Post on 13-May-2020
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living Factors Influencing the Evolution of Assisted Living and Senior Living
Factors Influencing the Evolution of Assisted and Senior Living
Denise Wassenaar, RN, MS
VP Clinical and Regulatory Affairs and Chief Clinical Officer
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
• Software solution for:
• Skilled Nursing
• Life Plan Communities
• Assisted Living
• Home Care
• Marketing, Meal Tracker and Point of Sales Solutions
• Serve over 11,000 Facility-based Care Settings and 1,600 Home Health & Home Care Agencies
• Largest EHR provider in United States
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
• Review the historical progression of Assisted Living
• Discuss the impact of market forces, healthcare initiatives, population trends affecting Assisted and Senior Living
• Explore the impact of technology on Assisted and Senior Living
• Discuss the value standardized assessments
Talking Points
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Review the historical progression of Assisted Living
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
• 24% received assistance with 3+ ADLs (bathing, dressing, locomotion)
• 81 % need assistance with medications
• 34% with moderate to severe cognitive impairment
• Retention:
• 31% would discharge a resident who used a w/c.
• 55% would not retain a resident with dementia
• 72% would not retain a resident who needed nursing care > 14 days
AL Resident Profile and AL setting (1993)
• 38% Need assistance with 3+ ADLs
• 87 % need assistance with bathing
• 81 % need assistance with medications
• 42% with diagnosis of Alzheimer’s
Resident Profile (2012)
Assisted Living Resident Profile
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
External Forces
•Healthcare Reform
•ACO’s
•Hospital Readmission Penalties
•Consumer demand “Aging in Place”
• Increase in Hospice Services
•↑ State Regulations
Internal Forces: Changing AL Resident Profile
•# Chronic conditions
•↑ assistance with ADLs
•↑ Prevalence of Dementia
•↑ in needed nursing services
•↑ Frailty of the population
ACUITY
Changing Acuity
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Discuss the market forces, healthcare initiatives, population trends affecting Assisted and Senior Living
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050
US 8.3 9.2 9.8 11.3 12.5 12.4 13.1 16.6 20.2 21.2 21.5
Germany 9.6 11.5 13.6 15.6 15 16.3 20.8 23.1 28.2 31.8 32.7
Italy 8.1 9.5 11.1 13.4 14.9 18.3 20.3 22.8 26.8 31.7 33
0
5
10
15
20
25
30
35
Growing Population of Older People in the U.S., Germany and Italy% of population age 65 or older
US Germany Italy
Statistics: Population
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Population
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Transition of Volume Value Based Care
• Priorities
• Reduce harm
• Engagement
• Effective communication and coordination
• Effective prevention and treatment practices
• Promote best practices
• Make quality care more affordable
Technology Adoption
• Increasing adoption of technology
• Reasons include:
• Safety
• Reduces treatment issues and medication errors
• Drives revenue capture
• Increases efficiency
• Demand for Data
• Influences wellness
Emergence of Alternative Payment Models
• Healthcare reform is influencing:
• Changes to the spectrum of care
• Transition to a medical model
• The need for exchange of healthcare information
• A focus on quality and outcomes, especially hospital admissions
Trends Impacting the Eldercare Continuum
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Explore The Impact Of Technology On Senior Living
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Nana Technology
• A term coined in 2004 by Andrew Carl, a professor at the University of George Mason.
• Definition: • A technology that
is intended to improve the quality of life for the elderly and is particularly being utilized by the baby boomers.
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
• Location: San Francisco, CA
• Founders:
• CEO: Adrian Anou, A former Alphabet Executive
• Ilya Abyzov, an Uber Executive
• Erik Frey, Leader of artificial intelligence at Google
• Rob Sebastian, Leader of product strategy for several GoogleX moonshot projects
• Financial Backers:
• Eric Schmidt, Alphabet Executive Chairman
• Marc Benioff, CEO salesforce
• Aaron Levie, Box CEO
• Joe Lonsdale, Palantir Technologies co-founder
• John Doerr, venture capitalist
• Physicians:
• Stanford Hospitals
• Sutter Health
• Kaiser Permanente
Doctors Office of the Future: Forward
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Physician Care: The Future
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Personal Emergency Response Offerings
Open voice communication, allowing the elderly to speak directly with a caregiver or operator; GPS and Wi-Fi tracking to accurately locate the wearer, even indoors or heavily built up areas.
Telehealth
• Remote monitoring, consultation, prescribing
• As life expectancy rises along with the effects of chronic diseases and lifestyle, telehealth approaches and smart ways to deliver care more cost-effectively will prevail
Senior Technology: Aging in Place at Home
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Labor Realities
• Labor Needs:• It is estimated that by 2030, 3.5
million additional health care professionals and direct-care workers will be needed.
Labor Shortages
Source:
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Follow nurses and record data
Robotic Nurses
Lifting
Robotic Nursing
Med reminders, socialization
Robotic Nursing
Labor Technology Solutions
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Riba II
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Robot Receptionist
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Pill Reminders
Reminder Rosie 25 Alarm Clock with Large Display
and Voice Reminders
MedCenter System
MedFolio Wireless Pillbox
Pharmacy/Med Reminder system
• https://www.medminder.com/medminder-pharmacy/
Medication Management
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Medication Management
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Memory Care
Dementia Friendly Clocks
Motion Sensors Wearable Sensors
Smart Soles
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Discuss how the use of standardized assessments can be used to manage wellness and prevention
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Gather Standardized Assessment Information
Identify Risk
Develop and Evaluate Wellness Programs Depending on the Needs of the Community
How Does Your Assessment Process Translate Into Wellness?
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Documentation Consistency
Trending
Data = InformationCommunication
Program Development
Why Standardized Assessments?
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Area of Assessment Suggested Tool Rationale
Monitoring of chronic conditions • Nursing clinical assessment • Manage high risk chronic disease through clinical interventions
IADLS and ADLS • Lawton and Katz • Identify service needs and track changes over time
Cognition • St. Louis University Mental Status (SLUMS)
• Functional Assessment Staging of Alzheimer’s Disease. (FAST)©
• Memory support programs• Manage wandering and
elopement• Trend changes over time
Depression • Geriatric Depression Scale • Undetected depression could result in decline in ADLs and socialization
Types of Assessments
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Area of Assessment Suggested Tool Rationale
Mobility and Gait • Timed Up and Go (TUG) • Identify fall risk• Design and implement fall
management programs
Nutrition • Nutrition risk screening (NRS) 2002
• Identify nutritional risk
Medication Assessment • Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE™)
• Determine ability to mangemedications
• Identify polypharmacy
Types of Assessment
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living
Future in Aging Services
Increase use of sensors
Alternative uses for Ride Sharing
Solutions
Home Care to Address Aging in Place at Home
Continued focus on Wellness
EHR: data collection; trending;
interoperability
Future Trends
Confidential ©MatrixCare 2017Factors Influencing the Evolution of Assisted Living and Senior Living