Brain fitness mentionsJanuary 2009 Profile February 2009 NEWS | Technology News | TechnologyMajd Alwan ITUpdateBy Liza Berger ITUpdate Obama makes IT of economic reco Proﬁle » Real-world ways to use technology NEWS | Technology for improving care and reducing costs will IT with a human touch ITUpdate be presented at the upcoming McKnight’s Obama makes IT a key part of economic recovery plan » Real-world ways to use technology Online Expo. This webcast can be seen live for improving care and reducing costs will be presented at the upcoming McKnight’s Online Expo. This webcast can be seen live at 11 a.m. Eastern on Wednesday, March at 11 a.m. Eastern on Wednesday, March By John O’Connor By John O’Connor recovery plan passed. Resume Majd Alwan engineering while working toward 25. Free registration is available at www. Just prior to taking office, Obama’s speech followed a Director, his master’s and doctorate degrees Photo: Kevin Diettsch/CNP/Newscom 1988 mcknights.com/expo. President Barack Obama out- Congressional Budget Office 25. Free registration is available at www. Just prior to taking office, Earns bachelor’s Center for Aging in the United Kingdom. For his lined plans for an economic report that predicts an unprec- degree in electrical Services Technologies dissertation, he designed a wheel- » University of Illinois researchers recovery package that’s loaded edented $1.2 trillion federal and electronic engi- chair that, theoretically, could found that older people who learned to with plans for healthcare IT deficit in fiscal year 2009. mcknights.com/expo. President Barack Obama out- neering, University Some people wonder how Majd respond to voice commands. play a strategy-heavy video game improved improvements. of Damascus, Syria The healthcare industry (“modged”) Alwan, a pedigreed His accumulated work and their scores on a number of tests of cogni- Obama’s American Recov- stands to gain more than $100 engineer, ended up in the ﬁeld of education experiences helped tive function. The findings indicate that ery and Reinvestment Plan billion from the economic lined plans for an economic 1992 eldercare technologies. He’s used land him a position at The Medi- video games that keep players “on their would require up to $800 bil- Receives M.S. in The president is pushing for an stimulus plan that the presi- control engineer- to the curiosity. cal Automation Research Center toes” might help older adults keep their lion in new funding to rebuild economic recovery package that dent and congressional Demo- “Yes, I’m an engineer and some in the Department of Pathology » University of Illinois researchers ing, University of would include about $20 billion recovery package that’s loaded brains sharp, the researchers report in the Americans’ trust in the econo- crats are putting together. Bradford, United people believe I’m a convert, at the University of Virginia. He journal Psychology and Aging. my, help provide new jobs and for healthcare IT efforts. Kingdom Most of the healthcare- a social scientist…. Sometimes worked there on applying technol- make all U.S. medical records “But it just won’t save related funds (about $80 bil- people think that I have a nurs- ogy to the geriatric population. He found that older people who learned to with plans for healthcare IT 1997 » UCLA scientists have used brain- electronic in less than a half billions of dollars and thou- lion) will target ailing Medicaid ing background,” he says with currently has six patents that are scan technology and patient-specific infor- decade. sands of jobs; it will save lives Earns doctorate programs. in electrical and amusement. “But my ﬁrst degree related to technology for seniors. mation on Alzheimer’s disease risk to help “To improve the quality of by reducing the deadly but The balance (about $20 is engineering.” His dream goal, he says, is to play a strategy-heavy video game improved improvements. electronic engineer- diagnose brain aging, often before symp- our healthcare while lower- preventable medical errors billion) likely would go to ing, University of While it’s not the most tradi- see the societal beneﬁts from the toms appear. This new approach holds ing its cost, we will make the that pervade our healthcare London, U.K. beginning to update health- tional career path, it is apparent technologies developed at the promise for finding more accurate ways to immediate investments neces- system,” he added. care delivery with health IT. their scores on a number of tests of cogni- Obama’s American Recov- that Alwan feels at home in his University of Virginia “on a much track brain aging, they said. Full findings sary to ensure that, within five Without swift federal action, 1998 That money probably will be position as director of the Center larger scale and taken advantage appear in the January issue of Archives of years, all of America’s medi- Obama said Americans could Lecturer and distributed as pay-for-perfor- researcher at for Aging Services Technologies of to deliver care to a broader General Psychiatry. cal records are computerized. face a crisis this year “unlike mance rewards, with some of the Automation Department, Higher Institute of Applied at the American Association of Homes and Services for the Aging. He sees his field’s potential to population.” His professional drive is, in part, personal: His mother, who tive function. The findings indicate that » State lawmakers have introduced ery and Reinvestment Plan This will cut waste, eliminate red tape and reduce the need any we’ve seen in our lifetime.” He asked for bipartisan sup- it being doled out as grants for healthcare providers that need nearly 400 bills relating to health informa- to repeat expensive medical port and long work hours from help building their information video games that keep players “on their would require up to $800 bil- The president is pushing fo Sciences and Tech- make an enormous impact— lives in Damascus under the care nology, Damascus tion technology in the past 18 months, tests,” Obama said. Congress to get an economic technology infrastructure. n both in helping to prevent falls, of one of Alwan’s sisters, is com- according to a report from the National and monitoring seniors to keep pletely bedridden and can no toes” might help older adults keep their lion in new funding to rebuild economic recovery package 2002 Conference of State Legislatures. More Director of Robotics them at home longer. longer speak. than 130 eventually became laws, the go down all the time, which and Eldercare Tech- He also is a proponent of what “It hurts more that I’m working report noted. Overall, states are making means we weren’t getting any Americans’ trust in the econo- would include about $20 bi nologies Program, he calls “therapeutainment” (you in this area of technologies and I The Medical Auto- mation Research Center, University saw it here ﬁrst!), which combines mind-enhancing exercises with feel so helpless,” says Alwan, the youngest of 10 children. brains sharp, the researchers report in the progress in electronically connecting their healthcare networks, the study notes. referrals,” says Kellee Chass- ner, director of public relations for healthcare IT efforts. for the facility. Patient Place- journal Psychology and Aging. my, help provide new jobsadmissions and of Virginia physical stimulation. The Nin- Today, living near Washing- » Investigators using a hand-operated ment Systems helped get the tendo Wii is one example. ton, D.C., Alwan still maintains a robotic device and functional MRI have process back on track. 2007 Alwan’s vast knowledge of strong connection to his country’s found that chronic stroke patients can be Fast “If we don’t have an open make all U.S. medical records “But it just won’t Co-founds Home senior-care technology is a boon culture. He and his family (wife, Patient Placement Guardian LLC, rehabilitated, according to a study pre- bed at one of our communi- for CAST, says Zachary Sikes, Rana, who is from Jordan; and sented in Chicago at the annual meeting of ties, we can, at a click of a Systems helps streamline Charlottesville, VA the admissions process, senior vice president for business daughters, Maryam, 6, and Heba, » UCLA scientists have used brain- the Radiological Society of North America. button, send everything over “I couldn’t live in less than a half billions of dollars and electronic relations and corporate develop- 2) speak Arabic at home. Moslem easing communication 2007 “We have shown that the brain has the along with our own notes to between facilities. Takes position in ment at AAHSA. But Alwan’s by faith, Alwan attends a nearby ability to regain function through rehabili- one of our sister facilities,” For more info: (888) 657-9480 or May as director of bigger contribution is his ability mosque on Fridays, celebrates AAHSA’s Center for Aging Services to translate the science behind the technology into terms of business, Ramadan, and gives back to his community. scan technology and patient-specific infor- tative exercises following a stroke,” said A. Aria Tzika, Ph.D., director of the NMR without …” decade. sands of jobs; it will sav she says. Patient Placement Systems’ www.patientplacement.com Technologies in Surgical Laboratory at Massachusetts Keeping patient referrals interface also makes organizing academia and long-term care. Like his vast understanding of mation on Alzheimer’s disease risk to help “To improve the quality of by reducing the deadl Washington, D.C. General Hospital. organized between three the census a breeze, according “He takes his responsibilities technology and its universal impli- separate senior communi- to Chassner. and the opportunity of what this cations, Alwan sees the world from » Physicians are adopting mobile ties can be tricky, especially “It’s good for me because I diagnose brain aging, often before symp- our healthcare while lower- preventable medical e can do for our providers and our a global perspective. technology faster than the general public, when each building uses a do the marketing and I need to aging population very, very seri- “At the end of the day, I feel according to Manhattan Research. Some different technology. That know who I need to focus on,” ously,” Sikes says. we’re all human,” he says, “and we 54% of U.S. physicians own a PDA or was the case at The A.G. she says. “It saves a ton of time Is there something you toms appear. This new approach holds ing its cost, we will make the that pervade our healt Alwan, who is originally from all share a lot more sets of beliefs smartphone. Meanwhile, Diffusion Group Rhodes Home in Atlanta. for our admissions directors, couldn’t live without? Tell Editor James M. Berklan at Damascus, Syria, got his first than what is on the surface.” predicts that 70% of physicians will own a “Our fax machine would too,” she adds. firstname.lastname@example.org glimpse into his ﬁeld of biomedical —Liza Berger smartphone or PDA by 2011. 58 www.mcknights.com • January 2009 promise for finding more accurate ways to 12 www.mcknights.com • February 2009 immediate investments neces- system,” he added. track brain aging, they said. Full findings sary to ensure that, within five Without swift federal a 292157_LTC_Profile_p58.indd 58 12/19/08 6:24:21 PM appear in the January issue of Archives of years, all of America’s medi- Obama said Americans General Psychiatry. cal records are computerized. face a crisis this year “u This will cut waste, eliminate any we’ve seen in our life » State lawmakers have introduced red tape and reduce the need He asked for bipartisan nearly 400 bills relating to health informa- to repeat expensive medical port and long work hour tion technology in the past 18 months, tests,” Obama said. Congress to get an econ according to a report from the National Conference of State Legislatures. More than 130 eventually became laws, the go down all the time, w report noted. Overall, states are making means we weren’t gettin progress in electronically connecting their referrals,” says Kellee C
