Aging by Design 2006 Improving the Design of New Medical Products for Older People Using a Team Approach Bentley College O...
Our Premise <ul><li>Chronic diseases effects the health and quality of life of the majority of older people. </li></ul><ul...
Experiences That Form Our Views <ul><li>Mike Cantor MD JD </li></ul><ul><ul><li>Geriatrician and Assistant Medical Directo...
Introduction <ul><li>Technology is, and will be, an important part of the care for chronically ill and older people </li><...
Chronic Disease: Definition <ul><li>Chronic disease involves the following: </li></ul><ul><ul><li>Lasts or is expected to ...
Chronic Disease: Effect <ul><li>Chronic disease is common </li></ul><ul><ul><li>Almost half of Americans report having a c...
Growing Global Impact <ul><li>There is a direct correlation between the prevalence of chronic illnesses and population age...
Addressing Chronic Disease <ul><li>Systemic: </li></ul><ul><ul><li>Need to change current, acute and episodic-care focused...
TeleHealth Products are an Important Tool in the Care of Older People <ul><li>Represents the latest technological innovati...
TeleHealth Products are Transformative <ul><li>TeleHealth has a profound impact on three key aspects of healthcare: </li><...
Driving the Adoption of TeleHealth Products <ul><li>Managed care organizations </li></ul><ul><ul><li>Home healthcare helps...
Benefits of TeleHealth Products for Older People <ul><li>Increases patient’s knowledge of disease  </li></ul><ul><li>Provi...
Challenges of TeleHealth Products for Older People <ul><li>Pilot project at large, federally sponsored healthcare system <...
5 Principles for Designing TeleHealth Products <ul><li>Integrate the team into the solution </li></ul><ul><li>The product ...
Our Principles Illustrated: The Intelli-Pod™
Principle 1:  Integrate the Team into the Solution <ul><li>Not the development team -  THE PATIENT’S TEAM </li></ul><ul><u...
Principle 2:  Design should react to the specific capabilities of older adults ZERO GRIP STRENGTH REQUIRED OVERSIZED, HIGH...
Principle 3:  Don’t Underestimate the Importance of Emotional Support
Principle 4:  Great Design is the Key to Success <ul><li>The HHC market is evolving </li></ul><ul><ul><li>Initial HHC prod...
Take These Home With You <ul><li>Good design delivers a powerful impact on the usability, safety, and efficacy of home hea...
Aging by Design 2006 Improving the Design of New Medical Products for Older People Using a Team Approach Bentley College O...
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  • Pete born in 1945 Roger born in 1944
  • In some ways, it is a critique of many engineering-driven home healthcare product manufacturers who are not maximizing the value design
  • Arguments that support a higher value of design in the development of medical products used by the elderly
  • Aging by Design 2006 Improving the Design of New Medical Products ...

    1. 1. Aging by Design 2006 Improving the Design of New Medical Products for Older People Using a Team Approach Bentley College October 23, 2006 Michael Cantor MD JD Marc Drucker MBA IDSA
    2. 2. Our Premise <ul><li>Chronic diseases effects the health and quality of life of the majority of older people. </li></ul><ul><li>Technologies are creating opportunities for new forms of care for our aging society. The widest use of technologies by older people suffering from chronic illness are TeleHealth devices. </li></ul><ul><li>Technology alone does not make a successful (efficacious) product, design is required in order to achieve usability, safety, and adoption of medical products. </li></ul><ul><li>Good design for these products, like elder care, requires a team approach, engaging end-users, family, caregivers and physicians. </li></ul>
    3. 3. Experiences That Form Our Views <ul><li>Mike Cantor MD JD </li></ul><ul><ul><li>Geriatrician and Assistant Medical Director at EverCare New England </li></ul></ul><ul><ul><ul><li>EverCare is one of the largest providers of care for older people with over 100,000 enrollees in 35 states </li></ul></ul></ul><ul><ul><li>Medical Director at Dovetail Health </li></ul></ul><ul><ul><li>Contributed the VA’s Care Coordination / Home TeleHealth Initiative </li></ul></ul><ul><li>Marc Drucker MBA, IDSA </li></ul><ul><ul><li>Founder and President of Newlogic Design in Newton, Ma. </li></ul></ul><ul><ul><ul><li>Consultancy which has also spun-out new healthcare businesses </li></ul></ul></ul><ul><ul><ul><ul><li>Intelli-Chair, Inc.; smart healthcare furniture backed by an industry consortium </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Intelli-Pod, Inc.; integrated home healthcare product </li></ul></ul></ul></ul>
