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Home Care Technology Ppt Sept 8th 2011


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We Care Health Technolgy ideal for Health Care and substancial savings to costs

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Home Care Technology Ppt Sept 8th 2011

  1. 1. Using Technology to Enhance Home Care Service Delivery John Schram, President & CEO We Care Home Health Services September 8 th , 2011
  2. 2. Home Health Care <ul><li>The “next essential” service </li></ul><ul><li>Less than 4% of health care expenditures </li></ul><ul><li>$6.0 billion </li></ul><ul><ul><li>70% Provincial and Territorial government funded </li></ul></ul><ul><ul><li>30% private and third party funded </li></ul></ul><ul><ul><li>Aging in Place/Aging at Home initiatives across Canada support the importance of Home Care </li></ul></ul><ul><ul><li>Technology must support the evolution of home car e </li></ul></ul>
  3. 3. Cost of Care Quality of Life Health & Wellness Home Care Residential Care Acute Care $ $$ $$$ $$$$ 1 5 2 3 4 6 10 7 8 9 The Necessary Shift in Care
  4. 4. We Care Health Services <ul><li>1984 – Founded in Brandon, Manitoba </li></ul><ul><li>2011 – 50 Offices across Canada serving over </li></ul><ul><ul><ul><ul><li>15,000 clients in 800 communities </li></ul></ul></ul></ul><ul><li>3000 home care staff </li></ul><ul><li>252,000 hours of service per month </li></ul><ul><li>Staff: RN & RPN 350 </li></ul><ul><li>Personal Care Workers 2400 </li></ul><ul><li>Home Care Aides 250 </li></ul>
  5. 5. Challenges to Canadians & Our Health Care System <ul><li>Canada’s population is aging ....14% over 65 years 2011 </li></ul><ul><li>... 20% over 65 years 2030 </li></ul><ul><li>(Stats Canada) </li></ul><ul><li>80% of adults over 65 years have a chronic disease </li></ul><ul><li>People with chronic conditions consume 70% of total health care expenditures </li></ul><ul><li>60% of hospitalizations due to chronic disease </li></ul><ul><li>Shortage of Human Health Resources </li></ul>
  6. 6. Solution to Address Challenges <ul><li>Provide wireless eHealth services for seniors living with chronic conditions at home </li></ul><ul><li>We Care’s Remote Access to Care Technology ( Re-ACT © ) </li></ul><ul><li>Partners : North Simcoe Muskoka CCAC </li></ul><ul><li>Healthanywhere (Division of Biosign) </li></ul><ul><li>We Care Health Services </li></ul><ul><li>Funded by “Aging at Home” initiative through the MOHLTC </li></ul>
  7. 7. Re-ACT © <ul><li>Provides remote monitoring of vital signs </li></ul><ul><li>Clients identified and family physician provides a target range for clients’ vital signs </li></ul><ul><li>Vital sign measured: Blood Pressure </li></ul><ul><ul><ul><ul><ul><li> Pulse </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li> Blood Glucose </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li> Weight </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li> Pulse Oxygen </li></ul></ul></ul></ul></ul><ul><li>We Care’s eHealth RN monitors results daily: </li></ul><ul><ul><ul><ul><ul><li>High risk </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Moderate risk </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Normal </li></ul></ul></ul></ul></ul>
  8. 8. Bluetooth Medical Peripherals Model: Spiro Pro Manufacturer: CARD GUARD Model: One Touch Ultra 2 Manufacturer : Life
  9. 9. Healthcare Professional Technology
  10. 10. Monitoring & Interventions <ul><li>Monitoring in the morning & afternoon </li></ul><ul><li>Interventions include: </li></ul><ul><ul><li>Telephoning client, home visit </li></ul></ul><ul><ul><li>Referring to Doctor, community groups </li></ul></ul><ul><li>Vital signs data sent to Doctor every month </li></ul><ul><li>Preparing for Discharge </li></ul>
  11. 11. Performance Indicators Reported to LHIN Jan 2009 – March 2010 <ul><li>% of clients placed in LTC from Re-ACT </li></ul><ul><ul><li>Target: Less than 10% Result: 3% </li></ul></ul><ul><li>% of clients requiring crisis placement </li></ul><ul><ul><li>Target: Less than 5% Result : 1% </li></ul></ul><ul><li>% of clients able to remain in community </li></ul><ul><ul><li>Target: Greater than 80% Result: 96% </li></ul></ul>
  12. 12. RESULTS <ul><li>70% decrease in client falls </li></ul><ul><li>35% decrease in ER visits </li></ul><ul><li>92% of clients are better informed about managing their chronic health conditions; are able to self-identify and problem-solve </li></ul><ul><li>80% of clients believe that Re-ACT © made a positive difference in their lives. </li></ul><ul><li>70% of clients said that Re-ACT © helped them learn more about their condition </li></ul><ul><li>92% of clients know what signs and symptoms to look for and when to make an appointment with their doctor </li></ul><ul><li>80% of clients feel they will be able to stay at home longer than before Re-ACT © </li></ul><ul><li>88% of clients are very satisfied with the Re-ACT © program </li></ul>
  13. 13. Patient Comments <ul><li>Mrs L – 93, lives in the country </li></ul><ul><ul><li>Diagnosis: Hypertension, frailty of age, severe arthritis </li></ul></ul><ul><ul><li>Client states – “It is difficult for me to get out to see the doctor – so my doctors wants my vital signs checked so he knows that I m doing OK; Re-ACT © and the nurses’ helpful information about my diseases helps me keep on top of my health so that I can continue to live at home. </li></ul></ul><ul><li>Mrs M – 81 lives with husband – her main caregiver </li></ul><ul><ul><li>Diagnosis: CAD, post-stroke, hypertension </li></ul></ul><ul><ul><li>Husband states – “The vital sign readings from Re-ACT © help me to know that a crisis is not likely to happen – it gives us peace of mind that everything we are doing is working and when it is not, the nurse keeps us on track.” </li></ul></ul><ul><li>Mrs. L – 75, lives alone </li></ul><ul><ul><li>Diagnosis: CAD, COPD, Poor Vision </li></ul></ul><ul><ul><li>Prior to Re-ACT © client had several admissions to hospital </li></ul></ul><ul><ul><li>Client states – “When my heart rate went up and my oxygen level went down, the nurse told me to go to the doctor. The nurse faxed all the data to the doctor. The doctor said that “it was good thing I came in because I was heading for another crisis.” Blood work and x-rays showed fluid in the base of her right lung and prescribed oral antibiotics and a steroid. The client was able to fight off the infection at home. </li></ul></ul>
  14. 14. White Paper
  15. 15. Disruptive Technology