Brain fitness mentionsApril 2009 Feature StoryAll the right movesBy John Andrews Rehabilitation All the right moves the highest level of therapy in an grated approach for PT, OT and “Therapists are becoming more vice levels and whether they are efﬁcient and outcomes-focused speech therapy and provide a plan Rehabilitation sensitive to, and in tune with, the meeting the needs of patients and model of care,” she says. “Under of care in conjunction with nurs- need to provide therapy services payers, Richards says. PPS, rehabilitation profession- ing to meet all their needs. Rehab supported by research. CMS “The question really is, are als learned to adapt the model of 25 years ago was more for SNF and private insurers also have providers adequately meeting offering more comprehensive such as electrical stimulators and ‘Engagement tools’ care for Medicare Part A patients based upon a possibility of 44, and residents – now it’s for preparing patients to go home.” increased their expectations the therapy needs of those they regarding evidence-based therapy serve?” he the complexfocus is services to meet says. “If the implementation of electronic doc- Though not a service along the Rehab trends: Rehabilitation Therapy involves a range of new approaches—from the practice of tai chi to the later on, 53 possible patient level interventions.” needs of skilled nursing facil- umentation and billing systems. on thoroughly treating patients lines of physical or occupational The rehabilitation ﬁeld is ﬁlled of care and payment categories. Assessing therapy needs In order to assess whetherity residents—more involvementregula-appropriate use of technology they in accordance with the The therapy, computer “engagement with promise for long-term use of medical technologies. Smart providers ﬁnd the tools that work for them For Medicare Part B services, we Clinical demands on therapists are maximizing revenues from wound care,therapy revenuesis particularly important consider- with tions, the incontinence, will tools” can work in tandem Continued from pageoperators as new to be popular with therapists and with care facility 42 such as yoga also hold an impor- Dance, believes providers need have had to cope with a therapy are also sharpening, says Acceler- rehab patients, facility operators asfollow. In that regard, the therapy shortage of therapists.” pain, well as providing better ing the those exercises, say representa- technologies and concepts offer patients alike, she says. tant place on the therapeutic to strive for a balance between [ ] ﬁnancial limitation not based on ated Care Plus’ Richards. need to take stock of theircare to increasinglyis making progress by ser- profession more complex Martha Schram, president of tives from Centennial, CO-based of aour customers patients, “The Wii system has been in many chance to engage have menu, Keane adds. conventional and alternate types patient presentations. Aegis Therapies, agrees: “Technol- It’s Never 2 Late. started using our systems as and place in our facilities for about increase referral volume a “Yoga is a key piece of physical, of therapies. “T here is an opportunity ogy holds a promise for improv- therapy maximize revenues. Bob Latz “Although we’ve been around tool,” says Lori Snow, the a year and a half and it has been spiritual and emotional wellness,” “The focus of care continues to By John Andrews “Nursing to improve the bottom line by ing the lives of all of us–we must year and Alla Onitskansky, executives for 10 years, over the pastcompany’s director of marketing. very exciting,” according to she says. “What we have to look at be providing skilled, medically- The rehabilitation component of skilled nursing has grown and homes need increasing therapy efﬁciencies via include it in the treatment of the “Therapists are ﬁVegas-based EnduraCare for Las nding that clients Keane. “Residents love it. One is providing very individualized necessary services as is required the use of medical technologies, geriatric population.” are doingTherapy Management, identify Continued on page 44 their exercises longer resident who was a golfer but goals. Therapists have to make under Medicare,” she says. “How- developed into an established to change due to thehere some of the key trends that engaging nature of the could no longer hit the course sure that everyone who partici- ever, all other approaches and service area for long-term care are currently happening, as well facility operators over the past their image.” software and that folks who had could play this. As a result of the as projections for the future. pates in yoga has goals that can practices can be woven in, as long two decades. Yet despite its matu- Marta Keane, previously refused to participate physical motion involved, he can be met.” as they meet the goals under the CURRENT TRENDS are now getting involved.” now feed himself.” Linda Karacoloff, vice presi- established skilled therapy plan rity, it must continue to evolve if Encore Healthcare [ ] Programs Designed to promote physical Alternative physical activities dent of clinical services for Sun- of care.” ■ rehab providers are to capture ■ Nintendo Wii the burgeoning patient volume level of care or need but only on ■ Pilates and revenue potential that exists, a dollar amount. Physical therapy ■ Weight lifting for seniors industry observers say. and speech therapy services have Created by a surge in demand a combined capitation of the same “Practices can Technologies be ■ Web-baseddocumentation Wascomat makes Electronic for post-acute rehabilitative dollar amount as the occupational ■ woven in.” for case software care, skilled nursing facilities therapy limit.” Linda Karacoloff, management have become the standard refer- On the whole, rehab profes- infection control easy ■SunDance Electric wheelchair usage for ral center for victims of stroke, sionals have done a commendable patient assessment neurological trauma and other job working under the regulatory debilitating conditions. Typical limitations, adds James Hummer, Policies/Clinical philosophy and affordable. therapeutic services include physi- senior vice president of operations and cognitive wellness, for staff ■ ‘Zero-lift’ rules the It’s cal therapy, occupational therapy for Alexandria, VA-based Sun- Never 2 LateTherapy effectiveness a ■ applications include and speech pathology. Patient Dance Rehabilitation. variety of virtual activities, includ- measured by outcomes ■ Prevention of decline (espe- Photo: iStockphoto stays usually run from 30 days to “Providers are increasingly ing simulated ﬂying, driving and indeﬁnitely. adept in managing PPS require- bicycling; touch important for CCRCs) cially screen puzzles ■ Revenue optimization through and painting, as well as speech While rehab has become a reli- ments, as well as working with outpatient clinics and home When laundry infection control is critical, able revenue generator for LTC other payer requirements under therapy and memory applications, health cognitive recognition tools and Wascomat is your only choice for safety facilities, industry dynamics aren’t patients, says Mark Richards, vice Therapy more often includes alternative types of programs, such as tai chi, a managed care, Medicaid and pri- martial art, as shown above. These services continue to evolve, experts say. dementia FUTURE TRENDS engagement. and risk management. We can show you standing still. Medicare and Med- president of clinical education for vate pay,” he says. “Providers are icaid policies are continually in Reno, NV-based Accelerated Care increasingly able to furnish a range Company representatives say Programs step-by-step how to ensure optimum pro- ﬂux, health plan coverage criteria Plus. signiﬁcant changes in the industry governments getting squeezed by of interventions from one-to-one their systemsTai chi new education- ■ offer – Improves endurance, tection against the spread of MRSA infec- undulates and patient demograph- “There are a variety of provid- over the past decade and predicts the shifting economy and Medicaid treatment to group therapy.” al options forbalance and posture to make therapists, providing tion while streamlining the laundry process. the body more efﬁcient. activities for outpatient therapy, ics are shifting toward the baby ers in the long-term care indus- more will occur going forward. reimbursement is being impacted. Besides policy and reimburse- Utilizes low impact, smooth With Wascomat laundry equipment you will boom generation. try who are focused on quality Encore is a management compa- That will have a deﬁnite effect on ment, demographics are another adult day care and dementia programs. The systems also help billed exercises. Tai chi can be have the ability to monitor, report, and vali- care and are continually seeking ny with a portfolio of 26 skilled long-term care patients.” key inﬂuence on post-acute rehab, under “Neuromuscular facilities meet the CMS F-tag date every processed batch of laundry. Expansion plans new ways to improve outcomes,” nursing facilities and ﬁve long-term Mary Pidich, vice president of Keane says, calling the boomers These realities, authorities say, he said. “What we have seen is acute care hospitals in 10 states. quality assurance for Las Vegas- “the bubble” generation. guidelines for activities, (97112) or Re-education” quality Easily create real-time, accurate calcula- “Gait Training” (97116). present both challenges and that there is a strong correlation Besides being a vice president of based EnduraCare T herapy “This new group of seniors is of life, dignity, self-determination tions and reports on water temperature, ■ Yoga – Improves balance, opportunities for providers in between a provider’s quality of rehab, Keane is a certiﬁed speech Management, says rehab provid- postponing retirement and they’re and participation, Snow says. chemical dosing, number of re-washes, sleep, arthritis, diabetes, redeﬁ ning and expanding their care and a company’s overall pathologist and audiologist. ers have done an admirable job, looking to stay in their homes “Each of these regulations pro- operating costs, and more. Leasing and hypertension, anxiety, chronic rehab service offerings. business performance. The more “The most important change considering the coverage and instead of moving to Sun City,” motes the development of person-culties. pain and breathing difﬁ low-cost financing available. As a parochial matter, long- innovative providers recognize I’ve seen is the move to the pro- regulatory limitations. she says. “These are people who centered activities and experiences Helps to prevent falls. term care facility operators and that connection and are shaping spective payment system in 1999,” “Over the past decade, the don’t need long-term rehab—it’s that identify an individual’s inter- Technology ests and needs and involve the Ask about our new compact (30 & rehabilitation professionals have their organizations around that she says. “At that point [CMS] rehabilitation profession has more knee and hip replacements individual■ Robotic devices for patient in an ongoing program Put yourself in the hands of 40 lb. capacities!) barrier washers. various options to expand their philosophy.” made some changes to the number demonstrated the ability to not with co-morbidities. Nursing service offerings, improve clini- Marta Keane, vice president of of groupings they had and there homes need to change their image transfers that maintains the highest level of the experts! Call Wascomat Wascomat makes it affordable and only survive wide-sweeping regu- ■ Virtual reality to simulate cal efficacies for therapies and rehabilitation for Columbia, MD- are plans to change them again, latory and payment restructur- in order to attract this population. physical, cognitive, and psychoso- home environments to learn more. easy to meet the most demanding capture a broader population of based Encore Healthcare, has seen perhaps this year. I am also seeing ing but to successfully deliver Facilities can formulate an inte- cial well-being,” she says. hygiene standards. ■ Computer-based cognitive training programs in recre- 40 www.mcknights.com • April 2009 April 2009• www.mcknights.com 41 Wii and more therapy, which appears ational Alternative therapies “deﬁnitely on to have a positive effect have a place,” Keane observes, outcomes in early studies. “especially at the assisted living www.wascomat.com • email@example.com level, where the patients are moreLTC Feature 2 rehab.indd 40 3/27/09 11:18:19 AM Feature 2 rehab.indd 41 LTC 42 www.mcknights.com • April 2009 PM 3/27/09 3:25:49 ambulatory.” Integrating simulated pro- 800-923-2626 grams, which also include the Nintendo Wii system, have proven LTC Feature 2 rehab.indd 42 3/27/09 11:19:45 AM 44 www.mcknights.com • April 2009 LTC Feature 2 rehab.indd 44 3/27/09 11:20:30 AM