    4. 4. Introduction <ul><li>Technology is, and will be, an important part of the care for chronically ill and older people </li></ul><ul><li>Poor design limits the usability, acceptance, and utility of medical products used by older people </li></ul><ul><li>Strengthening the design process is key to developing new products that provide the maximum benefit to users, medical care providers, and other stakeholders </li></ul>
    5. 5. Chronic Disease: Definition <ul><li>Chronic disease involves the following: </li></ul><ul><ul><li>Lasts or is expected to last a year or more </li></ul></ul><ul><ul><li>Requires ongoing care and monitoring </li></ul></ul><ul><ul><li>Has episodes of acute worsening of the illness that may require acute or urgent care </li></ul></ul><ul><li>Aging and lifestyle are key drivers </li></ul><ul><ul><li>Heart Disease </li></ul></ul><ul><ul><li>Asthma </li></ul></ul><ul><ul><li>Obesity </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul>
    6. 6. Chronic Disease: Effect <ul><li>Chronic disease is common </li></ul><ul><ul><li>Almost half of Americans report having a chronic medical condition </li></ul></ul><ul><ul><li>75% of the medical costs are by people with multiple chronic conditions (1) . </li></ul></ul><ul><li>Affects about 100 million people </li></ul><ul><li>Consumes 75% of healthcare costs </li></ul><ul><ul><li>70% of physician visits </li></ul></ul><ul><ul><li>88% of drug prescriptions </li></ul></ul><ul><ul><li>75% of hospital admissions </li></ul></ul><ul><li>Accounts for 7 of every 10 deaths in US </li></ul>
    7. 7. Growing Global Impact <ul><li>There is a direct correlation between the prevalence of chronic illnesses and population age </li></ul>Source: WSJ WALDHOLZ ON HEALTH By MICHAEL WALDHOLZ: November 20, 2002 Data from: Harvard Public School of Health's project on the global burden of disease
    8. 8. Addressing Chronic Disease <ul><li>Systemic: </li></ul><ul><ul><li>Need to change current, acute and episodic-care focused healthcare system to one that better manages chronic illness </li></ul></ul><ul><li>Research: </li></ul><ul><ul><li>Need more basic, clinical and population science research into how to best prevent and manage these diseases </li></ul></ul><ul><li>Professional: </li></ul><ul><ul><li>Need for increasing numbers of health care professionals trained in geriatrics and chronic illness </li></ul></ul><ul><li>Technology: </li></ul><ul><ul><li>Need to create new tools and technologies that help the chronically ill and older people self-manage their health. </li></ul></ul>
    9. 9. TeleHealth Products are an Important Tool in the Care of Older People <ul><li>Represents the latest technological innovation in the delivery of care to chronically-ill homebound patients. </li></ul><ul><li>Remote patient monitoring products capture vital sign data for people with chronic illnesses </li></ul><ul><li>Sophisticated data processing technologies </li></ul><ul><li>Promises better care management at lower cost </li></ul><ul><ul><li>Faster adjustments to changes in condition </li></ul></ul><ul><ul><li>Earlier awareness of drug interactions </li></ul></ul><ul><ul><li>Reduce ER visits and hospitalizations </li></ul></ul>Honeywell/HomMed
    10. 10. TeleHealth Products are Transformative <ul><li>TeleHealth has a profound impact on three key aspects of healthcare: </li></ul><ul><li>Role of patient into activated participant </li></ul><ul><li>Role of professional from parent to coach </li></ul><ul><li>Relationship and communication between professionals and patient </li></ul>Honeywell/HomMed
    11. 11. Driving the Adoption of TeleHealth Products <ul><li>Managed care organizations </li></ul><ul><ul><li>Home healthcare helps reduce the cost of care </li></ul></ul><ul><li>Home healthcare providers </li></ul><ul><ul><li>Reduces need for routine in-home visits </li></ul></ul><ul><li>Family members and adult children </li></ul><ul><ul><li>Increases their sense of safety </li></ul></ul><ul><ul><li>Awareness of parents’ health conditions and activity levels </li></ul></ul><ul><ul><li>Early warning system </li></ul></ul><ul><li>End users </li></ul><ul><ul><li>More older people are taking responsibility for their care </li></ul></ul>Honeywell/HomMed
