Dr Louise Schaper, PhD CEO, Health Informatics Society of Australia

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1 Dr Louise Schaper, PhD CEO, Health Informatics Society of Australia

2 Megatrend One: Older population

3 Megatrend One: Older population

4 Megatrend One: Older population Megatrend Two: Digital technology in the home - High- paced nature of technological growth - Consumer market $$$

5 Aged care trend I: Ageing workforce Historic and projected labour force participation rates

6 Aged care trend I: Ageing workforce Aged care trend II: Financial pressure

7 The financial pressure is on About 70 per cent of nursing homes are operating at a loss, with most run by not- forprofit groups who cannot keep up with rising health care costs. Ageing workforce There is further concern as the nurses themselves get older. Their average age is 55.

8 Thepressureison

9 Can technology help? the sector's great hope could be further development in the area of em erging health technologies, which could help providers get more a betterreturnontheir capital. "Increased research and capital investment in initiatives like electronic health records and selfdiagnosis technology could help aged care providers to better leverage their capital and workforce."

10 Quality advances may be achieved through investment in information technology. NHHRC (2009) found that greater use of data, information and communication improves the quality, safety and efficiency of healthcare. "An important aspect of quality in theagedcaresystemisitsability to meet consumer needs.

11 Wages and conditions must improve to attract nurses into the sector. Productivity improvements realised through better technology and restructuring activities may help close the wages gap. More sophisticated monitoring and scheduling systems can increase the quality of care by allowing staff to spend more time with residents, which can also improve job satisfaction.

12 Some cost pressures may be relieved through productivity improvements such as wider use of information and assistive technologies. For example, broadband and wireless technology couldbeusedtoimprove communication between staff if data and clinical assessments were digitally recorded and transferred within facilities. Integrated IT could also reduce the likelihood of medication and other errors that occur when clients are transferred between aged care facilities and health care providers such as hospitals and general practitioners (DoHA, 2005a).

13 Home Care Quality of Life Independent, Healthy Living Chronic Disease Management Community Clinic Doctor s Office Shift Left! Highest quality of life, lowest cost of care Residential Care Assisted Living Skilled Nursing Facility Acute Care Specialty Clinic Community Hospital ICU $1 $10 $100 $1,000 $10,000 Cost of Care / Day

14 Growing interest in the application of ICT in ageing andagedcare Precipitated by: Increased %of older people Independence and choice for older adults Ubiquitous technology home,work,play,mobile More care to be delivered in the home and in the community Control increases in ageing and aged care costs Governments looking for innovation to mitigate the anticipated im pacts of ageing populations

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16 1. Older adults using ICT 2. Technologies, used by health care professionals, to enhance quality of care and health 3. Advanced ICT to support & enable independent living

17 1. Older adults using ICT Issues relating to: accessibility universal design lifelong learning use and acceptance of technology impacts on quality of life and social participation

18 2. Technologies, used by healthcare professionals, to enhance quality of care and health outcomes for seniors Electronic health records Wireless care management E- referral E- prescribing Clinical decision support systems

19 Telehealth in the Home Provide virtual health consultations Provide information and support to rural and remote staff Video conferencing, broadband PCs, TVs

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21 Intelligent buildings / Home based monitoring Monitor health and well- being at home Behavioural monitoring system which enables & supports independence Foster prevention and early detection of the onset of disease or disability Sen sor t ag s on everyday objects to monitor and manage ADLs Monitoring sensors: in clothing, on body, in sheets, in shoes (vital signs, gait etc)

22 Sensor Network Senses the location of people and objects in the home. The network uses a combination of motion sensors, cameras, contact switches, magnetic switches, andradio Frequency Identification (RFID) tags. Sensor tags on everyday objects to monitor and manage ADLs sensors on toothbrush analyses sensor data from drawers, medicine cabinets, pill bottles - wherever medications are stored - and delivers timely reminders via cell phone, TV, or whatever device is preferred or nearby.

23 Home Network Allows a household to interact through televisions, clock radios, and telephones. To get reminders and prompts from the system. Accessed through the Internet, enabling carers to check in remotely.

24 Monitoring sensors: in clothing, body, sheets, in shoes to monitor vital signs sensors in footwear to detect changes in gait that couldleadtoafall inbuilt GPS to capture diagnostic and behavioral data and feedback to nursing staff Cyberjacket linked to visual aids Optical and conductive fibres in the "Smart Shirt" allow it to monitor the wearer's vital signs.

25 Social Isolation , Internet, Digital cameras 'Smart' photo- frames Consequences of technology eg Internet fridge Reduce functional impact of physical and cognitive impairment Lights that come on when you get up out of bed Memory Enhancement CDs Home network - allows a household to interact through TVs, clock radios, phones Reminders and prompts from the system GPS watches Phones with 'Caller ID on steroids'

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Dr Louise Schaper, PhD CEO, Health Informatics Society of Australia

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