Brain fitness mentionsMay 2009 News | Technology May 2009 News | TechnologyBrain-Fitness training might enhance CompanyBriefsauditory processingBy John O’Connor NEWS | Vendors GE and Intel partn NEWS | Technology ITUpdate Brain-fitness training might CompanyBriefs CompanyBriefs GE and Intel partner up to increase use of IT products » Posit Science has released a report enhance auditory processing » Former Federal Reserve Board showing media outlets are covering brain Chairman Alan Greenspan recently said ﬁtness with greater frequency. While that there is little reason for a massive there were just 27 news articles in 2004 on increase use of IT increase in healthcare IT spending unless » Posit Science has released a report brain ﬁtness, last year there were 1,301–a apnea, sticking to medication By John O’Connor the investment helps runaway costs. “We By John O’Connor noisy room or to someone not compounded annual growth rate of about General Electric and Intel schedules, cardiovascular dis- have to find a way to curtail the federal Brain fitness training makes resi- speaking clearly. 150%. Sales growth in the sector rose from announced they will jointly eases, diabetes and monitoring funding,” Greenspan said in Chicago at the dents better listeners, according These problems in hear- Healthcare Information and Management Systems Society conference. to Michael Merzenich, Ph.D. His study found that par- ing are not really problems with reception by the ear but showing media outlets are covering brain $100 million in 2005 to more than $225 million in 2007, according to SharpBrains. invest $250 million over the next half-decade to develop healthcare products aimed at personal health. The Federal Interagency Forum on Aging-Related Statis- ﬁtness with greater frequency. While ticipants who trained on instead are problems in brain Photo: General Electric Photo: iStockphoto » Keane recently announced the launch easing seniors’ burdens. tics predicts that by 2030 there » Technology that tracks caregivers’ brain-fitness software more processing. Such challenges of its Optimum Product Suite. The The ﬁrms envision technol- will be about 72 million Ameri- hand hygiene practices is proving effective than doubled their auditory commonly lead to difficulty in software suite helps operators improve ogy that will trim healthcare cans over the age of 65, nearly there were just 27 news articles in 2004 on at reducing costs and increasing compli- processing speed, with an hearing, in being attentive and accounts receivable cycles, reduce medical costs and help aging baby 20% of the nation’s population. ance, according to the results of a recent average increase of 131%. By addressing the speed and in remembering what was said, errors and simplify third-party billing. boomers and people with accuracy of auditory processing, Jeffrey Immelt, left, CEO of GE, This is nearly double the 37 mil- pilot study. Epidemiologists at the Uni- “This is the beginning of Merzenich noted. chronic illnesses stay out of and Paul Otellini, CEO of Intel, lion from 2006. brain ﬁtness, last year there were 1,301–a By John O’Connor brain-fitness training can improve versity of Iowa used new, energy-efficient a revolution in brain health,” By addressing the speed and » Patient Placement Systems hospitals by allowing doctors recently announced a joint a person’s hearing ability, a new The companies said in a “Zigbee” wireless technology to create the Merzenich said at the American study suggests. accuracy of auditory process- recently announced the launch of Caring to monitor patients remotely. venture to develop products aimed at allowing doctors to press release that the alliance device. These new devices can help reduce Auditory Society annual meet- ing, the software improves the compounded annual growth rate of about General Electric and Intel Forward.com, a Web site that allows con- Intel Corp. CEO Paul monitor patients remotely. has the potential to lower the monetary and labor costs of manually ing in Scottsdale, AZ. The other participants spent ability to hear in common real tinuing care professionals to discuss and Otellini and GE CEO Jeffrey national healthcare costs by recording data, while at the same time The study tested 487 healthy an equal amount of time learn- life situations where people learn about challenges, advancements and Immelt said their cooperation aging population will result in keeping millions of Americans increasing compliance rates, according to adults over the age of 65. Half ing from educational lectures may speak quickly or in noisy 150%. Sales growth in the sector rose from announced they will jointly technologies in long term care. will help them jump quickly a push for fewer hospitaliza- out of hospitals while still giv- investigators. Increasing compliance could were in a group that trained delivered via computer and environments. The recent into a market they estimate will tions, they believe. ing providers the information reduce the occurrence of facility-acquired for 40 hours over the course of followed by quizzes. study also showed that bet- » KCI has announced the launch of its grow to $7.7 billion by 2012, While both ﬁrms see home they need to monitor health $100 million in 2005 to more than $225 invest $250 million over the infections, they add. eight weeks on cognitive train- When speech comes in ter auditory signal processing new V.A.C. GranuFoam Bridge Dressing from $3 billion this year. care as a primary beneﬁciary, and deliver care. ing software. The brain fitness more rapidly than the brain actually improves memory and Kit. The product is designed to protect They credited an aging it appears that other long-term GE and Intel are not new » A computerized system that keeps program consisted of six exer- can process it reliably, or when attention—leading to fuller intact skin around chronic wounds. nation as a primary driver of care settings will be able to take to the healthcare market: Both million in 2007, according to SharpBrains. next half-decade to develop good track of seniors and their health prob- cises done on a computer and it is processed with degraded function in everyday life. the increase. The growth in advantage of the new prod- companies have some strong lems can cut their death rate by as much is based on the science of brain accuracy, it results in people Full findings appear in the » Resource Systems announced that the number of patients with ucts. They are likely to target brands, like GE Quiet Care and as one-third, according to a new study plasticity—the ability of the saying they missed what was April 9 issue of The Journal it has purchased PM MxManage from chronic conditions and an challenges such as falls, sleep the Intel Health Guide. ■ from Oregon Health & Science University. The study broke the 2,288 patients into brain to change in response to cognitive stimulation. said. They may attribute it to a bad phone connection, to a of the American Geriatrics Society. n Plante Moran. MxManage is a decision- support software tool for long-term care healthcare products aimed at easing seniors’ burdens. suppliers Agencies laud key healthcare two groups: One group received standard » Keane recently announced the launch providers that optimizes reimbursement healthcare. The second group received what and state survey outcomes by using “real Framingham, MA, and one of the study called Care Management Plus. time” analytics. his jobs is to dispose of the This involved nurse managers using com- of its Optimum Product Suite. The The ﬁrms envision technol- facility’s medical waste and By John O’Connor facturers that meet the most tics officer for the Veterans puterized records to carefully track patient » The Food & Drug Administration The U.S. Departments of stringent criteria. The 2008 Health Administration. sharps containers. conditions as well as needed tests and thera- “Before, we would have to has approved the drug Reclast for a new Defense and Veterans Affairs Champions are BD and Sage “These supplier partners pies such as medication changes. The nurses and their computerized tracking appear to have extended the lives of patients in the take the sharps containers, put them in a red bag and box ’em up,” Argir says. software suite helps operators improve purpose: the treatment and prevention of osteoporosis. Speciﬁcally, patients expect- ed to be on glucocorticoids, or steroids, for ogy that will trim healthcare have recognized seven medical manufacturers for contributing to the success of the agencies’ Products Inc. • Leader – for manufac- turers that meet data quality know the value of quality, not only in the manufacturing of their products, but in describ- accounts receivable cycles, reduce medical costs and help aging baby second group. Elderly people with chronic Getting the boxes hauled at least 12 months can now use it. joint internal data synchroniza- requirements at the item level, ing them as well,” he added. health conditions become complicated away would cost the facility Regulation-sized tion program. including coverage, complete- “They are committed to serving patients, and their care is harder to coordi- between $400 and $600 a safety » Namenda’s patent term was recently Through this program, ness of packaging and fre- their customers, and to doing nate, investigators note. » As many as three out of four doctors Jim Argir Bethany Health Care Center month, he says. But by using the Medical Waste Machine system from Medical Innova- The Medical Waste Machine system melts hazardous medical waste errors and simplify third-party billing. extended through April 10, 2015, accord- ing to Forest Laboratories. The medication boomers and people with Jeffrey Immelt, left, CEO of G which includes manufac- turer contributions of clean, quency of updates. The 2008 Leaders are: Cardinal Health, their part to improve the federal healthcare supply chain.” synchronized data, the DoD chronic illnesses stay out of and Paul Otellini, CEO of Inte is used to help treat people with Alzheim- Medegen, Propper Manufac- Added Col. Marsha Lang- could be using e-prescribing technology within five years, according to a recently “I couldn’t live tions Inc., Argir now spends $800 a year on medical into a hockey-puck sized disk for safe, easy, cheap er’s disease. The patent had earlier been set to expire Sept. 13, 2013. and VA have been able to save more than $32 million to date turing Company, Retractable Technologies Inc., and 3M. lois, director of the Medical Directorate at the Defense without …” hospitals by allowing doctors recentlyto develop products announced a joint released report. Roughly $19 billion of waste disposal. disposal economic stimulus funding is set aside for Strict laws governing the The MWM system works by actually melting sharps into a For more info: (508) 358-8099 www.medicalinnovationsinc.com » Patient Placement Systems » Medline Industries will provide through product price reduc- tions, including $11 million “The DoD/VA awards honor our manufacturer part- Supply Center Philadelphia: “Our healthcare product data the adoption of e-prescribing and other healthcare technologies. The increased disposal of medical waste safe, hockey-puck sized disk wound care products for Catholic Health- in 2008. venture ners who recognize the impor- quality winners are important access to funding is likely to vault physician participation in e-prescribing practices up were becoming a problem in Jim Argir’s part of the country. He is the general that can be disposed with regular trash. “It reduced my overall med- Is there something you recently announced the launch of Caring care West under a newly signed $1.8 million deal. Products such as SilvaSorb antimicrobial silver dressings, Maxorb to monitor patients remotely. aimed at allowing doctors to The manufacturers will receive the 2008 DoD/VA Award for Healthcare Prod- tance of consistent data and who are leading efforts in the industry to deﬁne the role of partners; together we pur- sue our vision of improving patient safety, reducing waste- Forward.com, a Web site that allows con- Intel Corp. CEO Paul monitor patients remotely. to 75% by 2014—a dramatic increase over Calcium Alginates, Exuderm Odorshield uct Data Quality in two cat- suppliers in data synchroniza- ful spending and increasing manager of hospitality and ical waste by ninety percent,” couldn’t live without? Tell the current estimated 13%, according to Editor James M. Berklan at and Optifoam dressings are included in egories: tion efforts,” said Fred Downs, the effectiveness of supply building services at Beth- Argir says. “I’m telling you, a new Pharmaceutical Care Management [using it is] a no-brainer.” firstname.lastname@example.org. the agreement. • Champion – for manu- chief procurement and logis- chain transactions.” ■ any Health Care Center in Association’s report. 18 www.mcknights.com • May 2009 tinuing care professionals to discuss and Otellini and GE CEO Jeffrey May 2009• www.mcknights.com 25 learn about challenges, advancements and Immelt said their cooperation aging population will resu technologies in long term care. will help them jump quickly a push for fewer hospita LTC Technology.indd 18 4/21/09 11:41:12 AM LTC Vendors.indd 25 into a market they estimate will tions, they believe. 4/21/09 11:57:06 AM » KCI has announced the launch of its grow to $7.7 billion by 2012, While both ﬁrms see h new V.A.C. GranuFoam Bridge Dressing from $3 billion this year. care as a primary beneﬁc Kit. The product is designed to protect They credited an aging it appears that other long- intact skin around chronic wounds. nation as a primary driver of care settings will be able to the increase. The growth in advantage of the new p » Resource Systems announced that the number of patients with ucts. They are likely to ta
Brain fitness mentionsMay 2009 Feature StoryStill in the game /Cognitively impaired seniors can benefit greatly from mind exercisesBy Julie WilliamsonAs more studies validatethe importance of brainfitness programs forkeeping seniors’minds sharp, and as morelong-term care operatorsincorporate them intoresident activities, itappears there are stillsome major obstacles toovercome—namely, thelack of solutions aimedat cognitively impairedseniors ….