    12. 12. Benefits of TeleHealth Products for Older People <ul><li>Increases patient’s knowledge of disease </li></ul><ul><li>Provides new health management tools </li></ul><ul><li>Sense of security for users and families </li></ul><ul><li>Encourages patient compliance with treatment plan and reinforces necessary lifestyle/behavior changes </li></ul><ul><li>Faster adjustments to prescriptions </li></ul><ul><li>Earlier awareness of drug interactions </li></ul><ul><li>Reduces ER visits and hospitalizations </li></ul><ul><li>Improved quality of life </li></ul>
    13. 13. Challenges of TeleHealth Products for Older People <ul><li>Pilot project at large, federally sponsored healthcare system </li></ul><ul><ul><li>15 Health Buddies deployed to patients with congestive heart failure (CHF) </li></ul></ul><ul><ul><li>Required daily use of blood pressure cuff and scale </li></ul></ul><ul><ul><li>Monitoring by CHF clinic nurse practitioners </li></ul></ul><ul><li>Key Research Finding: Many barriers to use were design-related </li></ul><ul><ul><li>Difficulty with cords, connections, and cable management </li></ul></ul><ul><ul><li>Non-intuitive, difficult, device set-up </li></ul></ul><ul><ul><li>GUI, screen and visibility issues </li></ul></ul><ul><ul><li>Required analog in-home phone </li></ul></ul><ul><li>Product Design Results: </li></ul><ul><ul><li>User frustrations, poor experience </li></ul></ul><ul><ul><li>Increased adoption curve </li></ul></ul><ul><ul><li>Reduction of overall usability </li></ul></ul>Healthbuddy
    14. 14. 5 Principles for Designing TeleHealth Products <ul><li>Integrate the team into the solution </li></ul><ul><li>The product should holistically address the specific capabilities of older adults </li></ul><ul><li>Recognize the importance of emotional support </li></ul><ul><li>New Design, not new technology, is the key to success </li></ul>
    15. 15. Our Principles Illustrated: The Intelli-Pod™
    16. 16. Principle 1: Integrate the Team into the Solution <ul><li>Not the development team - THE PATIENT’S TEAM </li></ul><ul><ul><li>Healthcare providers </li></ul></ul><ul><ul><li>Family network </li></ul></ul><ul><ul><li>Emergency services </li></ul></ul><ul><ul><li>Monitoring services </li></ul></ul><ul><li>Successful products do not work in a bubble, they engage the end-user and their support network </li></ul><ul><ul><li>Facilitate the participation of multiple users (spouse and children) </li></ul></ul><ul><ul><li>Allow others to program custom alerts and easily look in on the patient’s health trends </li></ul></ul>
    17. 17. Principle 2: Design should react to the specific capabilities of older adults ZERO GRIP STRENGTH REQUIRED OVERSIZED, HIGH-CONTRAST GUI STANDARD FUNCTIONS ARE SELF INITIALIZING NO USER INPUT REQUIRED RARELY USED, ADVANCED FUNCTIONS, ARE ACCESSED THROUGH A TOUCHSREEN INTERFACE VOICE FEEDBACK CAN BE LOCATED ANYWHERE IN THE HOME GUI FOLLOWS GOOD DESIGN GUIDELINES PERFORMANCE TESTING WITH END-USERS
    18. 18. Principle 3: Don’t Underestimate the Importance of Emotional Support
    19. 19. Principle 4: Great Design is the Key to Success <ul><li>The HHC market is evolving </li></ul><ul><ul><li>Initial HHC products were modifications to hospital devices </li></ul></ul><ul><ul><li>Current products are driven by sensor, software, and communications technologies </li></ul></ul><ul><ul><li>Next generation will be focused on the user experience </li></ul></ul><ul><li>Great example: Philips Motiva </li></ul><ul><ul><li>Winner of a Medical Design Excellence Award in 2005 </li></ul></ul><ul><ul><li>Named one of the &quot;Top 5 Disease Management Ideas of 2005 </li></ul></ul>Philips
    20. 20. Take These Home With You <ul><li>Good design delivers a powerful impact on the usability, safety, and efficacy of home healthcare products leading to improved business success </li></ul><ul><li>Older people, both as a demographic, and individually, are undergoing many changes, products for them need to be specifically designed for their needs </li></ul><ul><li>Care for older people requires a team approach, integrating the needs of children, caregivers and geriatricians </li></ul><ul><li>Use these products as opportunities to create a positive emotional experience </li></ul>
    21. 21. Aging by Design 2006 Improving the Design of New Medical Products for Older People Using a Team Approach Bentley College October 22, 2006 Michael Cantor MD: [email_address] Marc Drucker MBA IDSA: marc@newlogicusa.com

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