This document discusses a conference on reinventing quality and the use of smart home technology. It describes the Charles Family SmartHome, which uses sensors, monitoring systems and assistive technologies to improve residents' quality of life by increasing their independence, health, and involvement in the community. Research showed that smart home technologies enhanced residents' control over their lives and decision making, though some issues with service coordination were reported. The document outlines best practices for organizations looking to implement similar smart home systems.
13. Imagine! SmartHomes
Bob and Judy Charles Charles Family SmartHome,
SmartHome, Boulder, CO Longmont, CO
14. Individual
Supports
Family Communication and Access
Operational – Management and Line Staff (DSP)
Support and Information
Environmental – Home Management and
Remote Monitoring Systems
15.
16. Using RFID Information
Just In
Portal •Alerts & Notifications
Sensors Time
Staff Use
Log Staff •Live View
Members Members •Care Zone Summary
•Performance Metrics
• Live View
Sensors Alerts Support • Historic Trends
Network • Health information
Clients • Social information
CARE System
•Global Perspective
Managers •Client Overview
Alert
Profiles
Preferences •Employee Overview
Managers
17.
18.
19. ®
Medication Administration and prompting system
Intuitive User Interface improves efficiency and accuracy
Easily manage staff and medications records from a central
location or remotely
Improved compliance with Medication Administration
Improved communication between DSP and Nursing
75% reduction of medication administration errors
Reduces staff training by 18 hours per residence (houses who
support medically fragile individuals offers a greater
differential)
Integrated with Pharmacy to reduce transcription errors
Over three year period reduced 2 nursing FTE
20. Environmental
Control Units
The MEDIAssistant
Mobile is a portable
system that uses both
infrared transmission
and Insteon™ radio
transmission to
operate up to 24
devices.
25. Research Question
Does living in the Bob and Judy Charles
Smarthome enhance the quality of life for the
residents?
Quality of Life Indicators Studied
Increased service to customers
Increased active participation with community
Increased communication
Increased independence
Improved health
Satisfaction with services provided through the
SmartHome
26. Results -Choices and Decision
Making
There was a large Choices & Decision Making 1
increase in residents’ (n=6)
perception in control of 8
their own lives. 7
5 resident’s mean 6
Number 5
scores stayed the same of 4
or increased Resident
s 3
2 resident’s mean scores 2
increased by one point 1
1 resident’s mean scores 0
increased by two points -5 -4 -3 -2 -1 0 1 2 3 4
2 resident’s mean scores
increased by 4 points Change in mean scores
1 resident’s mean
scores decreased by 3
27. Results -Service Coordination
There was a decrease in Service Coordination (n=7)
getting what’s needed from 8
service coordinator and 7
knowing service coordinator. 6
This was not expected. Number
5
3 resident’s mean scores of
Residen
4
ts
stayed the same or increased 3
4 resident’s mean scores 2
1
decreased
2 resident’s mean scores 0
-5 -4 -3 -2 -1 0 1 2 3 4
decreased by 1 point Change in mean score
1 resident’s mean scores
decreased by 3 points
1 resident’s mean scores
decreased by 5 points
28. Supports Intensity Scale – SIS
Overview
Evaluate and measure the type, frequency and
intensity of supports needed for an individual with a
developmental disability in 85 areas covering the
following domains:
Home Living
Community Living
Lifelong Learning
Employment
Health and Safety
Social
Protection and Advocacy
Medical
Behavioral
Collected directly from participants in a structured
interview format.
29. Part B: Community Living Activities
◦ Q1 – Getting from place to place throughout the
community
32. Fourth Annual
ANCOR Technology Summit
November 3, 2012
Westin Westminster Hotel
Westminster, Colorado
In conjunction with the
Coleman Institute Conference
on Cognitive Disability and Technology
November 2, 2012
www.ancor.org
. As noted in my introduction I work for a company called Imagine! in Colorado – we’ve been working on the incorporating of tech into our services for the past 15 years and developed a number of strategic partnerships. Over that time we’ve learned a great deal – had a some success and some failures but it’s been an incredible education.– part of that the education development of smart homes.
The strategic process follows five specific steps.
