1 Aging Services Technologies: Policy and Provider Landscape David Lindeman, PhD Assembly Committee on Aging and Long-Term Care Senate Subcommittee on Aging and Long-Term Care February 9, 2010

2 Overview Beneficial Technologies for Older Adults: Drivers and Barriers Examples of Successful Technologies Emerging Trends in Aging Services Technologies

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4 Barriers to Diffusion and Adoption of Technologies Lack of alignment of reimbursement streams Lack of integration and interoperability Limited awareness of older consumers Poor preparation and training Privacy and security Organizational culture of traditional healthcare

5 Center for Technology and Aging Funded by The SCAN Foundation and based at the Public Health Institute Nation’s first center dedicated exclusively to advancing the use of technologies that enhance home and community-based care for older adults State and national resource center Identify and evaluate best practices in the diffusion of beneficial technologies Develop supportive tools to help accelerate the adoption of beneficial technologies Provide grant funding in targeted areas of technologies – $500,000 per grant cycle

6 Beneficial Technologies for Older Adults Medication Optimization Remote Patient Monitoring Assistive Technologies Remote Training and Supervision Cognitive Fitness and Assessment Social Networking See the Center for Technology and Aging’s Briefing Paper for more information at:

7 Medication Optimization Technologies designed to help manage medication information, dispensing, adherence, and monitoring. Medication use is ubiquitous among older adults: 90% of older adults take one or more prescription medications/week, 41% take five or more medications/week, and 12% take ten or more medications/week. The New England Healthcare Institute: $290 billion of healthcare expenditures could be avoided if medication adherence were improved. See the Center for Technology and Aging’s Position Paper for more information at:

8 Technologies to Improve Medication Utilization: Models for Diffusion in California Veterans Administration of Central CA Remotely located internists and allied health professionals in five central California rural and medically underserved counties The Health Buddy® system as well as weight scale, blood pressure monitor, assessment algorithms and clinician alerts Medication adherence management (including self-management) for home-based heart failure patients Health Buddy

9 Technologies to Improve Medication Utilization: Models for Diffusion in California Caring Choices - Chico, CA Philips Medication Dispensing Service technology for medication adherence management will be introduced to four home health and senior living organizations in four new rural and urban areas of CA Connecticut Pharmacists Foundation - Long Beach, CA Community health workers and remotely located pharmacists will use videoconferencing, electronic health records, and spoken format technology for medication therapy management of Cambodian-American older adults American Society of Consultant Pharmacists Found. - Irvine, CA Pharmacists will use Monitor-Rx, a web-based patient medication assessment tool, to optimize the medication regimens of older adults

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11 Center for Technology and Aging