Wireless Technology In Home Care


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The presentation covers emerging wireless technology and ifs\' application to the home care industry. The presentation was delivered on November 19, 2008 at the Profit from Technology in Home Care conference in Orlando, Florida.

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  • Representing two companies AgeWell and The Corridor Group Today’s Presentation Goals Clear understanding of technology Develop reasonable expectations for using it Understand options and suggest best practices for cost savings JOT DOWN YOUR QUESTIONS FOR OUR Q&A SESSION
  • Wireless Technology In Home Care

    1. 1. Wireless Technology Rob Rossi Director of Technology
    2. 2. Today’s Discussion <ul><li>Understanding Wireless in Home Care </li></ul><ul><li>Where Is Your Agency Today </li></ul><ul><li>Opportunities for Improvement </li></ul><ul><li>Value Add Services & Relationship with Providers </li></ul><ul><li>New Technology Inflection Points </li></ul>
    3. 3. WIRELESS in Home Care
    4. 4. Types of Wireless Connectivity <ul><li>Large Coverage Area (LAN & WAN) </li></ul><ul><li>802.11 LAN (data and VOIP) Municipal WiFi Initiatives and Hot Spots </li></ul><ul><li>Cellular (CDMA, GSM, iDEN, EVDO etc.) WAN </li></ul><ul><ul><li>Voice, data, push to talk </li></ul></ul><ul><li>RFID </li></ul><ul><li>Small Coverage Area (Personal Area Network) </li></ul><ul><li>Blue Tooth </li></ul><ul><li>RFID </li></ul>
    5. 5. Wireless Devices in Home Care? <ul><li>Mobile care givers using </li></ul><ul><ul><li>Cell Phones </li></ul></ul><ul><ul><li>Laptops & Tablet PCs </li></ul></ul><ul><ul><li>PDA Devices </li></ul></ul><ul><li>Wireless Appliances </li></ul><ul><ul><li>GPS Navigation </li></ul></ul><ul><ul><li>Blue Tooth Headsets & Printers </li></ul></ul><ul><ul><li>Wireless Sensors (vitals monitoring) </li></ul></ul><ul><ul><li>Video Conferencing </li></ul></ul><ul><ul><li>Home Activity and Surveillance </li></ul></ul>
    6. 6. Map Your Data Flow to/from Devices Clinical Laptop/PDA Clinical Cell phone Pager Telephony Tele-homecare Agency Healthcare Information System Data Remote Safety Monitoring Video Conferencing Location Based GPS Information Hosted Information System Data
    7. 7. Clinician in the Field Cellular Data Card WiFi Ethernet Dial-up Tether thru Phone
    8. 8. How is Your Agency Using Wireless Today?
    9. 9. Survey Your Agency <ul><li>Inventory the following: </li></ul><ul><li>Cell phones used for agency communication </li></ul><ul><li>Data cards for network connections </li></ul><ul><li>What equipment is WiFi capable </li></ul><ul><li>VPN usage </li></ul><ul><li>Home computer Use </li></ul><ul><li>What costs are being reimbursed </li></ul><ul><li>Contract expiration dates </li></ul>
    10. 10. Build a Practical Plan for Wireless <ul><li>Create an inventory of what is being used today </li></ul><ul><ul><li>Cell phones, smart phones, PDA phones, pagers </li></ul></ul><ul><ul><li>GPS Devices </li></ul></ul><ul><ul><li>Laptops for clinical documentation </li></ul></ul><ul><li>Define scenarios requiring wireless data transfers </li></ul><ul><ul><li>New referrals and admissions </li></ul></ul><ul><ul><li>Changes to case load </li></ul></ul><ul><ul><li>New patient orders </li></ul></ul><ul><ul><li>Discharges and Deaths </li></ul></ul><ul><ul><li>Patient cancellations/emergencies </li></ul></ul>
    11. 11. Management Decisions
    12. 12. Carefully Define Workflows and Connectivity Needs <ul><li>How are new referrals transferred to care givers? </li></ul><ul><li>How often do care givers need to sync data? </li></ul><ul><li>What’s the back-up when out-of-coverage? </li></ul>
    13. 13. Identify Opportunities for Improvement? <ul><li>Review overall communication needs </li></ul><ul><li>Consolidate providers and/or plans </li></ul><ul><li>Aggregate and adjust minute allocations </li></ul><ul><li>Adjust Plan Features (Push to Talk, Text Messaging) </li></ul><ul><li>Engage provider in cost savings </li></ul><ul><li>Where is training needed </li></ul>