Brain fitness mentionsJune 2009 Buyers Guide August 2008 News | TechnologyBrain-Fitness: “I couldn’t live without …”These firms aim to improve cognitive abilities (It’s Never 2 Late system) 284291_LTC_Technology_p18 7/18/08 1:45 PM Page 18 Buyer’s Guide NEWS | Technology Brain Fitness These firms aim ITUpdate » Providers cited numerous concerns with House committee approves nt bill expanding healthcare IT ram me the government’s proposed five-star rating g tain to improve Pro gy system, during a recent “Open Door Forum” ss olo ter ne ™ conference call. Callers were most concerned ate cognitive abilities hn Fit gic En 2L about the validity of using government survey ec ain Ma lay tT r Br data, which is based on minimal compliance 2P ve ry gh BY JOHN O’CONNOR and the committee’s senior im Ne mo ch levels, to depict quality ratings. The Centers ou The U.S. House of Represen- Republican, Joe L. Barton of k u It’s Me Da Th To for Medicare & Medicaid Services plans to tatives sent to committee a meas- Texas would create new oppor- Settings served unveil the new system on its Nursing Home ure that would further encour- tunities for lawsuits against Skilled nursing facilities • • • • • Compare Web site in December. age the use of health information healthcare providers. Without Photo: Office of Rep. John Dingell technology in all provider set- changes that would limit their Assisted living • • • • • » More than three-quarters (76%) of hos- tings, including nursing homes. legal liability, providers might be CCRCs • • • • • pitals larger than 300 beds have invested in radio frequency identification technology for The bill, H.R. 6357, reflects a number of changes made by a reluctant to adopt new technol- ogy, he said. Independent living • • • • tracking assets, patients or staff, according to panel of legislators after hearings “If we don’t have a health IT Outpatient rehabilitation • • • • • a study from Spyglass Consulting Group, Menlo Park, CA. Fully 42% of the facilities are on the matter were held in June. Among some of the other provi- system that providers will use, then we have done nothing,” Other • • • using the technology to track assets, 38% to sions, it would provide grants to providers to help cover costs of Rep. John D. Dingell (D-MI) Rogers said. Congress has been debating Benefits track patients, and 18% to track staff, investi- implementing IT infrastruc- cific definition of the term “pri- ways to promote greater use of • • • • gators found. Measurable results tures. The grants would be given vacy” and more provisions health information technology Scientifically based • • • » Rep. Charles Boustany (R-LA) intro- out through three competitive requiring patient consent. during the past four years. grants programs. While the Energy and Com- Supporters note that the use Structured learning • • • duced legislation designed to give patients While the new legislation takes merce Health Subcommittee of electronic medical records more control of their health records. His Challenges residents • • • • • Patient-Controlled Health IT Act would offer into account many of the changes suggested at the hearings, some briefly debated three amend- ments, none were voted on. can improve efficiency, reduce medical errors. But concerns Integrates with therapy • • • • • residents the right to receive their personal medical information in electronic form from patient privacy advocates, includ- Two of them came from Rep. about privacy, cost and over-reg- More than one user • • • • • providers who maintain electronic records. It ing Deborah C. Peel of the group Patient Privacy Rights, testified Mike Rogers (R-MI), who is among a handful of Republicans ulation have delayed the legisla- tion. A similar bill in the Senate OK for dementia residents • • • • • would also create financial incentives for health information organizations to provide that the bill doesn’t go far enough toward protecting patient priva- concerned that the legislation, sponsored by Committee Chair- (S. 1693) has been stalled for several months because of priva- Entertainment aspect • • • • • electronic clinical data to patients’ personal cy. The advocates call for a spe- man John D. Dingell (D-MI), cy concerns. ■ Multiple learning options • • • • health records. » Kaiser Permanente and Microsoft Memory Magic™ Program (330) 258-9000 Thought Technology (800) 361-3651 Corp. announced they will jointly pilot health data transfers between Kaiser Permanente’s “I couldn’t live without…” www.memorymagic.com www.thoughttechnology.com My Health Manager and the Microsoft Many seniors say technology just isn’t HealthVault consumer health platform. The for them. Nursing homes that have program is expected to unveil new strategies tried to integrate computer systems Dakim BrainFitness Touch2Play for expanding consumer access to online into residents’ lives have encountered (800) 853-7137 Entertainment resistance and frustration from resi- www.dakim.com (888) 521-2278 health information and management tools. dents. Learning to use computers UNLIMITED » www.touch2play.net understandably can be difficult. » Sen. Max Baucus (D-MT), chair of the POTENTIAL: It’s Never 2 Late “Many of our settings had a comput- Senate Finance Committee, has introduced Easy-to-use hardware makes (303) 806-0797 er with Internet access that would be Medicare reform legislation that would man- IN2L accessible to all residents. www.iN2L.com date e-prescribing. The measure would cre- designated for resident use, but that FOR MORE INFO: ate incentives for providers to use e-prescrib- was for people who already knew how (303) 806-0797 ing systems from 2009 through 2013. It also Deborah Perry to use the computer,” says Deborah WWW.IN2L.COM would require electronic prescriptions for Volunteers of America Perry of Volunteers of America. Medicare beneficiaries starting in 2011. The “It’s Never 2 Late” system provides a different kind of computer technology to nursing homes across the country, proponents say. » A Congressional Budget Office report “IN2Lis fun and useful for all levels of functioning residents,” Perry says. Adaptive computer hardware, such as large touch screens, eliminates questions previous studies that predict sub- the need for confusing keyboards. Specially designed computer pro- Is there something you couldn’t live stantial cost savings from widespread use of grams from memory games for Alzheimer’s patients to karaoke and without? Tell Editor James M. Berklan health information technology, particularly “Deal Or No Deal,” provide a wide variety of activities for residents. at email@example.com electronic health records. 18 www.mcknights.com • August 2008 June 2009• www.mcknights.com 41 LTC Buyers Guide.indd 41 5/21/09 3:25:10 PM
Brain fitness mentionsSeptember 2008 News | Analysis 285794_LTC_BrainFitness_p28,30 8/18/08 5:15 PM Page 28An idea whose time has (finally) come NEWS | AnalysisBy John O’Connor An idea whose time has (finally) come Brain fitness toolsLike many revolutions, long-term care’s recent a challenge to old cognitive care viewsembrace of technology-based brain fitness BY JOHN O’CONNOR Like many revolutions, long-term care’s recent embrace of technology- based brain fitness tools began 285794_LTC_BrainFitness_p28,30 8/18/08 5:16 PM Page 30tools began quietly. Then it exploded. quietly. Then it exploded. Most analysts trace the wave’s roots to 2006, when Nintendo introduced a game called Brain Age to America. Selling an eye-opening 600,000 games NEWS | AnalysisMost analysts trace the wave’s roots to 2006, during its first four months, the game proved to be wildly popular. Shortly thereafter, company ana- Continued from page 28 in age. Participants were randomly lysts made an unexpected discovery assigned to two groups. One group about its success. As predicted, many pendence, as well as fewer injuries. It took tests and watched educationalwhen Nintendo introduced a game called buyers were baby boomers and also can make facilities less vulnera- DVDs, while the other used the Photo: Diane Bondareff, Nintendo youngsters. The real surprise was ble to lawsuits related to dementia- firm’s Brain Fitness program. how many older people—and senior- related behaviors, such as falls, Following 10 weeks of training, those living operators—were also pulling attacks or resident-transfer injuries. in the Brain Fitness group improved Brain Age off the shelves.Brain Age to America. Selling an eye-opening their speed of processing and some Nintendo President Satoru Iwata Looking for links measures of memory faster than admits it was an eye-opening experi- The available research seems to indi- those in the control group. ence. In fact, he told reporters in July cate that cognitive stimulation can In a related development, the that the company will focus more on Ethel Bockman, 95, right, and Stella Zielecki, 89, play Brain Age 2. Increasingly, seniors are using brain fitness tools to preserve and help prevent dementia, and may National Institute on Aging and the serving seniors’ cognitive needs going improve their cognitive abilities. Eldercare communities are also beginning to realize the benefits these tools can offer.600,000 games during its first four months, reduce its risk substantially. Consider: McKnight Brain Research Founda- forward. And he is hardly alone. • A 2002 study appearing in the tion (no relation to McKnight’s Long- Firms such as Dakim, Posit tend to diminish over time unless they rob victims of their essential human- business for employees who are care- Journal of the American Medical Term Care News) last year held a cog- Photo: Bob Riha Jr., Nintendo Sciences, Congnifit and MyBrain- are used regularly. A prevalent theory ity, and greatly diminish the quality givers of people with Alzheimer’s Association found that those who nitive aging summit that attracted Trainer.com are leading the charge is that improving cognitive abilities of life that older people can enjoy. and other dementias. reported frequent involvement in some of the nation’s leading into an area that has been largely through brain exercise leads to brain The Alzheimer’s Association esti-the game proved to be wildly popular. cognitive activities at baseline were researchers on aging. The result was a overlooked in the past: the develop- fitness, much as physical exercise mates that the direct costs to Multiple benefits 47% less likely to develop forward-looking agenda for age-relat- ment of technology-driven tools that tends to enhance physical fitness. Medicare and Medicaid for care for From a long-term care operator’s Alzheimer’s than those with infre- ed cognition research. Separately, the can help preserve and enhance sen- Advocates note that brain fitness people with Alzheimer’s and other perspective, helping a resident mini- quent cognitive activity. NIA has backed efforts designed to iors’ cognitive abilities. The market can be improved by disciplined exer- dementias, and the indirect costs to mize or stave off Alzheimer’s offers At a press conference in July, Nintendo President Satoru Iwata said that the company • A 2003 study appearing in the learn more about the effects of exer- for “neurosoftware” topped $225 cises that present a variety of chal- business for employees who are care- multiple benefits. Most important, it plans to focus more on serving seniors’ cognitive needs and interests going forward. Annals of Internal Medicine (the so- cise, diet, social engagement and [ ] million last year and is expected to lenges in a constructive environment. givers of persons with Alzheimer’s allows residents to enjoy a higherShortly thereafter, company analysts made called “Nun study”) revealed that a mental stimulation on long-term reach an eye-popping $2 billion by and other dementias amount to more quality of life. It also can help staff considerable proportion of subjects brain health. 2015, according to Alvaro Fernandez Fear factor than $148 billion annually. That feel they are truly delivering a valu- with mild to moderate stages of While firms such as Dakim and It’s of market researcher Smart Brains. Brain fitness refers to a person’s As people get older, dealing with aging-related infirmities tends to includes: • $91 billion in Medicare costs for able service. Alzheimer’s disease pathology For an assisted-living operator, a “Whether it’s a computer game, crossword Never 2 Late are at the fore in the showed no symptoms of memory eldercare market, it’s a safe bet that or Sudoku puzzles, seniors shouldan unexpected discovery about its success. ability to meet life’s various cognitive become a major cause of stress. A care of beneficiaries with Alzheimer’s resident can represent a $40,000-to- impairment. other new launches are waiting in the demands. In other words, it is the sci- Mayo Clinic study found that seniors and other dementias in 2005 (this fig- $50,000 revenue stream. Not having ence of maintaining and training cog- fear Alzheimer’s more than death. ure is projected to increase to $160 • A 2006 study in the British Journal to lose that customer to a skilled- of Psychiatry found a link between like what they’re doing.” wings–or soon will be. Moreover, it also can safely be assumed that exist- nitive abilities. Its core principles are Unfortunately, Alzheimer’s—or age- billion by 2010 and $189 billion by nursing facility or a dementia-care Dr. Ronald Petersen, Mayo Clinic Alzheimer’s Disease Research Center cognitive-stimulation therapy and ing vendors will increasingly harness based on concepts derived from phe- related dementia—is no idle threat. 