System manual intended for community staff to better use and understand QuietCare basic and advanced reporting to improve care in facilities. Author: Donna Cusano

1. Understanding
System Features
March 2009
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2. TABLE OF CONTENTS
VISION AND KEY FEATURES 3
QuietCare® is an innovative, QUIETCARE AT WORK IN AN ASSISTED LIVING COMMUNITY 4
proactive care technology that QUIETCARE’S COMPONENTS 5
helps caregivers look out for the KEY ACTIVITIES TRACKED 6
well-being of residents in senior USING QUIETCARE 7
communities and in homecare, LOGGING IN TO WEBSITE REPORTS 8
helping them live more GROUP SUMMARY: RESIDENT CURRENT STATUS 9
QUIETCARE ALERTS 10
independent lives.
URGENT ALERTS: BATHROOM RISK (FALL) ALERT/ROOM TEMPERATURE 11-12
The QuietCare system uses URGENT ALERTS: LATE MORNING WAKEUP 13-14
advanced algorithms to analyze NON-URGENT ALERTS: NIGHTTIME BATHROOM ACTIVITY/SLEEP DISRUPTION 15-17
motion sensor data to learn how OPTIONAL URGENT ALERTS: WANDER AND NIGHT MOTION 18-21
residents live and sends alerts CUSTOMIZE RESIDENT INFORMATION: VACATION, CAREGIVER ACCESS 22-23
when certain out-of–the– CUSTOMIZE ALERTS: WAKEUP WINDOW, TIME IN BATHROOM, ROOM 24-25
ordinary events occur. It allows TEMPERATURE, OPTIONAL NIGHT MOTION AND WANDER
ANALYTICS AND REPORTING 26
delivery of personalized care to
ALERTS SENT AND RESPONSE TIME 27-28
help improve caregiver response GROUP MANAGEMENT OVERVIEW 29
times and identify problems ANALYTICS AND STAFF ACCOUNTABILITY: AVAILABLE REPORTS 30-31
before they become ADDITIONAL INFORMATION 32
emergencies. PAGER INFORMATION 33-35
QUIETCARE ALERT MESSAGES 36-37
The purpose of this System CUSTOMER SERVICE AND TECHNICAL ASSISTANCE CONTACTS 38
Features document is to
introduce you to the basic
features of QuietCare, system
alerts and reporting so they can
be integrated into your QuietCare is a registered trademark of Living Independently Group, Inc.
everyday care and staff © 2009 Living Independently Group, Inc. 3/09
management 2

3. The QuietCare®Vision:
Empower every person to live a more independent, confident,
healthier life through connected technologies
Key features of the QuietCare System
• Data generated by compact wireless motion sensors –
no cameras, video or audio monitoring; no buttons or pull cords
• Learns and trends residents’ patterns of living in their home and
changes in behavior
• Sends alerts when out-of-the-ordinary situations occur so that
care staff can promptly intervene
• Provides information to help identify emerging health problems
• Works even if resident cannot summon help—no action needed
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4. QuietCare® at Work in an Assisted Living Community
4. Powerful software analyzes
3. Communicator data, looking for emergencies
transfers data to the & significant changes in daily
1. Motion sensors are placed QuietCare server
throughout residence to track routines
resident behavior
5. Alerts for potential
emergencies are sent to staff
so they can respond
promptly
2. Resident activity is
relayed by the sensors
to a communicator
6. Password-protected, full
resident reports are also
available online
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5. QuietCare’s components
Five or six small, wireless motion sensors are
placed strategically throughout the
residence (bedroom, bathroom, kitchen,
living room and near medications).
Each sensor transmits data about specific
daily routines to the communicator, which
regularly transmits, over a toll free number,
the data to the QuietCare server using the
existing telephone line.
The QuietCare central server analyzes the data,
identifying potential emergencies or note-
worthy changes in a resident’s routines.
Emergency alerts are generated to staff via
pager. Potential emerging problems are
reported to the website.
Resident status and activity are regularly
reported to a privacy-protected website
accessible to community professionals
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6. Key activities that are tracked daily and over time
 Morning wakeup time—exiting
bedroom
 Bathroom visits (frequency, time spent)
 Room temperature (excessively
hot/cold)
 Overall activity level
 Nighttime bathroom activity
 Meal preparation
 Medication interaction
 24/7 bathroom visits
 Motion through Door
 Optional Alerts
o Night Time Wander
o Night Motion (leaving bed and active) 6

