Session #601 Improving Staff Productivity with Technology. Presenters:

Transcription

1 Session #601 Improving Staff Productivity with Technology Presenters: CADI BREUN, Clinical Technology Manager, Knute Nelson Home Care And Hospice, Alexandria TINA SEARS, RN, Vice President of Community Health Services, Northfield Retirement Community, Northfield SHARON L. BLUME, Director of Health Technology Services, Belle Plaine Presented by: Cadi Breun, LPN Clinical Technology Manager Knute Nelson Home Care & Hospice 1

2 Knute Nelson Mission To enrich the lives of everyone we serve Vision To be the recognized leader of quality and innovative services for all stages of living Knute Nelson is a Nonprofit 501c3 Organization Knute Nelson Governor Senator Who Do We Serve Knute Nelson has a growing family of services including: Wellness programs Out-Patient Therapy Personal Emergency Response GrandCare Technology Home Care Spiritual Care Senior Apartments Assisted Living Enhanced Assisted Living Memory Care Assisted Living and Skilled Memory Care Respite Care Short-Term Rehab Care Center Hospice Why do we need technology to help coordinate care? 2

3 Rising Need for Care Age Shift Mix Caregiver Shift The Case for Change 3

4 How Does A Nurse See All of the Data HIPAA Compliant Web portal Various Levels of Portal Access for Caregivers and Families Assessment and VS Data Access from Anywhere Rule Based Alerts Skills Reinforcement Client Satisfaction How Does A Client Get Technology? Based upon specific client needs Do they need education? Reminders? Social Connectivity? Specific devices placed for vital sign monitoring, safety, activity. Nursing collaboration, public health involvement, physician communication We All Have The Same Goals Keep Patients Living Safely At Home Improve Health Outcomes Avoid ER Presentations Avoid Hospital Admissions How Can Technology Help? Improve Client and Family Education Encourage Self-Management Cost-Effective Delivery Model Enhanced Safety Enables Care in the Most Effective, Most Useful Environment for the Client Their Home 4

5 Why We Opt for Technology? Telehealth offers ability to remotely assess clients Early response to changes in condition Avoid hospital readmissions and ER visits Low cost delivery model, reduce driving, change on the fly Encourages team caregiving The Telehealth Difference Providing Technology to High Risk Clients Rehospitalization rates for patients receiving telehealth home care (6.28%) were significantly lower than those for traditional home care patients (18%). Telehealth and Remote Patient Monitoring (RPM): Provider Case Studies 2013 (Data from Centura Health At Home intervention with Commander Flex Home Base, Point of Care Technology TINA SEARS, RN Vice President of Community Health Services Northfield Retirement Community, Northfield 5

6 Point of Care Technology Improves staff efficiency so they are freed up to spend more time with residents/clients. Ongoing documentation ROI achieved by documenting care and services and minimizes service creep. Staff Efficiency Allows staff the ability to document immediately after services are delivered. Having ipod readily available allows clear documentation of unscheduled services immediately after they are delivered. Nurses are able to update services with immediate update to the aides that are delivering the services. Ongoing Documentation Allows for vital signs, blood sugars, and weights to be entered directly into the chart Quick access to this information when a physician calls or requests specific information about residents 6

7 ROI NPV has 44 apartments NPV home care services bill ala carte for the resident individual services Unscheduled services over the past 6 months, NPV averaged $150 per month After starting the POC, the next 3 months we averaged $3,000 in documented unscheduled services ROI cont. Many of the $3,000 were Elderly Waiver (EW) residents, we were not able to directly bill these residents with EW contracts However, this does assist with reimbursement from the county. Prior to POC, we were not able to capture clear documentation for service delivery. With the ease of documentation, and ability to access this information, we are able to provide this information to the county Home Health & Safety Monitoring Technologies Sharon L. Blume Director of Health Technology Services 7

8 Shift in Caregiving The need to adapt to the changing requirements of senior care Ability to institute effective care practices that result in better health and wellness, and greater independence for older adults, at the best possible cost Ability to deliver quality carewhere it is needed; when it is needed Shift from reacting to crisis to proactive intervention and prevention Result = Triple Aim Improved Health Enhanced Care Experience Reduced Cost of Care 22 Health & Safety Monitoring Technology Small wireless sensors Contact Sensors Motion Sensors Bed Sensor Toilet Sensor Occupancy Fob and/or call pendant Hub 23 Passive, Continuous Monitoring All sensors work together to learn the normal activity patterns for the individual Provides accurate, objective information All data is dated, time stamped and available in real time Offers early detection of potential health and wellness issues Customized, automated alerts, reminder or check in Dashboard provides an easy to read delivery system of changes in activity levels. 24 8

9 Dashboard Data Analytics Analysis of change in activity levels Daily refresh of data Points based ranking ADL trend reports Prioritization of case load based on cumulative changes Deeper dive into data for individuals 25 Vitals Monitoring Several devices available: Blood pressure Pulse Weight scale Glucometer Pulse oximetry System stores readings for analysis Customizable alert when threshold values exceeded Use alone or in addition to a Health and Safety Monitoring System to manage specific health conditions 26 Customized Alerts Based on the needs of the individual Based on events staff need to know have occurred Customizable to specific days and/or times of the day Automatically alert caregiver of the need to provide intervention Alerts to behaviors, which prevented may reduce or prevent concerns such as falls, wandering, etc. Alert caregiver of Vitals events Reminder calls customized for the individual or caregiver. 27 9

10 Customized Alert for Falls Risk An alert is generated by: The individual gets up from bed, a phone call is initiated to caregiver The individual gets up, but does not return to bed within a set timeframe, a call is initiated to caregiver 28 Automated Alerts Motion and activities are counted and recorded Sensors work together to learn the normal activity levels Alerts are automatically sent if the normal activity level is too low or certain events do not occur. Alerts are sent either by phone or . Alerts when system detects perceived need for assistance i.e in the bathroom too long, lack of activity, etc. Automated notification of maintenance events 29 Improved Staff Efficiencies Caregivers They know where care is needed When it is needed Who needs it Reduces the need for scheduled checks More time for resident interactions Less intrusion for residents Nurses Automated reports Response time Alert Detail Pendant calls per resident Dashboard info assists to prioritize case load for day based on changes in resident activity levels Auto alerts if vitals exceed thresholds Prioritize staffing levels to most needed times of the day Reduces the need to add staff for scheduled checks 30 10

11 ROI Study Saves staff time savings: 47% of staff time spent on 2 hour checks Reduce need for checks with automated and customized alerts Improved staff efficiency by 40 hours per week Halleland Habicht Consulting LLC 31 In Summary Not a substitute for personal care Helps caregivers understand where to concentrate personal care 24/7 resident oversight maintained Additional health issues often uncovered Less staff time spent on routine checks Available data to manage case loads more efficiently More accountability 32 11