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(c) 11/29/06 Hop Up | 1 Just Hop Up, Look Here, Read This, Listen Up, Don’t Breathe & Stay Still! Access to Medical Equipment – Where are.

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Presentation on theme: "(c) 11/29/06 Hop Up | 1 Just Hop Up, Look Here, Read This, Listen Up, Don’t Breathe & Stay Still! Access to Medical Equipment – Where are."— Presentation transcript:

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2 (c) 11/29/06 Hop Up | jik@jik.com 1 Just Hop Up, Look Here, Read This, Listen Up, Don’t Breathe & Stay Still! Access to Medical Equipment – Where are We? ILRU Web Cast 11/29/06

3 (c) 11/29/06 Hop Up | jik@jik.com 2 June Isaacson Kailes Associate Director jik@pacbell.net 310.821.7080

4 (c) 11/29/06 Hop Up | jik@jik.com 3 Western University of Health Sciences Pomona, California www.cdihp.org

5 (c) 11/29/06 Hop Up | jik@jik.com 4 www.cdihp.org Western University of Health Sciences Pomona, California Established 1998 TTY: 909-469-5520, FAX: 909-469-5503

6 (c) 11/29/06 Hop Up | jik@jik.com 5 CDIHP works to enhance health of people with disabilities through: –public policy, –consulting, –training, –research & –dissemination activities.

7 (c) 11/29/06 Hop Up | jik@jik.com 6 www.jik.com/disaster.html

8 (c) 11/29/06 Hop Up | jik@jik.com 7 www.cdihp.org –Products –Evacuation Preparedness

9 (c) 11/29/06 Hop Up | jik@jik.com 8 www.cdihp.org –Products –Emergency Health Information

10 (c) 11/29/06 Hop Up | jik@jik.com 9

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12 (c) 11/29/06 Hop Up | jik@jik.com 11 Objectives –Review Survey results from National Consumer Needs Assessment Strategies for getting accessible equipment into offices of health care providers. Existing accessible equipment resources.

13 (c) 11/29/06 Hop Up | jik@jik.com 12 Objectives Present new & reinforce known tools/strategies that bridge gaps between safe, quality health care & reality of health care experiences today

14 (c) 11/29/06 Hop Up | jik@jik.com13 Intended Outcomes Motivate you to advocate for increased accessibility of medical equipment To get this on the radar screen of health care providers To create the ground swell, the tipping point to make change happen!

15 (c) 11/29/06 Hop Up | jik@jik.com14 HOP UP

16 (c) 11/29/06 Hop Up | jik@jik.com15 Look here

17 (c) 11/29/06 Hop Up | jik@jik.com16 Read this

18 (c) 11/29/06 Hop Up | jik@jik.com17 LISTEN UP

19 (c) 11/29/06 Hop Up | jik@jik.com18 Stay still

20 (c) 11/29/06 Hop Up | jik@jik.com19 Don’t breathe

21 (c) 11/29/06 Hop Up | jik@jik.com 20 Accessibility and Usability of Medical Equipment for People with Disabilities: A National Survey Jill M. Winters, PhD, RN, 1 Molly Follette Story, MS, 3 Kris Barnekow, PhD, OTR, 1 Brenda Premo, MBA, 2 June Isaacson Kailes, MSW, 2 Erin Schwier, OTD, 2 R. Sarma Danturthi, PhD, 1 & Jack M. Winters, PhD 1 1. Marquette University 2. Western University 3. University of California-San Francisco

22 (c) 11/29/06 Hop Up | jik@jik.com 21 Study funded in part by: National Institute on Disability and Rehabilitation Research grant H133E020729

23 (c) 11/29/06 Hop Up | jik@jik.com 22 www.rerc-ami.org

24 RERC-AMI Vision All people should have access to healthcare products, facilities & services & to employment in healthcare professions.

25 (c) 11/29/06 Hop Up | jik@jik.com 24 Marquette University Western University of Health Sciences: Center for Disability Issues and the Health Professions University of California: Ergonomics Lab Human Spectrum Design University of Wisconsin at Milwaukee University of Connecticut PARTNERS

26 RERC-AMI Objectives Assist individuals with disabilities: To utilize full range of healthcare services To gain access to employment in healthcare Assist instrumentation developers: To produce accessible/usable medical devices Assist healthcare providers to better serve: The needs of their patients with disabilities The needs of their employees with disabilities

27 (c) 11/29/06 Hop Up | jik@jik.com 26  Health –  Providers  Plans  Educators  People with disabilities  Advocates  Manufacturers  Vendors / Sales Reps  Policy Makers Audience

28 (c) 11/29/06 Hop Up | jik@jik.com 27 Intended Outcomes Reduce costly health disparities among people w/ disabilities by removing barriers to health care services. Create new accessibility standards for accessible medical equipment.