2015). center is one less hole in the fiscal more cost-effective treatments. technology to improve their prod-As predicted, many buyers were baby nomena contributing to neuroplastic- Every 71 seconds, another senior is • $21 billion in state and federal leaky bucket, experts note. • Also in 2006, the Journal of the ucts/services. In addition, recent ity and neurogenesis. Cognitive abili- diagnosed with Alzheimer’s (the Medicaid costs for nursing home For skilled-care operators, too, American Medical Association pub- breakthroughs (such as expanded ties such as attention, memory, visu- national total now exceeds 5 million), care for people with Alzheimer’s and keeping residents from losing mental lished results from a clinical trial of processing tasks. Compared to a con- tion, says Andrew J. Carle, who Web-based options) are allowing al/spatial processing, auditory according to the Alzheimer’s other dementias in 2005 (this figure agility can reap numerous rewards. nearly 3,000 people age 65 and older. trol group, members of all three directs the Assisted Living/Senior technology-based vendors to deliver processes and language, motor coor- Association. By age 65, 1 in 8 is projected to increase to $24 billion These include greater resident inde- In this investigation, known as groups showed measurable improve- Housing Administration program at far more than was previously possi-boomers and youngsters. The real surprise dination, and executive functions Americans are afflicted. By age 85, in 2010 and $27 billion in 2015). ACTIVE (for Advanced Cognitive ments in areas where they had George Mason University. ble—often at a relatively low cost to such as planning and problem solving it’s half. Alzheimer’s and dementia • $36.5 billion in indirect costs to Continued on page 30 Training for Independent and Vital received training. Carle said that it’s essential that operators. Elderly), participants were randomly • A 2007 study in Psychological people at any age make new mental 28 www.mcknights.com • September 2008 placed in training groups for memo- Medicine found that individuals with networks. That involves tackling new Choosing what workswas how many older people–and senior-living ry, reasoning strategies or speed-of- high brain reserve—which looks at skills and activities, rather than trying From a scientific standpoint, multiple the roles of education, occupational to become more proficient at things a factors apparently contribute to a complexity, and mentally stimulating person already can do. sluggish senior mind, said Dr. Ronald Coming to pursuits in preventing cognitive “People should exercise their Petersen, director of the Mayo Clinic terms with decline—have a 46% decreased risk brains,” he notes. Alzheimer’s Disease Research Center.operators–were also pulling Brain Age off the of dementia when compared to those “There is often a genetic compo- brain fitness with low brain reserve. Scientific approach nent, but the environment plays a • In this year’s “Evercare 100 @ Brain Age urges customers to get role, as well. The cumulative impacts Brain fitness — a person’s capacity to 100 Survey,” sponsored by the com- “the most out of your prefrontal cor- of medical issues such as vascular meet life’s various cognitive demands. pany Evercare, 1 in 7 respondents tex.” Dakim’s [m]Power bills itself as changes like hardening of the arteriesshelves …. Neurogenesis — the process by which who had lived to age 100 indicated “a powerful new weapon in the fight also contribute to dementia,” he says. new neurons are created. they had played video games. against Alzheimer’s disease.” He adds that there are no specific Yet doubters remain, and their To augment their calls to action, rules about what kinds of cognitive Mental stimulation — occurs when the concerns are legitimate. One unre- vendors are turning to science to val- activities are best for warding off the mind is engaged in a way that results solved issue is whether training or idate a cognitive-training benefit. effects of aging. in the production and interconnectivi- playing games improves cognition, Dakim plans to put [m]Power to “Whether it’s a computer game, ty of neurons and nerve growth factor. or simply makes people more profi- the test in a clinical trial. Posit crossword or Sudoku puzzles, sen- cient at a certain kind of skill. Science has already done so. During iors should like what they’re doing,” Experts note that effective mental It’s still too early to issue a verdict 2006 and 2007, the company con- Petersen says. “If the senior does not stimulation should provide novelty, on the new wave of products and ducted a study that included 468 enjoy the activity, then it is not as variety, challenge and practice. services aimed at improving cogni- participants who averaged 75 years likely to be beneficial.” ■ 30 www.mcknights.com • September 2008
Brain fitness mentionsSeptember 2008 Column February 2009 TechTalkThe BIG picture Brain fitness program offers a sparkTeaching old dogs new tricks By John O’Connor 285794_LTC_JOCopinion_p46 8/18/08 5:42 PM Page 46By John O’Connor Opinion 26 McKnight’s Assisted Living/February 2009 TechTalkI have to admit that my Teaching old dogs new tricksfirst visit to a nursing I have to admit that my first visit to a ing push to use technology-based ness is helping residents gain new Brain fitness program offers a spark nursing home was less than inspiring. brain fitness tools that help residents independence. And even those with The building was decrepit, the staff retain and (to the extent possible) Alzheimer’s disease or related By John o’Connor held March 25 and 26. Registra- “To improve the quality of our n IT bills flourish in stateshome was less than seemed exhausted and the persistent improve their cognitive abilities. dementias are making cognitive con- Activity directors often are chal- tion is available at www.mcknights. healthcare while lowering its cost, State lawmakers have introduced smell of urine was unforgettable. In continuing care retirement com- nections that have been nothing lenged to get residents to try some- com/expo. we will make the immediate invest- nearly 400 bills relating to health Worse still, residents were literally munities, assisted living facilities and short of astonishing. thing different. But that hasn’t been A technology session will exam- ments necessary to ensure that, information technology in the past the case lately at one community ine emerging tools that can help within five years, all of America’s 18 months, according to a report [ ] wasting away. Most appeared to be nursing homes across the nation, Operators also stand to gain from where residents are often seen operators improve resident care medical records are computerized. from the National Conference ofinspiring. The building bedridden or barely ambulatory. this movement. One payoff is that For its part, the facility’s activity their residents are likely to be happi- engaging in a unique brain fitness while lowering costs. A capital ses- This will cut waste, eliminate red State Legislatures. More than 130 BIGPICTURE center consisted of a room with a tel- er and healthier. Another is lowered program into the wee hours. sion will examine current trends in tape and reduce the need to repeat eventually became laws, the report THE evision set. It hardly mattered that “Supporting this caregiving costs. Yet another is Residents at Summerville at community development and capital expensive medical tests,” he said. noted. Overall, states are making the picture was fuzzy, as most of the retaining existing residents. Facilities Irving, an Emeritus Senior Liv- availability. Additional sessions will “But it just won’t save billions of dramatic progress in electronically John O’Connor movement is, well,was decrepit, the staff residents wheeled in front of the also stand to see reduced liability ing community in Texas, recently examine wound care, the MDS 3.0 dollars and thousands of jobs; it will connecting their healthcare net- Vice President screen weren’t watching, anyway. exposure related to dementia-caused began using a beta version of the and what’s ahead for the Medicare save lives by reducing the deadly works, the study notes. McKnight’s Long-Term Care News firstname.lastname@example.org This place truly was a warehouse a no-brainer.” problems, such as falls, injuries or MindSpark gaming system. The and Medicaid programs. Registration but preventable medical errors that for the elderly. Sad to say, it was not attacks on others. conspicuously bad by the prevailing We at McKnight’s are thrilled to program covers six disciplines for this two-day event is free. pervade our healthcare system,” n hope for stroke victims? related to the maintenance and he added. Investigators using a hand-operatedseemed exhausted and local standards of the time. For- see this movement taking hold. tunately, much has since changed. these new products and services are That’s why we are actively endorsing development of physical and men- n IT tied to recovery plan robotic device and functional MRI A federal law passed in 1987 ush- enriching the lives of residents in the continued push toward brain fit- tal faculties. Residents can use the Just prior to taking office, President n Scan may aid researchers have found that chronic stroke ered in new standards for resident ways that once would have been ness in long-term care. In the coming touch screen technology and large, Barack Obama outlined plans for an UCLA scientists have used brain- patients can be rehabilitated, treatment. These have greatly unimaginable. months, we will be presenting more easy to read fonts as they enjoy economic recovery package that’s scan technology and patient-specific according to a study recently pre-the persistent smell of improved the way our oldest, frailest Initial studies show that the worst information on this issue, and we will more than 100 activities. loaded with plans for healthcare information on Alzheimer’s disease sented in Chicago at the annual citizens are cared for. In recent years, that can happen is that people who be constructing a multidisciplinary According to community and IT improvements. risk to help diagnose brain aging, meeting of the Radiological Society consumers, the government and engage in these activities gain addi- panel to pursue new opportunities. company officials, the option has Obama’s American Recovery often before symptoms appear. of North America. providers have increasingly em- tional proficiencies. The possible We hope that you’ll embrace the provided both expected and unex- and Reinvestment Plan would This new approach holds promise “We have shown that the brain braced quality as an essential compo- upside is almost unlimited. brain fitness revolution, as well, if pected payoffs. Mental health has require around $800 billion in new for finding more accurate ways to has the ability to regain functionurine was unforgettable. nent of eldercare in America. A story that begins on page 28 you have not already done so. To us, improved. But so, too, have aspects funding to rebuild Americans’ trust track brain aging, they said. study through rehabilitative exercises But perhaps one of the most pow- addresses how this revolution is tak- supporting this movement is, well, a of socialization. in the economy, help provide new may offer a more accurate method following a stroke,” said A. Aria erful developments has been a grow- ing place. This push toward brain fit- no-brainer. ■ “This has really helped new resi- jobs and make all American medi- for tracking brain aging. Full find- Tzika, Ph.D., director of the NMR dents get acclimated to the new cal records electronic in less than ings appear in the January issue of Surgical Laboratory at Massachu- Advertising Sales Chief Executive Officer, Postmaster: community and open up,” said a half decade. Archives of General Psychiatry. setts General Hospital.Worse still, residents Vice President, Sales, Haymarket Medical, Send address changes to: Karmen Maurer Lee Maniscalco McKnight’s Long-Term Care News Kellie McKinzie, the community’s (616) 786-4645 P.O. Box 5181 email@example.com Chief Financial Officer, Brentwood, TN 37024- 5181. marketing