Stratus Video Call Center is like a Virtual Waiting Room

Stratus Video Call Center(Reposted — originally published 11/9/2011) As healthcare providers gear up for telehealth, they’ll face new issues such as 24×7 remote monitoring and the need to support virtual doctor visits by telepresence over the Internet. I wrote before here and here, there must be compatibility among different video systems, including the enterprise class-systems in hospitals and consumer-class systems in PC & mobile devices.

Until today, the two prominent solutions I knew about  were Vidyo and a Lifesize Communications technology called ClearSea. Both are cloud-based services that translate between incompatible video systems, but now there’s another option.

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Subject: Jail versus Nursing Home

Jail versus Nursing Home

By Patrick Joseph Roden, PhD at aginginplace.com LLC (original at AginginPlace.com)

One of the many lessons that one learns in prison is, that things are what they are and will be what they will be. (Oscar Wilde)

My colleague, Emory Baldwin AIA, sent this thought-provoking piece his father shared with him; after contemplating the merits of institutional living. This will get you thinking about how society treats its “interned.”

Subject: Jail vs. Nursing Home

FOOD FOR THOUGHT: Let’s put the seniors in jail, and the criminals in a nursing home. Read More …

Home Renovations that can Save the Estate

Jack and Jill, a Mother Goose nursery rhyme

Jack and Jill went up the hill
To fetch a pail of water.
Jack fell down and broke his crown,
And Jill came tumbling after.

Up Jack got, and home did trot,
As fast as he could caper,
To old Dame Dob, who patched his nob
With vinegar and brown paper.

By Wayne Caswell

Scenario ONE

Jack and Jill were in their late 60s and had been married for 37 years when Jack suffered a severe stroke and required care beyond the abilities of his partner. After leaving the hospital, he went into a nursing home, and the family home was sold to pay for his care, which was expensive and projected exceed $84,000 per year.

Jill couldn’t maintain the big house herself and couldn’t afford it either, so she moved into a small apartment alone, without her lifelong mate. Being separated affected the couple’s morale, but worse was that it affected their health and their finances. Without long-term-care insurance, their life savings were depleted quickly before Medicaid finally kicked in. And now the grown children had two places to visit to support their declining parents. It didn’t have to be that way.

Scenario TWO

Just as in the nursery rhyme, Jack goes home and recovers more quickly there – in familiar and loving surroundings where Jane hires professionals to help care for him. That decision lets the couple stay together, and the kids have just one place to visit.

Universal Design was not offered when they built their home, and even though renovating the home for wheelchair accessibility often costs as much as $50,000, they felt it was financially better than the alternative. The project was entirely funded with home equity, so they didn’t even have to touch their retirement money, or the kid’s future inheritance. You see, Jack and Jill are like most American seniors, 90% of whom would rather live at home as long as possible and are willing to seek help to do that.

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The 10 Best Cities for Technology-Assisted Living

by Christin Camacho, PR & Content Manager, REDFIN, a next-gen real estate brokerage

The National Conference of State Legislatures and AARP Public Policy Institute report that nearly 90 percent of people over the age of 65 want to stay in their home for as long as possible. [See below for brief summary.] Fortunately, in most cases, they won’t have to move as they age. According to Seniorly, a service that helps people find senior care, the majority of seniors do NOT need to move into a nursing home. They simply need some care equivalent to what they would find in an assisted living community, which includes assistance with daily activities like meals, medication, housekeeping, bathing and transportation.

And these days, there’s an app for that. An elderly woman can take an Uber to her friend’s home, find someone to walk her dog through Rover.com, schedule her lawn to be mowed or her house to be cleaned through Porch, get groceries delivered through Instacart, and schedule a professional caregiver to assist with bathing, meal preparation and other daily living activities through CareLinx. Or, for those seniors who aren’t tech-savvy, friends and family can use these technology-based services to arrange care for them. Read More …

Millions of free iPads for Seniors

Can Apple and IBM change Health Care?

Ruth Schoon learns to use the iPad

Ruth Schoon describes how she now uses an iPad to follow her great grandchildren from afar.

That was the title of a recent Forbes article that prompted me to comment, and my comment is the basis of today’s post. Basically, it was reported that IBM and Apple are partnering with Japan Post, that country’s largest health- and life-insurance company, to provide millions of free iPads for seniors with the aim of improving their health and their lives.

My Response

The Apple iPad is truly an amazing device for seniors. When they’re shown how to use it, the benefits go way beyond just extending life (i.e. more revenue from premiums for insurance companies) or improving health (less expense from claims).