7. Using QuietCare
Logging In to Website Reports
Resident Status Overview
Urgent Alerts
Bathroom Risk, Room Temperature, Morning Wakeup
Non-Urgent Alerts
Nighttime Bathroom Activity, Overall Activity Level, Meal Preparation
Optional Alerts
Night Time Wander, Night Motion
Customizing Client Information
Analytics and Reports
Additional Information
Nobody’s watching...
But everybody’s looking out for me
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8. Logging In to Website Reports
www.quietcaresystems.com
Log In Screen
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9. Group Summary:  All residents at a glance
Resident Current Status  Most important activities are measured and trended
 Status indicated by color
Greenindicates normal activity for that client based on past data
Yellow a change noting a potential emerging problem—Meal Preparation
Red an alert for significant change or potential distress—Bathroom Risk
Click on client to review individual summary page data.
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10. QuietCare Alerts
Urgent Alerts
Bathroom Risk, Room Temperature, Morning Wakeup
Non-Urgent Alerts
Nighttime Bathroom Activity, Overall Activity Level, Meal Preparation
Optional Alerts
Night Time Wander, Night Motion
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11. Urgent Alert--Emergency alert sent to pager for Bess L.
Bathroom Risk (Fall)
Individual client summary page
Confirming Potential
Bathroom Fall (Risk) alert
Confirming response to
alert
Timely response by
caregiver (within 2 minutes)
See more information— 11
over seven days

12. Seven day pattern overview for all activities tracked
Accessible from individual client summary
View resident activity over time
Multiple
Red Alerts
Bess has
had three
days of
possible
bathroom
risk or
distress--
needs
follow up.
Multiple Alerts—Room Temperature
Red Alert on Sunday @ 60 degrees generated an emergency pager alert.
With two subsequent yellow alerts reported for temperatures in the low 60
degree range, this may indicate a room problem. Red alerts are generated
after four hours of cold temperature and two hours of high temperature.
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13. Urgent Alert--Emergency alert sent to pager for Eleanor P.
Late Morning Wakeup
Confirming alert
Eleanor did not exit the
bedroom before the
user-established
“wake-up window” set
at 8am. Alert @ 8:12am.
Confirming response
via motion through
door activity. Within
minutes….
Assistance sent
Bathroom visit

Additional activity
in/out of room thru

morning is tracked
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14. View Eleanor’s status over past
seven days
To view, click on Red Alert
status button on Client
Summary page
Late bedroom exit is
intermittent over past week
Overall activity chart (accessed from
client summary)
High activity in 1am hour (dense bars)
Bedroom activity @ 2-3am and 7am
hours
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15. Non-Urgent Alerts
 QuietCare establishes norms for behavior
 Alert reports indicate changes or deviations from these norms that need attention
 Reported in summaries by 10am
Nighttime Bathroom
Activity
Frequent short visits—
much higher activity than
usual. Alert appears on
website group and client
summary. Check on Betty. This panel shows
frequency and
duration of night
To see detail-- bathroom visits
Click on Red Alert status
button
OR
Click for 7 days of data
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16. View Betty’s 7 Day resident summary
We can see this is a sudden onset and not typical
behavior for Betty. But how is her sleep during the night?
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17. Betty’s overall activity chart confirms sleep disruption
and need for attention
Nighttime activity in/out of bedroom and bathroom are indicators
High bar density and index numbers indicates high activity
In and out of the In and out of the
bedroom between bathroom over the same
2am and 7am hours period of time
Other non-urgent alerts: Overall Activity Level, Meal Preparation.
Alerts are generated by 10am daily to appear on reports.
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18. Optional Urgent Alerts: Wander
 Optional alerts are special settings and configurations in the system for those
identified with these special needs
 Wander checks motion in and out of the residence door coupled with lack of
activity in the residence.
 Programmable by community between
8pm to 8am.
Anna Marie has 5 wander alerts.
These are emergency alerts sent
by pager.
Total events show high level of
activity in passing through the
front residence door. This can
be in or out, and could be
caregiver as well as Anna Marie.
However….the report details
excessive activity not related to
another activity, such as
bathroom visits.
A Wander Alert for Anna Marie
indicates that she requires 18
immediate attention.