director. Haymarket Medical, According to Mick White, a “I couldn’t live without…” Editorial Midwest/West Coast Account Manager, Mike Kriak Reprints: Ginger Kost Vice President, Associate Publisher/ Editorial Director, (630) 406-9577 VP of Production and Manufacturing, Articles can be formatted to an 8 ⁄ " x 11" size and reprinted in spokesman for Merit Entertainment, firstname.lastname@example.org Louise Morrin Boyle, residents have flocked to the system.were literally wasting John O’Connor quantities of 100 or more. (847) 784-8706, ext. 18 East Coast Account Manager, (646) 638-6064 For more information, prices and email@example.com (847) 784-8706, ext. 10 Office Information: samples, contact Curt Ciesinski He said it’s not unusual for residents If your residents’ “please” and “thank Editor, James M. Berklan Sales Executive, Phone: (847) 784-8706 at PARS International Corp., phone: (212) 221-9595, ext. 117, to be engaged in games or related you” sounds more like “por favor” and Fax: (847) 784-9346 (847) 784-8706, ext. 15 firstname.lastname@example.org Phil Fager (847) 784-8706, ext. 11 E-mail: email@example.com fax: (212) 221-9195. activities after midnight. He attri- “gracias,” it may be time to incorpo- E-mail: firstname.lastname@example.org. Sales Executive, Web site: www.mcknights.com butes the system’s attractiveness to rate the Interprecare System into youraway. Most appeared to Associate Editor, Liza Berger Business hours: Change of Address Subscribers: (847) 784-8706, ext. 14 Kevin Lowe (847) 784-8706, ext. 17 9:00 a.m. - 5:00 p.m. CST For change of address, mail your old being perceived as something that’s facility. Interprecare is a quick and email@example.com Address: Classified Sales Manager, One Northfield Plaza, Suite 521 and new addresses to McKnight’s fun to do, rather than a chore. easy way to start communicating with Writer, Brett Bakshis Long-Term Care News, P.O. Box 5181, (847) 784-8706, ext. 21 Denise De Vito (847) 784-8706, ext. 19 Northfield, IL 60093-1216 Brentwood, TN 37024-5181. Allow “It’s a toy for residents, but also non-English-speaking residents. 4-6 weeks for correction. All other firstname.lastname@example.org Subscriptions: a tool,” he notes. The full system, available in Span- Something to talk about » Certain individuals qualify for inquiries call Customer Service toll Customer Service Recently published studiesbe bedridden or barely Art free subscriptions.U.S.: $44.95 for free at (800) 558-1703. Group Design Director, Lauren Jones 1 year (prepaid orders only) ish, Russian or Japanese, contains The Interprecare System’s Sandra DiPasqua (847) 784-8706, ext. 10 Advertising Subscribers: from UCLA and the University Canada: $54.95, Foreign: $59.95, For change of address, easy-to-use, easy-to-understand carry- cards and room signs Graphic Designer, Production Single copies: $5.00 fax your old and new address to of Illinois show that residents can Joan Sahley Production Manager, Director of Social Services cards, and room signs with phonetic help nurses communicate Terry Rinella Michelle Chizmadia Special issues and back issues: (646) 638-6114. All other inquiries make and retain significant cog- Circulation (646) 638-6126 $10 per copy (U.S.), $16 (foreign), call (646) 638-6000. nitive advances by engaging in a Montefiore Care Center spellings of common phrases in a with residents in various prepaid. Please call Customerambulatory …. Circulation Director, John Crewe, (646) 638-6060 email@example.com Service toll-free at (800) 558-1703. regimen of brain-fitness activities. given language. At Montefiore Care Center in Beachwood, OH, languages. Corporate “Since you’re running for re-election, Senator, about 15% of the residents speak Russian. For MorE InFo: Circulation Manager, Chairman and CEO, List rental information: there is one change I’d like to see you make.” More information about the Mind- Sherry Oommen, (646) 638-6003 Haymarket Media Inc., William Pecover Edith Roman, (845) 731-2748 firstname.lastname@example.org Spark system is available at www. “Where there’s a Russian-speaking resident, there’s [an (877) 281-6336 Interprecare sign] in their room,” says Joan Sahley, director of www.creativeactionllc.com megatouchmindspark.com. social services. Before the Interprecare System, nurses had a 46 www.mcknights.com • September 2008 n Webcasts headline Expo hard time finding ways to communicate with residents. “I think Is there something you couldn’t live Five industry-related Webcasts it puts the nurses at ease. Now people can, with the few words without? Tell Editor James M. Berklan can be viewed at the upcoming that we know, actually ask questions,” Sahley says. at email@example.com McKnight’s Online Expo, to be AL pg 26 TechTalk.indd 1 1/30/09 3:58:14 PM
Brain fitness mentionsApril 2009 FeatureLost in thoughtAs brain fitness efforts find 14 McKnight’s Assisted Living/April 2009 FEATURESTORYa welcome niche among As brain ﬁtness efforts ﬁnd a welcome niche among active seniors, questions are arising about how those with dementia may be better served by this new optionactive seniors, questions Lost in thought 16 McKnight’s Assisted Living/April 2009are arising about how those FEATURESTORY Continued from page 14 community currently under con- residents’ day-to-day quality of life, “From the research point ofwith dementia may be better struction in Raleigh, NC, that she then it’s deﬁnitely worth it.” view, what is clear is the value of my own eyes, so I can say with says will create a culture of mental engaging in cognitively stimulating certainty that it is indeed possible tostimulation through innovative other recognizable devices), easy NEW PATHWAYS KEY 18 McKnight’s Assisted requires a degree activities, which Living/April 2009 to use, and engaging.the brain by design and programming. unlock parts of So which brain ﬁtness strategies are of novelty and challenge appropri- exercising it,” said Martha Grove “It is too early to have more “What I say to everyone who best suited to dementia residents? ate for each person, complement-served by this new option Hipskind, a renowned eldercare will listen is that while we may specific evidence-based guide- consultant who has spent 10to use,”not be able to reverse or stop lines on what program years in added Alvaro Fernandez, CEOcognitive impairment and some private practice dealing primar- ily and co-founder of SharpBrains, aof those ‘senior moments’ that so in the realm of brain ﬁtness. She FEATURESTORY While there are no hard and fast ing other behavioral interventions, rules (again, there are currently such as physical exercise and stress only limited studies on the subject), management,” Fernandez noted. experts say rehabilitation and train- from page 16 reasons, sitting Continued For obvious their brain ﬁtness efforts and carry now serves of senior-focused onlinemany people experience, if you can provider as director of senior ing techniques that trigger the brain cognitively impaired residents in Science seen as brain ﬁtness driver them into as many different aspects living for The and interactive games.slow the progression and wake up brain teasers Cardinal at North and force it to create new that involve different colorsand expecting is a key reason behind the astronomical growth of the nation’s neural front of a computer and Science of care and daily living as possible. Hills,the absence ofcare retirement the brain enough to improve a In a continuing such data, Sharp- pathways show some promise. music-based methods that incor- through tness movement, according to a new report from Posit Science. them to work their way brain ﬁ If residents are in the kitchen pre-By Julie Williamson Brains encourages communities to porate hand drumming techniques. paring food, for example, she sug- conduct their own pilot studies to “It is too “I can see the excitement in them Awareness of brain ﬁtness has grown exponentially, the study ﬁnds. The review draws on database searches of news articles in major periodicals gests asking residents to name foods measure pre- and post-cognitive Clinical Advantage”™ “The when they know their brains are during each of the last ﬁve years. While there were just 27 news articles of a specific color or those that function to determine which prac- early to have clicking. It really starts to set the in 2004 on brain ﬁtness, last year there were 1,301—a compounded contain a certain letter – or any tices may be most appropriate in more speciﬁc ball in motion.” That’s not to say dementia resi- annual growth rate of about 150% per year. other question that would trigger the brain to seek a response.Mounting studies validate their environments. Those that do could very well evidence-based dents’ quality of life can’t beneﬁt That awareness has translated into an impressive 50% growth rate in from technology, however. Facili- revenue per year for the brain ﬁtness industry, according to industry PUSH NEW ACTIVITIES ﬁnd their efforts well rewarded. In fact, there’s strong evidence that guidelines.” ties that shift from a narrowly- analyst SharpBrains, which reported growth from $100 million in sales in 2005 to over $225 million in 2007. Staff also should encourage residents through creative program devel- focused definition of success to Alvaro Fernandez, to keep learning and trying newthe important of brain fitness opment and a community-wide one that takes into consideration We believe the key driver of the brain ﬁtness industry is science,” said CEO and co-founder, activities – even if it’s challenging enjoyment of Jeff Zimman, co-founder and Chairman of Posit Science. Zimman spoke a resident’s overall SharpBrains them to brush their teeth or eat with Photo: iStockphoto commitment to brain ﬁtness, virtu- ally every resident can experience the experience will likely see some at the annual joint meeting of the American Society on Aging and Nation- their non-dominant hand, or shop improved cognitive function and noteworthy beneﬁts, one vendor al and On Aging being held last month in Las Vegas. a series of mental exercises Council at a different grocery store. expert reasoned.– even with the assistance want to stay sharp and on top of their game and if they’re going games “People “Many of us are creatures of habit,programs …. quality of life. Opinions vary on how well brain ﬁtness programs can serve seniors who consent from participants, training “Communities usually start “When programs are – may proveto invest the time and money in brain ﬁtness, they want to make sure of a staff member purely futile but keeping everything the same lets have been diagnosed with Alzheimer’s disease or another dementia illness. the individuals to use the brain ﬁt- offering programs to their high- improvement-driven, Even worse, what they’re doing works.” and frustrating. I think it can our brains off the hook for creating ness, and getting them to comply functioning [residents] ﬁrst. These there areincrease a resident’s stress levels, recently published study of the Posit Science Brain Fitness some missed opportu- The most new neural pathways. The brain with the ﬁtness program,” explained individuals tend to have the abil- nities. Using programs that can memory was led by researchers at the Mayo Clinic and the University of which may further impair Program loves new and different things, so Balance & Mobility BY JULIE E. WILLIAMSON that residents already experiencing Majd Alwan, Ph.D., director of the ity and motivation to complete recall and exacerbate symptoms of California. The study of 487 healthy adults showed that partici- improve quality of life in [residents] Southern encourage staff and residents’ family M ounting studies validate the cognitive decline also could beneﬁt Center for Aging Services Technolo- the often demanding programs cognitive impairment. with dementia by engaging them pants in a brain ﬁtness program more than doubled their brain process- members to [facilitate that] in as importance of brain ﬁtness from brain ﬁtness strategies – even gies in Washington. and are not intimidated by com- and creating unique,Hipskind relies heavily Instead, personalized ing speed, had improvements in memory and attention equal to about many different ways as they can,” programs for keeping seniors’ if they can’t fully reverse the exist- The belief that Alzheimer’s and puters,” Rodriquez noted. “This may experiences groupthey can with “rapid-ﬁre” and noticed signiﬁcant improvements in every day activities. on that activities enjoy 10 years Hipskinds recommends. minds sharp, and more assisted liv- ing damage. dementia are irreversible condi- While no onebut it is prevent be a good place to start, can totally documentation of your resident’s risk and share with family get the mental gears changes were clinically signiﬁcant and were signiﬁcantly greater questioning to members These She reasoned that creating an ing operators