29 (c) 11/29/06 Hop Up | jik@jik.com 28 457 people completed part or all of survey, 408 provided usable data

30 (c) 11/29/06 Hop Up | jik@jik.com 29 50 states represented

31 National Consumer Survey Exploratory cross-sectional design; Choice of format:  computer: online  computer: Word document  paper: PDF document (standard or large print)  over telephone (voice or TTY)  In person

32 Overview Survey divided into three sections: 1.Demographic information 2.Functional capabilities appraisal 3.Difficulties experienced with specific equipment

33 Survey: Problems with Specific Equipment Your experience with [equipment]: None, Little, Moderate, Frequent, Extensive Your difficulty or discomfort with [eqmt.]: None, Little, Moderate, Extreme, Impossible What difficulties did you have with [eqmt.]? (Please describe.) What changes might be made to improve the ease and/or comfort of using [eqmt.]? (Please describe.)

34 Survey Results: The Big 4 Type of Equipment Examination tables (n = 291) X-ray equipment (n = 258) Rehab./exercise eq. (n = 203) Weight scales (n = 222) ≥ Moderate Difficulty 74.9% 68.2% 55.1% 53.6%

35 (c) 11/29/06 Hop Up | jik@jik.com 34 Exam Tables 225 people 75% experienced > moderate difficulty

36 (c) 11/29/06 Hop Up | jik@jik.com 35 Problems with Examination Tables (n=263) Percentage Experience: NoneLittleModerateFrequentExtensive Percentage 07.531.7 22.6

37 (c) 11/29/06 Hop Up | jik@jik.com 36 Problems with Examination Tables (n=263) Difficulty/discomfort: Percentage NoneLittleModerateExtremeImpossible Percentage 10.315.232.333.58.7

38 (c) 11/29/06 Hop Up | jik@jik.com 37 “it takes a village to get me on the table” “it takes a village to get me on the table”

39 (c) 11/29/06 Hop Up | jik@jik.com 38 Examination Tables –Height: too high –Width: too narrow –Comfort: hard surface, nothing to lean on –Getting on: nothing to hold on to –Fear: being alone; long wait –Other: Step: too small, nothing to hold on to Stirrups: hard to use Paper: slippery; contrast; notes

40 (c) 11/29/06 Hop Up | jik@jik.com 39 X-Ray Equipment

41 Problems with X-Ray Equipment (n=238) General x-ray, MRI, CT scan, PET scan, mammogram, bone density scan, ultrasound, etc. Percentage Experience: NoneLittleModerateFrequentExtensive Percentage 017.040.735.720.6

42 (c) 11/29/06 Hop Up | jik@jik.com41 Problems with X-Ray Equipment (n=238) General x-ray, MRI, CT scan, PET scan, mammogram, bone density scan, ultrasound, etc. Percentage Difficulty/discomfort: NoneLittle33FrequentExtensive Percentage 161740.7323

43 (c) 11/29/06 Hop Up | jik@jik.com 42 X-Ray Equipment 181 people, 68% experienced > moderate difficulty General x-ray; MRI, mammogram, ultrasound, Scans: CT, PET & bone density; etc.

44 (c) 11/29/06 Hop Up | jik@jik.com 43 Problems with Weight Scales (n=203) Percentage Experience: NoneLittleModerateFrequentExtensive Percentage 028.937.318.615.2 e.g., standing, chair, wheelchair, bed, etc.

45 (c) 11/29/06 Hop Up | jik@jik.com 44 Problems with Weight Scales (n=203) Difficulty/discomfort: Percentage NoneLittleModerateExtremeImpossible Percentage 3015.325.116.712.8 e.g., standing, chair, wheelchair, bed, etc.

46 (c) 11/29/06 Hop Up | jik@jik.com 45 Weight scales 120 people, 54% experienced > moderate difficulty

47 (c) 11/29/06 Hop Up | jik@jik.com 46 Examination & Procedure Chairs 132 people, 50% experienced > moderate difficulty Dental, oral surgery, eye exam, laboratory, reclining procedure (chemotherapy, dialysis, transfusion)

48 Where do we go from here???

49 RERC-AMI Needs Analysis Goal: Knowledge of instrumentation problems & needs R1.1 / Healthcare Consumers  Surveys, focus groups R1.2 / Healthcare Service Providers  Surveys, interviews with 2 key subgroups R1.3 / Device Manufacturers  Interviews with 8 subgroups R1.4 / Problem Definition  Prioritized lists and work plans

50 R2 / Usability Testing of Specific Equipment Four current studies: Radiology equipment – at UCSF Pill splitters and containers – at community senior centers 3.Blood glucose monitors and syringe dosing devices – at centers for the blind 4.Exam tables, pads, poles, and steps – at UC Ergo Lab

51 (c) 11/29/06 Hop Up | jik@jik.com 50 Bridging the Accessible Equipment Gap

52 (c) 11/29/06 Hop Up | jik@jik.com 51 What you can do!

