Aging Services Technologies: Policy and Provider Landscape

1
Aging Services Technologies Policy and Provider
Landscape

• David Lindeman, PhD

Assembly Committee on Aging and Long-Term
CareSenate Subcommittee on Aging and
Long-Term Care February 9, 2010
2
Overview

• Beneficial Technologies for Older Adults
• Drivers and Barriers
• Examples of Successful Technologies
• Emerging Trends in
• Aging Services Technologies

3
(No Transcript)
4
Barriers to Diffusion and Adoption of Technologies

• Lack of alignment of reimbursement streams
• Lack of integration and interoperability
• Limited awareness of older consumers
• Poor preparation and training
• Privacy and security
• Organizational culture of traditional healthcare

5
Center for Technology and Aging

• Funded by The SCAN Foundation and based at the
  Public Health Institute
• Nations first center dedicated exclusively to
  advancing the use of technologies that enhance
  home and community-based care for older adults
• State and national resource center
• Identify and evaluate best practices in the
  diffusion of beneficial technologies
• Develop supportive tools to help accelerate the
  adoption of beneficial technologies
• Provide grant funding in targeted areas of
  technologies
  500,000 per grant cycle

6
Beneficial Technologies for Older Adults

• Medication Optimization
• Remote Patient Monitoring
• Assistive Technologies
• Remote Training and Supervision
• Cognitive Fitness and Assessment
• Social Networking

See the Center for Technology and Agings
Briefing Paper for more information at
www.techandaging.org/briefingpaper.pdf
7
Medication Optimization

• Technologies designed to help manage medication
  information, dispensing, adherence, and
  monitoring.
• Medication use is ubiquitous among older adults
  90 of older adults take one or more prescription
  medications/week, 41 take five or more
  medications/week, and 12 take ten or more
  medications/week.
• The New England Healthcare Institute 290
  billion of healthcare expenditures could be
  avoided if medication adherence were improved.

See the Center for Technology and Agings
Position Paper for more information at
www.techandaging.org/MedOpPositionPaper.pdf
8
Technologies to Improve Medication
UtilizationModels for Diffusion in California

• Veterans Administration of Central CA
• Remotely located internists and allied health
  professionals in five central California rural
  and medically underserved counties
• The Health Buddy system as well as weight scale,
  blood pressure monitor, assessment algorithms and
  clinician alerts
• Medication adherence management (including
  self-management) for home-based heart failure
  patients

Health Buddy
9
Technologies to Improve Medication
UtilizationModels for Diffusion in California

• Caring Choices - Chico, CA
• Philips Medication Dispensing Service technology
  for medication adherence management will be
  introduced to four home health and senior living
  organizations in four new rural and urban areas
  of CA

• Connecticut Pharmacists Foundation - Long Beach,
  CA
• Community health workers and remotely located
  pharmacists will use videoconferencing,
  electronic health records, and spoken format
  technology for medication therapy management of
  Cambodian-American older adults

• American Society of Consultant Pharmacists Found.
  - Irvine, CA
• Pharmacists will use Monitor-Rx, a web-based
  patient medication assessment tool, to optimize
  the medication regimens of older adults

10
(No Transcript)
11
Center for Technology and Aging

• www.techandaging.org