Innovate to Rehabilitate The Transformation of Rehab at PACE Southeast Michigan (PACE SEMI)

Transcription

1 Innovate to Rehabilitate The Transformation of Rehab at PACE Southeast Michigan (PACE SEMI) Roger C. Anderson, MA, BS, PT Director of Rehabilitation, Continuous Improvement & Technology Solutions Jack York, President/Founder It s Never 2 Late Christopher Krause, OT/L Director of Rehabilitation, in2l Rehab

2 What Today is About The power of engagement technology and therapy Examples of tech changing the participant experience How it ties into PACE Younger participants Creative programming Sustainable Outcomes How to make it work at your site

3 The Times they are a changing. 67% of adults over 65 access the news on a mobile device 24% increase from one year ago 4 in 10 adults over 65 own smartphones 34% of people over 65 use some form of social media Are older adults with disabilities left out?

4 Reality is Uncomfortable in2l

5 It s Time for a Rehab Technology Renaissance

6 From there to here, from here to there

7 Funny things are everywhere! - Dr. Seuss

8 the computer was how big dad?

9 Low tech can work but um

10 Lower Tech?

11 Keys to making the shift Person Centered Who is he? Who was he? Where is she from? What fills her heart? Keep it simple and age appropriate At their level in that moment

12 Find the key to their hearts and minds! Keep and open mind Don t assume they can t or won t Make it FUN!

13 Bursting the Techno-Rehab Bubble!

14 Change is often challenging but its up to us

15 We re well on our way

16 Historical Perspective 2 Years Ago PACE SEMI had: 2 Full Centers 1 Alternative Care site pending 410 Participants Service line/department specific satisfaction wasn t really measured except in response to a problem

17 Rehabilitation 2 years Ago Maintenance of status Management of DME Intake assessments, annual and semi-annual assessments Fall reports Therapists only, one (or less of each discipline per site

18 PACE SEMI TODAY Total Participants = Centers, 4 th pending in 4 months with 2 more next year Rehab is the highest area of participant satisfaction at PACE SEMI (95%)

19 PACE SEMI REHAB TODAY Rehab is to maintain or improve function, supervise therapy provided outside of PACE, provide caregiver education and support, plus all other requirements of a PACE rehab program Blend of Therapists and Assistants to provide dynamic individual and group activity programs of graduated intensity based on participant acuity and individual need

20

21 Critical Success Factors and Pathway 1. Identification of key priorities A. Participant Satisfaction B. Reduced falls with serious injury C. Proactive education of participants /caregivers D. Proactive mgmt. of rehab outside of PACE centers

22 Critical Success Factors and Pathway 2. Design of ideal state 3. Gap analysis 4. Implementation plan a. Program components b. Equipment/technology needs c. Staffing needs

23 Challenges With Average Therapy Equipment/Technology 1. Adaptability to our population 2. Flexibility for range of levels (functionally independent advanced dementia) 3. Ability to hold interest over long term

24

25 1. Music Therapy Program 2. Interactive Technology System With Rehab-Specific Abilities

26 Music Therapy Program ipod-based Individualized playlists Used in tandem with principles of music therapy Primary focus-dementia participants

27 Bringing Interactive Technology To PACE SEMI 1. Criteria/Requirements a. Mobility of equipment b. Ease of use for multiple levels of STAFF and participants c. Dynamic content evolving, updating, changing

28 Selection & Implementation 1.Engagement of team 2.Rollout Plan 3.Training

29 Selection & Implementation 1.Engagement of team 2.Rollout Plan 3.Training Staggered ramp-up Use by other disciplines Best practice sharing

30

31 Engagement of participants with dementia building trust, relationships, diversion Engagement of participants with cognitive impairments Engagement of real-life simulations for safety education Standardized rehab assessment and interventions

32 Engagement of Participants with Dementia Orientation tools to grab attention(i.e. places they ve lived) Connection with past hobbies/occupations. Connected one participant with his old sales job by having him guess the price of an object in specific decades; music interaction; Old TV/Commercials Adjustable levels and types of stimulation

33 Video Clip: JB_Dementia_Behavior_ Music

34 Engagement of participants with cognitive impairments Simple doesn t have to equal BORING Slowly increasing levels of complexity Example Puzzles can use meaningful pictures; one participant with the developmental level of a 5-year-old has gone from a 6-piece puzzle in 2 minutes to a 24- piece puzzle in the same amount of time.

35 Video Clip: CS_devel_delay

36 Engagement of real-life simulations for safety education Identification of in-home risk scenarios Pre/post education retention assessment

37 Standardized Rehab Assessment and Interventions Active feedback via camera and additional graphic information (versus standard mirror) Balance activities Postural alignment Eye-hand coordination Body Mechanics/Task simulation

38 Video Clip: TL_Balance_Posture

39 Video Clip:AW_CVA_balance_matching

40 Current Status Rehab staff using actively in gym daily Rec therapy and PCA staff using in Day Health Centers Average use between 2 machines at our largest center is 6 hrs/day making the technology based systems our most WIDELY used treatment modality

41 Video Clip: EL_endurance

42 Peering over the horizon at what might be next!

43