19. View Anna Marie’s seven day resident summary
In combination with
High level of door motion…
wander alerts…
…indicate that Anna Marie is leaving her residence repeatedly, every night.
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20. Optional Urgent Alerts: Night Motion
Night Motion checks if resident has left their bed and is moving around
apartment at night (programmable within 8pm to 8am).
Inez has most likely
been identified as
requiring assistance in
moving out of bed
Both Night Bath and
She has had two Door Motion (for
caregiver assistance)
emergency alerts today appear to be correlated
in time and frequency—
with door motion after
night bath
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21. Night Motion:
Seven day overview
Inez has relatively high
normative frequency of
night time bathroom visits.
The Night Motion alert is
frequently triggered
multiple times per night,
and correlates with Motion
through Door.
Her activity chart also
confirms this. She appears
to be receiving needed
assistance but
after she reaches
the bathroom—
perhaps to be assisted back
to bed.
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22. Customizing Client Information
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23. Client settings and customization
Customize resident
information
Personalize for each
resident
 Mark as on vacation
or away from the
site
 Add caregivers
 Change alert
thresholds
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24. Customize resident information and notifications
If resident away, click here to set ―vacation‖ start/end to ensure that alerts
are not sent to caregivers
Update staff/caregiver
access information here
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25. Customize alert windows based on caregiver knowledge
Wake-up window—this
is set as 5am-8am
Safe length of time in
bathroom can be set for
as little as 15 min., or as
long as 90 min.
Programmable room
temperature alerts: red
alert between 85°- 93°
(high) and 60°- 65° (low)
Optional Night Motion
and Wander: require
special configuration and
activation. Can be set
anytime between 8pm
and 8am. ―BedCheck‖ is
time control for motion
through door sequence. 25

26. Analytics and Reporting
Alerts Sent and Response Times
Group Management Overview
Explanation of Additional Reports
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27. Summary for all alerts and actions for community
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28. Community alerts and response times
Madeline M.’s
Wander alert shows
green for door
activity following
the alert …
indicating a timely
response below 4
minutes
There may be a
caregiver response
issue, as 4 residents
have extremely
slow response, with
Jean deL’s Wander
alert not being
responded to for
over 3 hours
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29. Group Management Overview—Seven Days
Compiles residents with greatest number
of alerts and high frequency of activities
that may indicate potential conditions,
such as most nighttime bathroom visits
and nighttime activity
Weekly summary of all alerts:
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30. Analytics and Staff Accountability
Reports comparing the activities among all monitored individuals.
These reports are accessed by clicking on the ‘client norms’ links at the bottom of the ‘Group Summary Page’. Unlike other QuietCare alerts that are
generated by variations in an individual’s behaviors/activities, these reports enumerate the actual level of activity comprising that norm. This
management tool provides one-page summary charts ranking the behavior of all participants, contrasting their ranking within the designated
categories, and enabling, with one glance, the prioritizing of service delivery based on relative needs. The information is sorted in descending order
of frequency. The reports also provide live links to more detailed information on each individual’s webpage.
With the exception of the Sleep Index, which provides a daily report, and Motion Through Door which reports on a 7 day norm, the other
categories reflect norms generated over the previous 30 days.
The count of total minutes of activity between 10PM and 6AM as well as the total number of hours in which some activity was
Sleep Index evidenced. A large number of minutes of activity may indicate sleep disturbance, which can be indicative of a wide range of
Individuals medical problems as well as elevating fall risk.
This report lists the average number of bathroom visits each individual had during the previous 30 day period. Some
Bathroom Visits individuals may have a relatively normal number of nighttime bathroom visits but high numbers of visits during the day.
Because the standard alerts are based on deviations from the clients’ individual norms, persons with chronically high numbers
Nighttime Bathroom of bathroom visits might go unnoticed. This and other behavior-based reports are especially valuable when first implementing
Visits QuietCare in a community in order to understand what constitutes the baseline behavior.
By listing all individuals with bathroom risk alerts (and the average number of such alerts during the previous 30 day period)
the reports can be used to allocate staff resources and document the need for additional care levels. For example, if the chart
Bathroom Risk (Fall) indicates 0.5 Bathroom Risk alerts, that would mean that during the previous 30 days, there were 15 alerts.
This feature lists all clients and their daily average number of meal preparation events during the previous 30 days (midnight to
Meal Preparation midnight).
For individuals with a medication sensor, this report notes the average daily medication-related events during the previous 30
Medication days (the average number of times each individual reached for their medication per day).
Lists the average number of bedroom exit alerts during the previous 30 day period.
Bedroom Exit
This feature has two components: 24/7 motion through door and night motion through door. The count shown for both is a 7-
day average of events. Night motion through door events can be indicative of a resident leaving their apartment or a staff
member providing bed checks and other in home services. For residents not programmed for Wander alert, this report may
Motion Through Door
document a need. For residents who are scheduled to have bed checks or assistance with toileting this report can provide
indication of whether such services have been performed.
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31. Optional Displays
This feature lists all clients programmed for the Wander alert and the number of such events each individual had during the
previous 30 day period. QuietCare differentiates between a Wander event and other motion through door activity, such as a
Wander
staff visit, based on whether there is prior activity in the apartment before the door is opened.
This feature lists all clients programmed for the Night Motion alert and the average number of such events each individual had
Night Motion
during the previous 30 day period.
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32. Additional Information
Pager Information and QuietCare Alert Messages
Customer Service and Technical Assistance
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33. Pager information and alerts
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35. 35

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37. 37

38. Customer service and technical assistance information
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