communication Treatment 97530 Therapeutic Activities 97530 Therapeutic Activities 97112 Neuromuscular Re-ed 97112 Neuromuscular Re-ed 97110 Therapeutic Exercise 97110 Therapeutic Exercise 97150 Group Therapeutic Procedures 97150 Group Therapeutic Procedures

18 Regulatory Benefits Relevant F-tags Relevant F-tags F240 – Quality of LifeF240 – Quality of Life Create humanizing environment Create humanizing environment F241 – DignityF241 – Dignity Activities that assist resident maintain or enhance dignity Activities that assist resident maintain or enhance dignity F242 – Self determination and participationF242 – Self determination and participation Choose activities inherent with interests Choose activities inherent with interests Interact with community Interact with community

19 Supporting a Relationship-Based Culture with IN2L Genesis Health Care Case Study AHCA 2008 Convention

20 2005: Two test sites Operations wow-ed by IN2L at the Pioneer Network conference Operations wow-ed by IN2L at the Pioneer Network conference Tested with two sites – selected for independent resident population (AL and ICF unit) Tested with two sites – selected for independent resident population (AL and ICF unit) Trained Recreation and Rehab staff only Trained Recreation and Rehab staff only Least successful adoption Least successful adoption

21 2006: Linked to Culture Change 3 Nursing Centers invited to participate based on progress and commitment to culture change 3 Nursing Centers invited to participate based on progress and commitment to culture change Leadership Team invited to presentation: Administrator, DNS, SS, Recreation, Admissions, Culture Change Coordinator Leadership Team invited to presentation: Administrator, DNS, SS, Recreation, Admissions, Culture Change Coordinator Responded to care presentations – I-centered care; family communiques Responded to care presentations – I-centered care; family communiques Genesis Rehab Services pursued independently Genesis Rehab Services pursued independently

22 2007-8: Expansion based on Culture Change Marketed to Operations Executives by current users Marketed to Operations Executives by current users Fourteen Nursing Centers and 1 Assisted Living selected Fourteen Nursing Centers and 1 Assisted Living selected Tied to Person-Centered Care commitments and marketed in one state Tied to Person-Centered Care commitments and marketed in one state Recreation & Behavior Specialist supporting in state with highest concentration Recreation & Behavior Specialist supporting in state with highest concentration Genesis Rehabilitation Services signed agreement with IN2L Genesis Rehabilitation Services signed agreement with IN2L

23 2007-8: Expansion (continued) Expanded training to two tiers, sequenced: Expanded training to two tiers, sequenced: First, Leadership Training – 3.5 hoursFirst, Leadership Training – 3.5 hours Administrator, DNS, Admissions Director, Rehab Director Administrator, DNS, Admissions Director, Rehab Director Led by VP and enthusiastic Center support (Rec or Rehab) Led by VP and enthusiastic Center support (Rec or Rehab) Objective: see the possibilities for personalizing care, engaging families and the community, expanding recreational opportunities; know who to send to the 2- day IN2L training Objective: see the possibilities for personalizing care, engaging families and the community, expanding recreational opportunities; know who to send to the 2- day IN2L training

24 2007-8: Expansion (continued) Expanded training to two tiers, sequenced: Expanded training to two tiers, sequenced: Second, Training for Support TeamSecond, Training for Support Team Two days, hands-on with IN2L staff–how to use equipment, software, troubleshooting Two days, hands-on with IN2L staff–how to use equipment, software, troubleshooting Four-eight staff selected by the Leadership Team: a therapist, Recreation Director, nurse assistant, and others based on interest and positive relationships Four-eight staff selected by the Leadership Team: a therapist, Recreation Director, nurse assistant, and others based on interest and positive relationships Unit Manager, Weekend Supervisor, Cook, Housekeeper, Business Office ManagerUnit Manager, Weekend Supervisor, Cook, Housekeeper, Business Office Manager Introduce and support the integration of IN2L in daily life Introduce and support the integration of IN2L in daily life

25 Lessons Learned… Not just another activity on the calendar! Not just another activity on the calendar! Supports unit-based activities and staff/resident relationships Supports unit-based activities and staff/resident relationships Opportunity for meaningful volunteer/community involvement Opportunity for meaningful volunteer/community involvement Simulation games offering lost opportunities Simulation games offering lost opportunities Multi-media encourages impactful resident personal histories and care needs Multi-media encourages impactful resident personal histories and care needs Extends rehab participation Extends rehab participation

26 Get to Know Me Presentations IN2L introduced the concept – from its community of users – with multimedia Powerpoint (or other photoalbum software) presentations IN2L introduced the concept – from its community of users – with multimedia Powerpoint (or other photoalbum software) presentations Adopted widely through Genesis internal culture change conferences – non IN2L users as well began Adopted widely through Genesis internal culture change conferences – non IN2L users as well began Opportunity to build positive relationships among staff and family Opportunity to build positive relationships among staff and family

27 A Kids Perspective……

28 The Story of Nathan and Mamie…

29 The Power of the Story……

30

31 The IN2L roadmap Cognitive therapy Cognitive therapy Staff training tool Staff training tool Short term rehab opportunities Short term rehab opportunities Migration to at home systemsMigration to at home systems Web based loading of content Web based loading of content Customer specific experience Customer specific experience Integration of television / computing Integration of television / computing

32 Links Assistive technology Assistive technology http://www.loc.gov/nls/reference/circul ars/assistive.htmlhttp://www.loc.gov/nls/reference/circul ars/assistive.htmlhttp://www.loc.gov/nls/reference/circul ars/assistive.htmlhttp://www.loc.gov/nls/reference/circul ars/assistive.html www.resna.orgwww.resna.orgwww.resna.org www.IN2L.comwww.IN2L.comwww.IN2L.com jyork@IN2L.com jyork@IN2L.com


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