EMPLOYMENT LAW UPDATE Darren Newman March 2010 [email protected].
Take the Social Work Model to New Heights with High Tech · Accountable Care, Pace, and Integrated...
Transcript of Take the Social Work Model to New Heights with High Tech · Accountable Care, Pace, and Integrated...
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How to Take the Social Work Model to New Heights with High Tech:
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Partner Engagement ManagerBest Buy Health - Critical Signal Signal Technologies, Inc. (CST)
Darren Buatti
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Darren leads the account management efforts for Managed Care, Government Funded,
Accountable Care, Pace, and Integrated Delivery Networks across the U.S. Darren
has developed partnerships with market leaders across the continuum of care. He
has deployed remote monitoring programs with over 300 health care organizations.
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Agenda
The senior care landscape
Next gen. social work
From concept to implementation
The future of care
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The senior care landscape
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• Rapidly Aging Population
› 78M seniors by 2035, 95M by 2060
› For the first time in U.S. history, by 2034, people 65+ will outnumber those under 18
› 90% of seniors wish to age at home
• Healthcare Expectations
› 52% of people 65+ will need some type of long-term care
› By 2030, 1.9M people 65+ will require nursing home care
• Implications of COVID-19
› 59% of all COVID-19-related hospitalizations were adults aged 65-84
› Disproportionately affected by COVID-19, adults aged 65+ have been forced to stay home for their safety, increasing feelings of social isolation and loneliness
State of play
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• Social Isolation and Loneliness
› Contributes to 45% increased risk of mortality in aging adults
• Transportation Gaps
› Older adults with transportation access problems often face other challenges as a result:
• 64% are also food insecure
• 59% have difficulty paying bills
• Food Insecurity
› Over 7 million people aged 60+ require assistance for food insecurity
› Food insecurity was the top SDOH addressed by payers in updated 2020 coverage plans
SDOH are social, economic and environmental conditions that affect older adults, contributing directly or indirectly to health outcomes and. healthcare costs
Social determinants of health (SDOH)
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Economic Stability
Neighborhood & Environment
Education
Social & Community
ContextHealth CareSocial
Determinants of Health
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Seniors and technology
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95%of older adults would use medical technology if their physicians recommended it
91%of older adults would use medical technology if it lowered their insurance costs
$84Bamount expected to be spent on tech products annually by 2030 by Americans over 50
4%of health systems and managed care organizations have invested in SDOH tech
Less than
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The residents are so eager to learn about the new technologies, and they embrace the challenge of learning about new technologies. They’re right
there, clamoring to be on the edge of what’s going on.
Sue Franke, LCSW, Greenspring
“
”
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Next gen social work
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Time is right for a new model of care
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Aging population
Desire to address SDOH
Emerging technology
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Telehealth
Mobile Health(mHealth)
Encompasses a broad range of technologies and tactics to deliver virtual medical, health, and education services.Telehealth is not a specific service, but a collection of means to enhance care delivery. [Center for Connected Health Policy]
The delivery of healthcare services via mobile communication devices.[HIMSS]
TelemedicineOften associated with virtual physician visits using mHealth related technology. Clinically led (most often physicians,but sometimes other certified health professionals), this is the remote delivery of health care services and clinicalinformation using various technologies. [ATA]
Remote Patient Monitoring (RPM)
The use of digital technologies (most often Bluetooth enabled peripheral devices) to collect vital sign, medical and other forms of health data from individuals in one location and electronically transmit that information securely to anotherlocation. [Center for Connected Health Policy]
Passive MonitoringThe use of discrete wireless sensors in a residence to track any changes in behavior.Designed to be proactive and allow a user to continue normal activities without having to initiatetechnology.
PERSPersonal Emergency Response Systems (aka medical alert systems); devices utilized to directly connect a patient with support services 24/7 at the push of a button. Nearly always includes two-way communication. Increased focus on mobile or mPERSdevices that work on-the-go with GPS and added functionality.
Breaking Down the Technology Jargon
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• As the population ages, social workers are uniquely positioned to transform senior health outcomes using emerging technology to addressing SDOH
• Technology enables social workers to offer 24/7 care and respond to health and wellness needs outside of typical medical emergencies
• Key pillars of this model of social work include:
› Social support
› Access to medical care
› Tools to live independently
› Security in their community
› Safety in their own homes
Technology can enhance social work efficacy
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Applications of technology for next gen social work
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Social Support: Personal Emergency Response Systems (PERS) make it easy for seniors to reach out to social workers in moments of need
Access to Medical Care: Telehealth and ride-sharing services help seniors receive medical attention at home or get to and from a doctor’s office
Tools to Live Independently: Remote monitoring technology linked to sensors, like smart pill dispensers or a wearable device, allow medical professionals to monitor a patient’s important health habits and activities of daily living
Safety in their Communities: GPS devices designed specifically for seniors offer lifesaving information to help locate seniors in emergency situations or when they become lost
Safety at Home: For seniors living alone, remote fall detection technology quickly alerts emergency medical services and social workers
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Access to Care
ED Utilization
Providing easy access to care without having to access brick and mortar locations.