Enterprise resource planning, a system that is used to manage and coordinate all the resources, information, and functions of a business.This typically coordinates multiple applactionsCustomer Resource Management – Stakeholders – communication – services
DocumentationStaff IssuesInformation Stagnant information
IT support/systemsRelationship between IT and Operations
As systems change will the software scale to meet those needs
The CARE System collects information from disparate sources, to creates views of information relevant to each role within the support network. From staff members collect information from sensors (such as location and alert response), just in time log in of services provided, and their use of the web-based information portal. From clients we collect information about their movement throughout the environment, and also from alerts they generateManagers provide the system with definition by completing profiles of Clients, and setting appropriate alert and notification preferences. The CARE Station translates this data into information relevant to each role: actionable cues for staff members: Alerts and notifications social and health information for client contacts (the support network) Global perspective for managers
Review bullet points. If possible, relate to situations previously described by the audience.This is a good place to refer to previously posted items on the flip chart or white board.
These research questions were developed by Imagine! And Colorado WIN Partners in December of 2008.4 research areas were discussed. The research question that elicited the biggest interest to Imagine & WIN Partners was how to Enhance the quality of life for consumers. The following is a list of the areas WIN Partners addressed in our data collection and analysis. Increased service to customers – Increased active participation with community –Increased communication – Increased independence – Improved health – Satisfaction with services provided through the SmartHome-
Measures the level of which resident has control in choosing , for example where to work and where to liveOverall, 5 out of 6 residents scores all increased, while only one resident had a decrease in score for Choices and Decision Making 1
Measures the extent to which residents know and receive services form manager/case coordinator/staff. Higher scores indicate resident receives more services from staff that are coordinated effortsThree residents scores stayed the same, however four residents scores decreased. Two of which decreased by 1 mean average, while 2 other residents scores decreased by 3 and 5 mean averages, respectively
Supports Intensity Scale (SIS): Identifies the type, frequency and duration of supports needed for an individual receiving services in order to complete particular tasks or participate in particular activities. This information is collected through an informal interview.SIS covers different domains, or categories, of support needed: Home Living ActivitiesCommunity Living ActivitiesLifelong Learning ActivitiesEmployment ActivitiesHealth and Safety ActivitiesSocial ActivitiesEach domain has 8 questions. For each question there are three answers that need to be addressed: 1. What type of support would be needed for that activity? 2. How frequently would that support be needed? 3. How much time in one given day would that support take?Responses to the questions are chosen from the rating key of the assessment.Type of support: “What type of support would be needed?”0=none1=monitoring2=verbal/gesture prompting3=partial physical assistance4=full physical supportFrequency: “How frequently would that support be needed?”0=none or less than monthly1=at least once a month but not once a week2=at least once a week but not once a day3=at least once a day but not once an hour4=hourly or more frequentlyDaily Support Time: “How much time in any given day would that support take?”0=none1=less than 30 minutes2=30 minutes to less than 2 hours3=2 hours to less than 4 hours4=4 hours or moreUses for SIS:Created for measuring and planning supports and services for person with intellectual disabilities. Can develop Individualized Services Plans and track and decrease or increase in support needs overtime.Plan for supports that will improve independence and quality of life. Supports refer to an array of resources and strategies including individuals, agencies, money or tangible assets, assistive devices or environments that enable people with developmental disabilities live in typical community settings. “Rather than mold individuals into pre-existing diagnostic categories and force them into existing models of service, the supports approach evaluates the specific needs of the individual and then suggests strategies, services and supports that will optimize individual functioning.”**SIS info/goals goes along with the basic tenants of the SmartHome and Imagine!. Like Sterling told me – “to rethink the way we have always thought.”
Part B: Q1 – Getting from place to place throughout the communityHandheld GPS Device (UMPC) – Not rugged enough.Rae – Time 1: 7 (2,2,3), Time 2: 0 -**SmartHome staff know what factors resulted in this change?Chris – Time 1: 11 (3,4,4), Time 2: 0 – Possible result of the UMPC?Lana – Time 1: 8 (3,2,3), Time 2: 0 – SmartHome staff know what factors resulted in this change?***PICTURE OF TECH BEING USED – UPMC being used by Chris