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Senior Housing Options Compared

Senior Housing Options from HelpGuide.orgarticle by Perry Hua with edits by Wayne Caswell

The goal when choosing housing is to pick an option that best matches your financial, physical, medical, and social needs. The earlier you assess your current and future needs, and the more you know about the options available, the easier it is to make a decision. Here’s a list of options showing their advantages and costs, starting with the most expensive first. Read More …

About Operating Room Safety

 Make Sure You’re in the Safest Possible Operating Room

Operating Room

The Hazards of Hospitals

We all think of the hospital as a place we go to get better, but hospitals in the United States are making people sicker at alarming rates. Between overtired interns, germ-covered doctors,  haphazard record keeping, and equipment failures, you might find yourself in more trouble than you were when you checked in. Here are some alarming statistics, followed by some patient recommendations.

  • 1.7 million infections are contracted in hospitals each year.
  • 1 in 5 patients suffer harm from medical errors, and 99,000 die from them.
  • You’re 30,000 times more likely to die from a hospital visit than a plane crash.
  • And more die from infections each year than from car accidents, breast cancer or aids.

High Anxiety

The simple mention of having a medical procedure brings out anxiety in most people. It’s human nature to become fearful when preparing to undergo a surgical procedure that requires in-patient treatment, sedation and operating rooms, as it is associated with pain and mortality. Read More …

HealthSpot visits reimbursed by Medicaid!

HealthSpot and CareSource Team to Improve Access to Healthcare
Managed Care company creates value for Medicaid members, increasing access to care through HealthSpot telehealth platform.

Telehealth KioskDUBLIN, Ohio–(BUSINESS WIRE, 8/20/2014)–HealthSpot®, a pioneer in patient and provider driven healthcare technology, and CareSource, an Ohio nonprofit managed care company dedicated to meeting the needs of healthcare consumers for more than 25 years, announced an agreement to increase access to quality healthcare for CareSource Medicaid, CareSource Just4Me and MyCare Ohio members.

HealthSpot has built a comprehensive healthcare delivery platform that combines cloud-based software with the award-winning HealthSpot station. The stations connect patients to medical providers from a variety of Ohio’s health systems including Cleveland Clinic, MetroHealth and University Hospitals. For the past 18 months, these providers and others have been using the stations for diagnosis of high frequency illnesses, such as the flu and upper respiratory issues.

“HealthSpot is the first open platform that enables community providers to see patients outside their facility and truly create value for everyone in the healthcare ecosystem.”

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How a Specialist Nurse can Help with Dementia

By Rohit Agarwal

Dementia is a series of mental illnesses, sadly most of which are seen as incurable. One of the most commonly found dementia case is Alzheimer’s, which comprises of about 75% of all dementia patients. Dementia has a direct effect on a person’s ability to think and reason. It also affects the patient’s short term memory and basic problem solving. It is thus important for nurses involved with the care of dementia patients to be well aware of the patient’s needs and should be able to handle all situations without making the patient feel the loss of control. Here are some tips for a Specialist Dementia Nurse while taking care of patients.

nurse

Photo: https://www.flickr.com/photos/felbrycollege/

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Meaning And Depth of the Primary Care Crisis

photo image of Stephen C. Schimpff, MDThis is Part 1 of a Series on The Crisis in Primary Care by Stephen C Schimpff, MD

The primary care physician (PCP) should be the backbone of the American healthcare system. But primary care is in crisis – a very serious crisis.

The first statement is my considered opinion and I will attempt to convince you of its truth. The second sentence is a simple fact.

Accounting for only 5% of all health care expenses, the PCP can largely control the “if and when” of the other 95% and hence can be the one to best affect quality of care and the totality of costs. This crisis limits the effectiveness of the primary care physician such that care quality is nowhere near what it could be or should be and the costs of care have skyrocketed. Read More …

Medical Tourism is a Growing Trend

Medical TourismToday’s short post features my response to a Forbes article by Dr. Robert Pearl, Offshoring American Health Care: Higher Quality At Lower Costs?, about the Cayman Islands, which are known for inviting coral-sand beaches, laid-back island culture and tax-free status.

Medical Tourism is a growing trend

This trend is not just in the Cayman Islands. Over 8 million people worldwide, and 1.3 million Americans, cross international borders for better and cheaper care. That trend will increase as insurers offer low-cost policies with high deductibles that encourage consumers to seek the best value in health care and lifestyle decisions. Read More …

Technology and the Senior Housing Industry

Is Technology Disrupting or Transforming the Senior Housing Industry?

Visiting GrandmaThis is the question posed by Joseph F Coughlin, Director of the MIT AgeLab, in his article, which is reproduced below with his permission.

The disruptive demographics of an aging society offers a growth opportunity for the senior housing industry. However, technology is also presenting new ways to enable older adults to stay in their own homes rather than move into senior housing options. Yet many of these same technologies, creatively applied, may improve the attractiveness and operational efficiency of senior housing. So is technology a threat or an opportunity for the senior housing industry? The answer is – yes. Read More …

The Retirement Home Option

Two old womenGuest article by Gina Cook

Everyone knows that the senior population is growing fast.  By 2051 one in four people in the population is likely to be a senior over the age of 65.  Yes, this will put a strain on our healthcare system, but this has been known for years yet what has been done to prepare?  Very little!