incorporate them into Although experts generally agree tions presents another barrier to the falls, the Biodex Balance System essential to offer appropriate cogni- of falling in just a few minutes, and lovedturning. She is careful to create a safe changes in the control activity group, which were not clinically ones is also beneﬁcial,” than the overall culture within a commu- resident activities. But what about that every senior, regardless of where development of mental exercises for tive stimulation, technology-based risk of SD can minimize the then provides exercise training noted Jack York,that doesn’t put individualcant. The full study appears in the April 9th edition of The Journal setting co-founder and signiﬁ nity that ingrains brain ﬁtness and cognitively impaired seniors? Here, they fall on the cognitive impair- the cognitively impaired. As Alwan fall-related injuries and or not, at each stage of cognitive to improve proper postural and presidentresidents on the spot and makes it American Geriatrics Society. of It’s Never 2 Late, a of the mental stimulation into all aspects – the ability of brain-ﬁtness programs ment spectrum, would beneﬁt from pointed out, efforts to prove that an impairment.”consequently decrease balance control. Centennial, CO-based providergoal is less clear to residents that the from program development to facil- to help is, at best, unresolved. brain ﬁtness solutions, a number of intervention is effective in slowing financial costs and liability of customized computer correct answer and brain games are simple, Fitness system to help seniors and about ﬁnding the systems Dakim’s ity design – is the ideal approach. exposure to your organization. To learn more about how the that can be tailored exercising the brain and intuitive. Seniors can play caregivers in their fight to slow more about to seniors of easy and “Not only will residents beneﬁt; I’m It’s a challenge that seems both obstacles have inhibited the devel- down the progression of dementia BREAKING DOWN BARRIERS Reducing both the number and Biodex Balance System SD can any age and cognitive seek a response. pushing it to ability. them even if they’ve never used a or prevent the development of conﬁdent that facilities will ﬁnd that logical and perplexing. It’s under- opment of tools that speciﬁcally tar- (let alone reversing it ) require years One respected brain ﬁtness expert severity of falls are important protect your patients and your Many senior living example, ask them before, according to Dan dementia,” he says. “I may, for operators computer their staff will beneﬁt, too. Cognitive standable that brain ﬁtness solu- get those with dementia. of follow-up and active control. has witnessed ﬁrsthand how resi- components of your overall risk bottom line or how facilities like tions would be geared toward those “Trials and testing with cogni- Beyond that, there are challenges dents of all ages and stagesprogram. to throw out a three-letter word have begun using the Dakim Brain Michel, the ﬁrm’s founder and chief Regardless of the limitations, impairment doesn’t happen over- management of cog- yours are already implementing Fitness system,begins with a certain letter and ofﬁcer. that which helps seniors executive Hipskind encourages senior hous- night, so it’s never too early to start who are still mentally sharp, with tively compromised populations is in designing brain ﬁtness technolo- nitive function can beneﬁt from the benefits of our Fall Risk the goal of preventing dementia or, harder in terms of obtaining Insti- gies for the dementia/Alzheimer’s regular “mental aerobics.” use rigorous cognitiveto a four-, ﬁve-, “We created the Dakim Brain ing operators to get creative with then progress exercise. six-, exercising the brain.” ■ The Biodex Balance System Screening program, call us at or seven-letter word of the same let- at least, delaying its onset. How- tutional Review Board approvals for resident that are fun, familiar (such “I have seen the impact with and SD provides assessment 800-224-6339 ext. 2232. ever, one might reasonably argue studies and trials, obtaining informed as those that mimic appliances and Continued on page 16 ter. Everyone calls out answers and one person’s response will trigger Call today to learn about the full line of Biodex mobility products another’s,” she says, “I’m constantly Balance System SD • Gait Trainer 2 • BioStep™ Semi-Recumbent Elliptical • Unweighing System changing the categories to keep it fun and keep the brain stimu- AL pg 14,16,18.indd 14 BIODEX 3/24/09 10:00:47 AM www.biodex.com lated,” said Hipskind. “I have seen 85-year-olds spitting out words that people even half their age would 1-800-224-6339 be challenged to do.” She’s also FN: 08-292 12/08 Int’l 631-924-9000 seen good outcomes with multi- sensory techniques, such as those Continued on page 18 AL pg 14,16,18.indd 16 3/24/09 9:59:54 AM AL pg 14,16,18.indd 18 3/24/09 10:00:26 AM
Brain fitness mentionsJune 2009 FeatureStepping up your gameBy John Andrews June 2009 Vol 7, no 6 $5.00Today’s activities are McKnight’s Assisted Living/June 2009 3 industry news CoverStory [ ACTiViTiES ] continued from front coverphysically, mentally, s Credit crisis continues Transaction volumes fell and “Spiritual health, news Stepping up your game capitalization rates rose inemotionally and spiritually breaking seniors housing and care in the fourth quarter of last nutrition and year, according to a new report from the National wellness Today’s activities are physically, mentally, emotionally and spiritually optimizestherapeutic for residents Investment Center for the Seniors Housing & Care ASSISTeD lIVInG therapeutic for residents Industry. They are signs of every part of eXeCuTIVeS ARe an ongoing credit crisis, the still bullish on the organization said. Roughly your being.” sector, despite By JoHn AnDRewS $1 billion in loan volume was Dwayne Clark R challenges in the ecreation in seniors pumped into the seniors CEO, Aegis Photo: iStockphoto overall economy. housing has come housing and care industry During a state-of-the- a long way since during the fourth quarter industry session at the days of card games, last year. That compares last month’s Assisted checkers and group sing- with average quarterly loan new recreational options help put residents in the driver’s seat. Living Federation of alongs. These activities volume of $1.54 billion over America Conference, still have a place in the the last three years, the NIC they said this sector Living4Life for the new Bellevue agement and Systems Society con- nophobia” issues shows them just pantheon of facility events, report found. Capitalization is weathering an ongo- development, which is slated to ference that the number of virtual how useful and entertaining comput- of course, but tomorrow’s geriatrics rates climbed from 9.2% to ing recession better open in 2010. “They are the com- fitness games has grown from 33 in ers can be, for as enabling them to have a much broader spectrum 9.3%, in the assisted living than many other busi- ponents of longevity.” 2005 to more than 600 today. stay in contact with family through of interests and they are already sector during the same nesses. They credited Bellevue will go beyond offer- Fitness gaming is not only e-mail, Web cams and audio e-mail; shaping the environment for period, according to NIC. growing demand and ing new and different activities, designed to tune up the body, but the stimulating their cognitive function their arrival. quality services as Clark said – it will embody an mind as well, Goldstein said. Game through mentally challenging puz- As the children of current s Five ‘heroes’ cited main reasons. active lifestyle for residents. Aegis designers are now creating specialty zles; keeping physically active with residents, baby boomers have Five people received Hero plans state-of-the-art exercise and games that no one would have con- driving, flying and bicycling simula- asserted that the simple pas- Awards last month at the HouSInG FoR entertainment complexes that fea- sidered a few years ago. The genre tors; and offering spiritual enrich- times of yesterday just aren’t Assisted Living Federation ReSIDenTS IS ture the latest workout and audio/ has grown to a point where there ment through videos and Web sites enough anymore. They want of America’s annual conven- more affordable in visual technology. But Living4Life are now four categories of Health that connect them with faith. activities that transcend enter- tion. They are: the Midwest than focuses more on the individual, e-Games, including Exergaming, tainment, extending into • Staff Member Hero: Kasey in the Northeast or physical wellness, transcen- offering wellness through Eastern Condition Management, Healthy SimPle PleaSureS Gobin, Emeritus at South practices such as yoga and tai chi; Eating and Brain Fitness. Games are The move toward Zen medita- West. Meanwhile, dental meditation, sharpening Windsor, South Windsor, CT long-term care in nutritious organic diets; and mind- also being designed for various health tions and high-tech games may of mental acuity and nurturing Alaska remains the • Executive Director Hero: sharpening intellectual pursuits, levels, such as Wellness, At-Risk, bring seniors into the 21st century, of spirituality. most expensive in the Joan Carney, Hoffman such as art appreciation. Acute, Chronic and Catastrophic. but some timeless pursuits are still By insisting that seniors housing country, according A day at the park now has a whole new meaning for many communities. SummerWood Community, “We want to do everything pos- Brain Fitness, aimed particularly at going strong. For some, the tranquil operators take heed and respond sible to help residents with their seniors, contains games to test vari- relaxation of gardening helps relieve to the results of the to their demands, the boomers are new under-construction Aegis at Bel- being,” says Dwayne Clark, CEOWest Hartford CT of 2009 Cost of Care • Caregiver Hero: Amparo ailments, like memory loss,” Clark ous aspects of cognitive function, stress and evokes pleasant memo- gradually transforming recreational levue (WA) property. Seattle-based Aegis, who has devel- Survey from Gen- Machuca, Sunrise of Cinco explained. including memory, language, atten- ries, but they can no longer handle options at properties across the coun- “Spiritual health, nutrition and oped a new cultural movement called worth Financial. Ranch, Katy, TX tion span and visual perception. physical demands of the activity. try. A prime example of this is the wellness optimizes every part of your continued on page 3 Pivoting oFF Wii Some companies, like Centen- The North Hampton, NH-based • Nurse Hero: Curtis Bond, It is well established that the Nin- nial, CO-based It’s Never 2 Late manufacturer of Standup Gardens In THIS ISSue LPN, Brooksdale Senior tendo Wii video game system is a big specialize in games that get seniors understands this limitation . Living, Midlothian, VA hit in seniors housing centers across comfortable with computers. Lori Situated in a decorative hard- Alzheimer’s outreach: Memory 4 Feature: Good working order •14Volunteer Hero: Ricky the country. Virtual bowling, golf Snow, director of marketing, says wood cart that can be accessed by Fox, Five Star Senior Living, and tennis have energized elderly the 10-year-old company is com- standing or sitting in a wheelchair, Finance Talk: Aging buildings 6 Sumter, SC Design Decisions: Upping the ante 16 enthusiasts whose bodies no longer mitted to its original mission: “A the portable shelves and trellises “The 2009 Hero Awardees can keep up with the demands of belief that every person should have support pots and planters for a wide Taking the lead: Looking ahead 6 Tech Talk: Hearing better 20 have demonstrated out- those sports. As a result, many facili- the ability to experience and enjoy array of flowers and vegetables. By standing leadership in their ties have installed the Wii systems the world utilizing today’s technol- eliminating the need for stooping, Resident Safety: IT partners 8 My Turn: Coping with tragedy 21 for their residents. ogy regardless of age or physical or bending and heavy lifting, seniors senior living communities by promoting the dignity of The gaming industry has also cognitive limitations.” once again can enjoy the aesthetics Feature: Cheap and cheerful 10 editor’s note: Positive feedback 22 taken notice and is producing an Snow confirms that today’s senior of horticulture, said Peter Whiting, seniors and nurturing an environment of respect and abundance of products that health- activities are largely being pro- the company’s managing director. compassion,” said ALFA care strategist Douglas Goldstein grammed by their baby boomer chil- “Although many facilities are President and CEO Rick calls Health e-Games. dren. “Families always ask ‘How will using video games and electronic vir- Grimes. The Alexandria, VA-based you keep mom engaged? ’ Technol- tual activities, our feedback indicates “e-futurist” told attendees of the ogy is a large part of the answer.” that none of these activities comes recent Health Information Man- Helping seniors overcome “tech- close to gardening,” he said. n AL pg 1,3.indd 1 5/18/09 10:51:23 AM AL pg 1,3.indd 3 5/18/09 10:52:48 AM
