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Technology Adoption, Spending, Trends and Boomer Consumers

Majd Alwan, Senior VP of Technology, LeadingAge

Executive Director, LeadingAge Center for Aging Services Technologies (CAST)

Ziegler-CAST Technology Adoption Survey

Chief Technology/Information Officers

Source: LeadingAge Ziegler 150

21%

37%

0%

5%

10%

15%

20%

25%

30%

35%

40%

2013 2016

Percent of “LZ 150” with a CIO/CTO

+15%

- 9%

28%In 2017

for LZ 200

Source: 2016 LeadingAge Ziegler 150Source: 2018 LeadingAge Ziegler 200 Publication

Source: 2018 LeadingAge Ziegler 200 Publication

Source: 2018 LeadingAge Ziegler 200 Publication

✓ Developed a model

amenable to be applied

across multiple LTPAC

settings

✓ Create a framework to

assess the level of EHR

adoption and sophistication

of use

✓ Support post acute

providers on their

technology focused

initiatives towards better

health outcomes

Advanced EHR(Internal Quality-Focused)

Stage

5External Ancillary Services Integration

Stage

4

Basic Information System

Stage

1

Stage

6

Stage

7

Engagement & Basic Information Exchange

Interoperability & Health Information Exchange

Basic EHRStage

2

Ancillary & Clinical Administration (Non-Integrated)

Stage

3

CAST’s 7-Stage EHR Adoption Model

Advanced Functionalities- I

• Stage 4-Advanced EHR:– Clinical Decision Support Systems

– eMAR/eTAR at the Point of Care

– Quality Reporting, Analytics, and Dashboards• LeadingAge InSight, eHDS offering

• Stage 5-External Ancillary Integration:– Pharmacy

– Lab

– Hospital Discharge/ Referral

Advanced Functionalities- II

• Stage 6-Engagement & Basic HIE:– Physician Portals & eSignature

– Sending & Receiving Care Documents, like CCDs• ONCs Project Direct, eHDS CareWatch Connect

• Stage 7-Interoperability & HIE:– HIEs

– EHR Repositories

– Directly to other providers

LTPAC Sector According to Vendors

LZ-150 EHR Adoption by Stages

Stage Respondents

Percentage of Providers

at each Stage

Stage 1 2 1.7%

Stage 2 3 2.6%

Stage 3 18 15.4%

Stage 4 26 22.2%

Stage 5 33 28.2%

Stage 6 21 17.9%

Stage 7 14 12.0%

N = 117

Ziegler-CAST Technology Spending Surveys

Technology Spending

Categories

Percent Technology Spending

14

LeadingAge & LTSS Boomer Survey

Affordability of Aging Services is a Major Factor

Technology Related Trends

Trends to Watch

• Mobility• Enterprise mobility

• Device Management

• Mobile Apps.

• Client mobility (including Wearables)

• Internet of Things & Smart Homes!

• Increased demand on bandwidth

If we want to mitigate the shortage of workforce in Aging Services, we need to include technology in our

strategies to attract, prescreen, shorten the hiring cycle, engage, and retain staff, especially millennials!

Technology and Caregiver Shortage

Seniors & the Internet47% of all seniors have broadband at home

• 27% have Tablets/ eReaders• 18% have Smartphones• Communications with friends

and family, shopping, access to information are top motivations

90% of wealthy seniors use the Internet watch 55% more TV

www.pewinternet.org/2014/04/03/older-adults-and-technology-use/http://s3.amazonaws.com/rdcms-himss/files/production/public/FileDownloads/2015-10-

29%20Time%20Warner%20Connectivity%20advantage%20for%20sen%20living%20skilled%20nursing%20facilities.pdf

Nielsen’s Law of Internet Bandwidth

High-endusers'

bandwidth grows by 50% per year (10%

less than Moore's Law for computer

speed).

Advanced Materials and Smart Things!

Explosion of Data

Exponential Growth in Demand on Bandwidth

Need for better ways to visualize, contextualize, mine and use data!

LeadingAge & CAST Tools

LeadingAge 2030 Scenarios

http://www.leadingage.org/2030-aging-services-scenarios-documents

Strategic IT Planning Tools

http://www.leadingage.org/strategic-it-planning-tools

Interactive Online Tool

CAST Technology Selection Tools

EHR Telehealth/RPM

http://leadingage.org/technology-selection-

tools

Medication Management

Functional Assessment

Shared Care Planning

& Coordination

ocial

Social ConnectednessAnd Engagement Safety Technology

Most Important Questions• ROI to whom?

– Aging Services Care Provider– Payer

• Which payer?

– Care Recipient– Care Recipient’s Family

• Under what care delivery/ business/ payment model?– Providers operate in multiple settings– Have a mix of payers– Have complex case mix!

Provider Case Studies

Updated Business Case Studies

http://www.leadingage.org/members/cast-business-case-studies

http://www.leadingage.org/strategic-it-planning-case-studies

http://www.leadingage.org/cast/case-studies/cast-supporter-and-patron-case-studies

CAST Patron/ Supporter Case

Studies

Initiative Case Studies

DIGITAL PLATFORM EXTENDS SERVICESfrom 600 residents to 4,000+ CCRC at-home clients

http://www.leadingage.org/sites/default/files/Evangelical_Homes_of_Michigan_Case_Study.pdf

3-6%

Readmits

from 16% to 5%Readmits for congestive heart

failure

http://www.leadingage.org/sites/default/files/Jewish_Home_Lifecare_Case_Study.pdf

CAST Cybersecurity Resources

• Whitepaper

• Benchmarking Questionnaire

• Provider Case Studies

http://www.leadingage.org/cybersecurity-

resources

Thank You…MAlwan@LeadingAge.org