Working in a retirement home in Scarborough, Ontario, I see this every day.  On a daily basis we get phone calls from social workers and families saying that they need immediate care for a senior.  We spend a great deal of time educating families who are told that their loved one is ready for discharge from hospital and they don’t know where to turn.  They end up at our home often with very little information and are distressed, confused and frankly without being given the information they need to make an informed decision. Read More …

The Patient-Centered Medical Home, an Interview

The PCMH and Home Care Data: An Interview with Melissa McCormack is a byline article by Melody Wilding

PCMH LogoThe Patient-Centered Medical Home (PCMH) Model is a new approach which seeks to enhance care coordination and community-based care.

To learn more about how health care data fits into the PCMH model and how the new approach will helps seniors, we spoke with PCMH specialist Melissa McCormack of Software Advice, a source for medical systems reviews.

How does home care fit into the PCMH model? 

The PCMH model is all about putting the patient at the center of care. Under traditional fee-for-service models, doctors have no incentive to follow their patient’s health outside of the office, because they receive no compensation for doing so. But the PCMH model rewards doctors for keeping their patients healthy, which incentivizes them to monitor their patients’ health not just in the office, but at home, too.

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The $49 Doctor Visit, Online

Doctor Visit

Oh, the indignity of it all.

Instead of searching for a doctor, calling for an appointment, taking time off work, and then driving to the doctor’s office, just connect online with video.

Healthcare just got a whole lot easier for consumers, thanks to American Well and a new telehealth service that connects people to physicians through their iPad, iPhone or Android device as well as any web browser.

The company’s technology manages physician availability and allows consumers to either choose a specific doctor or simply connect to the next available one. They can also review doctors’ professional profiles and see how other patients rate them.

Doctors accessed via American Well are currently available for live video consults 24 x 7 x 365 in 44 states and the District of Columbia. The $49 cost of a 10-minute video call can be paid via credit card, debit card or health savings account, and at that rate it costs less than a typical office visit, which averages $68 and can reach up to $120 Read More …

Secret Hospital Charges Now Revealed, Wide Disparities

High Healthcare CostsHospital Prices No Longer Secret As New Data Reveals Bewildering System, Staggering Cost Differences

By Jeffrey Young and Chris Kirkham

When a patient arrives at Bayonne Hospital Center in New Jersey requiring treatment for the respiratory ailment known as COPD, or chronic obstructive pulmonary disease, she faces an official price tag of $99,690.

Less than 30 miles away in the Bronx, N.Y., the Lincoln Medical and Mental Health Center charges only $7,044 for the same treatment, according to a massive federal database of national health care costs made public on Wednesday. Read More …

Meals On Wheels Sequestration Cuts Take Effect

Meals on WheelsBy Arthur Delaney (original on Huffington Post)

ROANOKE, Va. — William McCormick remembers from his working-class upbringing in Covington, Va., that neighbors took care of neighbors.

“Both my parents worked in the mill,” he said. “For people in the neighborhood who were hungry we’d make up two or three bags of groceries, put $5 or $10 in it, set it on the porch, knock on the door and leave. We wouldn’t tell ’em who did it.”

Now McCormick is 70 years old and living alone in a one-bedroom apartment in a six-story building. Only about 40 of the building’s 144 units are occupied. The parking lots are barren and the hallways are dingy with torn carpets. McCormick considers the building “spooky.”

Some Disturbing Stats:

  • There are already 40M seniors 65+ today, with 10,000 more reaching age 65 every day.
  • 40% of them are low-income (below 150% of poverty level) and will need public assistance.
  • The poverty threshold for a family of four is $22,113, and the 2010 average income of the bottom 90% was $26.364.
  • People 90+ had a median income of just $14,760 in 2010, about half of it from Social Security. 37.3% of them lived alone and depend on services like Meels on Wheels.

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CES 2013 prominently features HealthSpot Station

“Real doctors. Real medicine. Really convenient.”

HealthSpot Station was prominently featured in the central lobby just as you entered the Las Vegas Convention Center during CES 2013, an honor that only the most interesting companies get.

Doctors and patients meet face-to-face like they always have, only in this case, the face-to-face is virtual: the doctor is in his home or office; the patient is seated in the kiosk; and the kiosk is located in a retail store. The HealthSpot Station kiosk allows board-certified doctors to conduct remote diagnosis and treatment using high-def videoconferencing and digital medical devices that appear behind locked doors when needed.

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Senior Living Options & Costs Infographic

As seniors age, they may need help with daily tasks. Helping them decide on appropriate living arrangements is critical to staying safe and healthy. Investing in home modifications and some sort of medical alert system is a cost effective way for seniors to feel safe and secure while living an independent lifestyle, as this infographic suggests. Read More …