    14. 14. Common Pit Falls <ul><li>One solution for all communication needs </li></ul><ul><li>Believing coverage maps are the country </li></ul><ul><li>All information needs to be available all the time </li></ul><ul><li>Provide too many options for connectivity </li></ul><ul><li>Persistent web connection isn’t working too well </li></ul>
    15. 15. New Considerations
    16. 16. Leverage Relationship with Your WIRELESS Provider
    17. 17. New Technology Inflection Points to Monitor and Plan For.
    18. 18. Man – Machine Interface
    19. 19. Interface Innovation
    20. 20. Wireless Remote Monitoring
    21. 21. Wireless Connectivity
    22. 22. GPS & Cell Phones Integrated GPS antenna Integrated bar code reader Location based data from a cell phone device
    23. 23. Visibility to Mobile Processes <ul><li>GPS provides location </li></ul><ul><li>Proof of visit </li></ul><ul><li>Mileage calculation </li></ul><ul><li>Time sheet </li></ul><ul><li>Pt visit notes </li></ul><ul><li>Medical supply & DME </li></ul>
    24. 24. Raw Field Data
    25. 25. Tracking Air Cards Tracking Issues: Aircards will track only when in idle position (not transferring data) Need to be plugged in to the laptop. Laptop must be powered ON
    26. 26. Driving Growth: Two Mega Trends
    27. 27. Traditional Next Generation Source: Consumer Electronics Association 2007 U.S. Shipments Total 136M+ <ul><li>The device is the customer </li></ul><ul><li>The carrier subsidizes the device and manages the supply chain </li></ul><ul><li>Contracts and cancellation penalties are required to recoup the subsidy </li></ul><ul><li>Embedded mobile broadband </li></ul><ul><li>Device optimized on a particular use </li></ul><ul><li>Customer buys the devices from their retail store at non-subsidized retail prices </li></ul><ul><li>Freedom to purchase a subscription, ad hoc usage, or a particular service </li></ul>Embedded Model: Changing the Subsidy Paradigm
    28. 28. Devices: Multifunction vs. Specialized The Mobile phone functions as the “Swiss Army Knife of Devices” Video Surveillance Insurance Energy Management Mobile Worker Music/Pictures TV Voice + Data Digital Video Camera Digital Camera Meter Laptop Business Electronics optimized for special functionality
    29. 29. 4G (Mobile WiMAX) 3G (EVDO Rev A) DL: ~2 Mbps-4 Mbps UL: ~500 kbps-1.5 Mbps 10x cost/MB improvementt DL: ~450-700 Kbps UL: ~300-400 Kbps Wireless WAN <ul><li>Large scale RFID </li></ul><ul><li>Consumer appliance </li></ul><ul><ul><li>Cameras </li></ul></ul><ul><ul><li>MP3 </li></ul></ul><ul><ul><li>Gaming </li></ul></ul>Mobile Worker & Mobile Life Embedded Solutions <ul><li>Support for larger T1 and NxT1 locations </li></ul><ul><li>Support for large scale VoIP, video and data </li></ul><ul><li>Embedded modules for fleet and large asset management </li></ul><ul><li>Richer, multimedia content </li></ul><ul><ul><li>2-way interactive video </li></ul></ul><ul><ul><li>Video casting </li></ul></ul><ul><li>User generated content </li></ul><ul><li>Access to web and corporate data </li></ul><ul><li>Streaming video </li></ul><ul><li>Streaming audio </li></ul><ul><li>Support for sub-T1 or DSL like locations </li></ul><ul><ul><li>ATMs, Retail, kiosks </li></ul></ul><ul><li>Faster deployment </li></ul><ul><li>Survivability/recovery </li></ul>
    30. 30. Summary <ul><li>Determine where you are today </li></ul><ul><li>Develop/adjust your wireless plan </li></ul><ul><li>Implement your improvement plan </li></ul><ul><li>Monitor “game changing” innovation </li></ul><ul><li>Measure </li></ul><ul><li>Adjust </li></ul><ul><li>Continue your SUCCESS! </li></ul>
    31. 31. Questions & Comments Rob Rossi Director of Technology (952) 345-8770 [email_address]