Reinventing Home Telecare Services: Learning Lessons for Japan and Beyond
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“Healthcare is a people business. To be sustainable, health organizations must communicate and connect with their customers through innovative approaches and fresh perspectives...” Top 7 Trends in Health Care, PricewaterhouseCoopers’ Health Research Institute, 2007 Reinventing Home Telecare Services Learning Lessons for Japan and Beyond Jeff Halperin | Medical Informatics World 2013 | April 8, 2013
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This is the story of the initiative at Philips to bring the Lifeline personal emergency response service to Japan, with some lessons we learned along the way.
Transcript of Reinventing Home Telecare Services: Learning Lessons for Japan and Beyond
“Healthcare is a people business. To be sustainable, health organizations must communicate and connect with their customers through innovative approaches and fresh perspectives...”
Top 7 Trends in Health Care, PricewaterhouseCoopers’ Health Research Institute, 2007
Reinventing Home Telecare ServicesLearning Lessons for Japan and Beyond
Jeff Halperin | Medical Informatics World 2013 | April 8, 2013
Falls are special problem for seniors living alone
Long lie timesPressure sores, muscle damage, dehydration, hypothermia, pneumonia
“Post-fall syndrome”Loss of confidence and mobility
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Agenda
• Overview of Personal Emergency Response Service (PERS)
• Situation in Japan
Changes for local conditions:• PERS technology in the home• PERS technology in the response center• PERS technology in the data center• Changes to service
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Overview of Personal Emergency Response Service
Personal Emergency Response Service (PERS)Subscribers reach caregivers and responders through 24-hour response center
Subscriber contacts response center Fall detector initiates call if subscriber can’t Response center contacts respondersPre-designated family, friends, neighbors, or emergency services
Response center checks on status and resolution with responders, subscriber
Response center notifies caregivers of incidentFamily, etc.
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From help button to response center…
Automatic fall detection
Walking Stumbling Falling Not rising
Altitude
Acceleration
Movement
30 sec
Contact response center
Situation in Japan
Japan’s rapidly aging populationFewer young people to care for the growing number of seniors
9“Japan's population: The old and the older”, The Economist, Nov 19th 2010
More seniors living aloneProportion of 65-and-over by household type
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Living Alone CoupleParent and unmarried child
Three-generation household Other
Source: Ministry of Health, Labor, and Welfare, 2010
Localization of technology
End to end, starting with the home
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PERS technology in the data centerRegional data center: multiple redundant systems with hot failover
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PERS technology in the response center
PERS technology in the response center (English)
Localization of service
Emergency respondersAmbulances controlled by Japan’s 876 local fire departments
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Subscriber preferences
Philips respondersFrom 70 local offices throughout Japan
Non-emergency response in place of neighbors or friends Response in parallel with fire department where required
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What does it take?
• Commitment by senior leaders• Entrepreneurial partner• Willingness to rethink each element of the system
Questions ?
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