53 (c) 11/29/06 Hop Up | jik@jik.com 52 You – one person can make a difference!

54 (c) 11/29/06 Hop Up | jik@jik.com 53 We can’t do it!

55 (c) 11/29/06 Hop Up | jik@jik.com 54 Speak Up!

56 (c) 11/29/06 Hop Up | jik@jik.com 55 Direct the Show

57 (c) 11/29/06 Hop Up | jik@jik.com 56 One person can make a difference. Survey of 379 Massachusetts health care providers found they made access changes based on: – 60% ADA compliance –49% State requirements – 33% PATIENT RECOMMENDATIONS FOR IMPROVEMENT –25% because they completed an ADA checklist –25% JCAHO and other certifying agencies

58 (c) 11/29/06 Hop Up | jik@jik.com 57 Commercially available devices are more accessible, but they are not widely used!

59 (c) 11/29/06 Hop Up | jik@jik.com 58 How do you handle getting: A height adjustable (high/low) exam table, Or assistance transferring to an exam table.

60 (c) 11/29/06 Hop Up | jik@jik.com 59 Just Hop up ….

61 (c) 11/29/06 Hop Up | jik@jik.com 60

62 (c) 11/29/06 Hop Up | jik@jik.com 61 How do you handle getting weighed?

63 (c) 11/29/06 Hop Up | jik@jik.com 62 Do provider directories indicate degree of physical access? Parking Routes Offices Restrooms Equipment –Exam / diagnostic

64 (c) 11/29/06 Hop Up | jik@jik.com63

65 (c) 11/29/06 Hop Up | jik@jik.com 64 Good Practice Rhode Island’s Mammography Centers Database – can be search via “wheelchair access” Is the mammography equipment wheelchair-accessible?http://www.ricancercouncil.org/resources/mammography.php

66 www.inclusivefitness.org Weight Pin Colour Before:After:

67 www.inclusivefitness.org Weight Pin Grip Before: After:

68 www.inclusivefitness.org Reaching High Handles Before:After:

69 (c) 11/29/06 Hop Up | jik@jik.com 68 Preventable medical condition that was far more costly to treat than it would have been to prevent.

70 (c) 11/29/06 Hop Up | jik@jik.com 69 ADA Enforcement To get to Enter Use Communicate with providers

71 (c) 11/29/06 Hop Up | jik@jik.com 70 We are not receiving medical & preventive care that is as EQUALLY EFFECTIVE as that provided to others.

72 (c) 11/29/06 Hop Up | jik@jik.com 71 CASE TYPE/ISSUE Office Setting Hospital Setting Clinic or Service Center Setting TOTAL Deaf or Hard of Hearing (effective communication) 3425665 Mobility Access 274435 HIV Status 5128 Blind/Low Vision 22 Access to Examination Tables 0123 Intellectual Disabilities 11 TOTAL 683214114 Source: US Department of Justice Status Reports – April 1994 – March 2003

73 (c) 11/29/06 Hop Up | jik@jik.com 72 File Complaints

74 (c) 11/29/06 Hop Up | jik@jik.com 73 Don’t compromise your access to quality & safe care Get access on health care providers’ radar screen

75 (c) 11/29/06 Hop Up | jik@jik.com 74 Resourceswww.jik.com/hwawd.html

76 (c) 11/29/06 Hop Up | jik@jik.com 75 www.cdihp.org CLICK - on Products CLICK - on Online Resources

77 (c) 11/29/06 Hop Up | jik@jik.com 76 Accessible Health Care Series –Tools For Decreasing Health Care BarriersTools For Decreasing Health Care Barriers –Importance of AccessibleImportance of Accessible Examination Tables Weight Scales –Health Care Facilities AccessHealth Care Facilities Access For more thorough discussion visit

78 (c) 11/29/06 Hop Up | jik@jik.com 77 Accessible Health Care Series –Choosing and Negotiating an Accessible Business LocationChoosing and Negotiating an Accessible Business Location –Barrier Removal: Improving Accessibility with Limited ResourcesBarrier Removal: Improving Accessibility with Limited Resources –Providing Information in Alternative FormatsProviding Information in Alternative Formats –Accessible Web Site DesignAccessible Web Site Design –Tax Incentives for Improving AccessibilityTax Incentives for Improving Accessibility ADA Resources (forthcoming) Tax Incentives for Hiring People with Disabilities (forthcoming) For more thorough discussion visit

79 (c) 11/29/06 Hop Up | jik@jik.com 78 Medical Instrumentation Accessibility and Usability Considerations Edited by Winters & Story CRC Press #651x


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