Brain fitness mentionsDecember 2007 FeatureGetting logged-in 272125_MAL_Feature3_p14&15 11/15/07 11:10 AM Page 14 272125_MAL_Feature3_p14&15 11/15/07 11:10 AM Page 15By Julie Williamson 14 Assisted Living/December 2007 Assisted Living/December 2007 15Why should teenagers get to have FEATURESTORYall the fun? Seniors are increasingly Why should teenagers get to have all the fun? Seniors are increasingly turning to that can consistently deliver a good workout for the mind are becoming technological toys as a way to add more enjoyment — and options — to their lifestyles. [essential] – for older adults and even those with [neurological disorders] or Getting logged-in head injuries,” York said. “Familiesturning to technological toys as a are wanting to make sure that com- munities are doing more than just medicating their mom and dad.” TOURNAMENT TIMEway to add more enjoyment – and Sometimes some of the best cogni- PHOTO: IT’S NEVER TOO LATE tive development tools come in some PHOTO: IT’S NEVER TOO LATE surprising packages. In recent months, Erickson Retirement Com-options – to their lifestyles munities and Sunrise Senior Living have made headlines with their BY JULIE E. WILLIAMSON recipient receiving it as an attach- adoption of the Nintendo Wii gam- A ssisted living operators under ment in their inbox. Operating in a ing system. the assumption that technolo- similar fashion is the Presto system, Although the interactive system, Tech tools can help improve the gy-based games, gadgets and which allows uses to receive emails Seniors are debunking the idea that computers are only for younger which uses a motion-sensing hand- mind, body and spirit, advocates computers are reserved solely for the and photos from loved ones. It com- users. In fact, they are a fast growing user group. held remote, is overwhelmingly pop- claim. younger set are apparently not bines a special printer with a web ular with younger people, Wii is also plugged into the benefits such solu- service that sends data to the printer and plug-and-play, meaning minimal three years, which the system is war- catching on with seniors because of “We not only use it in our buildings, tions can offer their residents. over a phone line. Presto’s printer or no supervision is required for resi- ranted for, the cost per user per day is its ease of use and ability to transform we also take it on the road with us to That’s because much of the same costs $150, plus a $10 per month dents to use it, even if they never used just 44 cents.” computer activities into a more tra- local senior centers,” said Kathi Greco, technology that’s occupying teen- service fee. a computer before,” explained Dan Flexibility also is at the heart of ditional gaming experience. Since director of community relations for agers’ time (and making many Wellness-centered gaming devices Michel, Dakim’s founder and CEO. some cognitive fitness solutions, implementing the roughly $300 sys- Brighton Gardens at Westlake, a parents cringe at the countless hours also are gaining momentum in the The (m) Power system offers 157 dif- providing a complete, yet open plat- tem, Erickson and Sunrise commu- Sunrise community in Westlake, OH. being spent in front of a video, tele- assisted living segment, and for good ferent types of games – all of which form system that meets the varying nities have witnessed an enthusiastic “When we first hooked it up to our big vision or computer screen) is giving reason. As Paul David Nussbaum, were derived from standardized neu- needs of senior housing operators response from residents who are screen in the living room of our com- seniors an innovative way to connect Ph.D., of the University of Pittsburgh rological exercises. To keep the and their residents. It’s Never 2 Late organizing Wii bowling tournaments munity, we instantly had a big crowd. with their once-loved activities, School of Medicine, noted, “the (m)Power fresh and challenging, new adaptive computer systems offer fun and actively engaging in some of the Residents in wheelchairs can partici- PHOTO: IT’S NEVER TOO LATE interact with fellow residents and secret to successful aging is ongoing exercises are downloaded onto the sys- educational options that can pull many other interactive sports- pate and you do get some [safe] exercise family members, and in some cases, mental stimulation,” and many of the tem almost every night. The system double-duty in physical, occupa- games, such as golf and tennis. while playing.” build both their physical and mental latest cognitive-focused tech solu- also provides positive reinforcement tional and speech therapy environ- Carle pointed out that many of the endurance. tions deliver. While many devices are by giving supportive feedback with ments. The customizable systems motions created while playing the “Today’s seniors are definitely more tech-savvy, and if they aren’t, modeled after those designed for the younger crowd, vendors are taking a both correct and incorrect responses. include hardware, software, therapy and engagement tools, and select Looking ahead Wii resemble those used in Tai Chi – movements that can improve bal- their children certainly are,” said more targeted, senior-based ap- COGNITIVE AEROBICS services and support – including As boomers age, senior hous- ance and coordination and reduce Andrew Carle, assistant professor Much of the same technology that occupies teenagers’ time — and make proach with their systems. Michel, who began creating mental installation and training to help staff ing and care and technology stress, while also exercising the brain and director of George Mason many parents cringe at the countless hours being spent in front of a Masquerading as a form of fun- stimulation systems when his father make the most of the technology. expert Andrew Carle says the and body. Another benefit of the University’s Program in Assisted video, television or computer screen — is giving seniors an innovative filled entertainment, many of today’s was diagnosed with Alzheimer’s dis- Flat-panel touch screen monitors future of “Nana” technology is gaming system is that male participa- Living/Senior Housing in Fairfax, way to connect with their once-loved activities. senior-focused gaming systems offer ease, has witnessed the powerful with extendable, adjustable arms, right out of science fiction. tion tends to increase. “Usually, facil- VA. Because of that increased focus simplified, more intuitive controls, impact of cognitive exercise technol- wheelchair-adjustable workstations, “We’re looking at a medicine ities struggle to get the men involved on technology, offering high-tech many cases, budget-friendly. members), as well as willing, com- such as touch screen displays, and ogy. He described one non-speaking an adaptive keyboard with multiple and many activity directors give up. cabinet that will talk to you, solutions can be a marketing boon for Not surprisingly, traditional com- puter-savvy residents. content-rich material aimed at resident who resumed speaking after overlays, a trackball mouse (for This system is making the activity shoe inserts that will give a 70- providers, he pointed out. puter systems are making their way Even reluctant residents who may improving cognitive function. just a couple weeks using the those who prefer a mouse over the truly co-ed.” year old the balance of 20-year Making that connection can into more facilities, allowing resi- otherwise resist using traditional Dakim Inc.’s (m)Power Cognitive (m)Power system. Another resident touch screen), and noise-cancella- And because the gaming system is old, eyeglasses that will change prove challenging for some pro- dents another outlet for staying computers can still use technology to Fitness System, for example, is a who was depressed, withdrawn and tion headphones for audio-impaired such a hit with children and young viders, however. Not only must they abreast of news and community- stay connected, however. Carle solution that combines a touch experiencing cognitive decline was residents are just some of the hard- automatically from reading to adults, it has widespread appeal. face the daunting challenge of navi- specific information and events, described two systems, the Celery screen and large interface with orig- said to have made a marked improve- ware features. distance vision and robotic “Activity directors love it and it’s gating through a sea of technological while also helping them use e-mail to and the Presto, which allow those inal content complete with memo- ment in focus, memory and vocabu- “We also offer a multi-media-driv- assistants to carry groceries – a fun way to bring residents and their innovation to determine which solu- stay connected with their family without Internet access to receive ry-invoking images, movies, music, lary after regular use of the system. en, dementia-specific version,” said all within the next five to ten grandchildren – or other family tions will have the most positive members and friends. emails through a fax machine-type and sounds of the past. The system “It was also reported that she was Jack York, co-founder and president years,” Carle said. And that’s members – together,” said Carle, impact on their residents, they also unit that runs off simple power and a automatically adjusts challenge back out there interacting more,” of Centennial, CO-based It’s Never 2 not all. He states that the most adding that Nintendo is developing a have ever-present budget constraints TECH TRENDS basic phone line. The Celery system, levels in real time, creating a cus- said Michel, adding that while the Late, explaining that a resident can exciting technologies might be bigger portfolio specifically geared to consider. Basic computer training and hands- which costs $219 and includes a one- tomized cognitive exercise for each system can be used by residents inde- touch an image of Frank Sinatra or in “smart clothes” that will moni- toward older adults. The good news is some of the most on assistance helps computer new- year subscription to Celery’s black resident. By simply inputting their pendently, it can also be a powerful another popular artist to launch tor heart rate, blood pressure, “There are so many good, easy to tried and true technologies that are comers get accustomed to the and white service (color printing first and last initial, residents are therapy tool. Each system costs music, or even play a multimedia clip oxygen levels – even administer use and cost-effective technologies finding their way into assisted living technology – a task that can be tack- costs an additional $40 annually), greeted by name at the start of each approximately $6,000, but comes of that person’s (or a spouse or other CPR. “The opportunities are out there that can really benefit resi- communities are also those that are led with volunteers (including high also allows users to feed a handwrit- customized session. with 20 licenses, allowing many resi- loved one’s) life. really endless.” dents,” he continued. “There’s just no readily available, easy to use and, in school students or residents’ family ten note into the machine, with the “It was engineered to be turnkey dents to benefit. “Over the course of “Dementia is not going away. Tools excuse not to be getting on board.” ■
Brain fitness mentionsJanuary 28, 2008 Daily Update November 10, 2008 Daily UpdateSenators to discuss technology for aging adults McKnight’s to host webinar on brain fitness todayNew monitoring, personal health record and brain McKnight’s will offer a free Web seminar this afternoonfitness technologies for seniors will be the focus of a on brain fitness. Registration for the event is stillspecial briefing and demonstration for U.S. senators available at www.mcknights.com.on Tuesday in Washington.
Brain fitness mentionsOctober 21, 2008 Guest columnsNavigating the brain fitness landscape: do’s and don’tsAlvaro FernandezThe excellent recent article “An idea whose time has(finally) come” (McKnight’s September issue, page 28,http://www.mcknights.com/An-idea-whose-time-has-finally-come/article/116677/) explains the multiplebenefits that long-term care operators can expect fromhelping residents slow down or stave off cognitive declineand Alzheimer’s symptoms, and the growing role thattechnology-based products are playing.According to our recent market report, “The State of theBrain Fitness Software Market 2008,” more than 400senior housing communities nationwide are offering ….