Help prevent unnecessary emergency department utilization.
Care Transitions Ease the transition from hospital or SNF to home. Prevent 30 and 60day avoidable readmissions.
Patient Engagement
Ensure ongoing preventive care and drive self-care management in pre and post acutesettings.
Behavioral Health Seamless access to care and support in more comfortablesettings.
Aging-in-PlaceSupplementing traditional care delivery and chronic care management to help olderadults remain in their home as they age.
Primary Technology Use Cases Today
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From concept to implementation
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Understand the challenges
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Implementing a high tech/high touch approach is still relatively novel and not without its limitations, for example:
Insurance and payers vary widely when it comes to covering emerging technologies
Older adults can feel shame, embarrassment, and a reluctance to ask for help or support
Social workers must work seamlessly with a patient’s wider care team
Older adults may have had negative prior experience with technology, social workers must meet them where they are
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• Access to social support • Telemedicine• Fall detection• GPS• Remote monitoring
• Patient monitoring• Ability to provide round
the clock support• Assistance with growing
population of aging Americans
• Earlier detection for better health outcomes
• Economic stability
• Social & community context
• Education
• Neighborhood and environment
• Health and healthcare
• Medical care
• Medication
• Hygiene
• Nutrition
• Cognitive monitoring
• Communication
• Assisted movement
• Safety
• Transportation
Patient needs
SDOH
TechnologySocial work needs
The right technology can help overcome the challenges
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The future of care
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• What comes next?
• How has COVID-19 shifted the trajectory?
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Future applications of technology in healthcare
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Q&A
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Thank you.
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Appendix
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Social support
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The Situation: According to the U.S. Census Bureau, 11 million people, or 28% of those aged 65 and older, live alone
The Technology: Personal Emergency Response Systems (PERS) make it easy for seniors to reach out to social workers in moments of need
The Social Work Difference: These tools are not exclusively for emergencies, rather seniors might call for emotional support allowing social workers to intervene before a crisis occurs
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Access to medical care
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The Situation: According to the U.S. Census Bureau, 11 million people, or 28% of those aged 65 and older, live alone
The Technology: Personal Emergency Response Systems (PERS) make it easy for seniors to reach out to social workers in moments of need
The Social Work Difference: These tools are not exclusively for emergencies, rather seniors might call for emotional support allowing social workers to intervene before a crisis occurs
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Tools to live independently
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The Situation: 88% of seniors would prefer to age in their own home despite also having chronic conditions and receiving ongoing treatments — 25% of older adults take more than five prescription drugs a day
The Technology: Remote monitoring technology linked to sensors, like smart pill dispensers or a wearable device, allow medical professionals to monitor a patient’s important health habits and activities of daily living
The Social Work Difference: Seniors feel comfortable confiding in and discussing vital health information with social workers, who can ensure seniors are managing their own care —medicine, diet and exercise — between doctors’ visits
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Safety in their communities
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The Situation: Globally, nearly 50 million seniors are estimated to have Alzheimer's or related dementia, making it difficult for them to adjust to new surroundings
The Technology: GPS devices designed specifically for seniors offer lifesaving information to help locate seniors in emergency situations or when they become lost
The Social Work Difference: During a hurricane, social workers were able to locate senior patients based on GPS signals and alert authorities to initiate evacuation
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Safety at home
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The Situation: Each year, one in four Americans over the age of 65 suffer a fall; resulting in more than 2.8 million injuries treated in emergency departments
The Technology: For seniors living alone, remote fall detection technology quickly alerts emergency medical services and social workers
The Social Work Difference: Social workers can stay on the phone with anxious patients while activating emergency services; in one case, a patient was able to get care within three minutes of the device registering a fall
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Remote Person-Centered Care Through a New Social Work Model
• Broadens reach with cost-effective structure
• Provides more patients with individualized care andprotocols
• Supplements and reinforces traditional care
• Flexibility to access assistance at all hours due to model
• Empowers patient to control care delivery