Redefining Possible

Disclaimers: Technology does not replace caregivers Technology alone is never a solution What is possible is dependent on our willingness to embrace change as opportunity

Important Information Director of Wisconsin based service provider and one of principles of SimplyHome Innovative Services, Inc. was formed in 2004 to create service options based on State legislation which forced the closure of all ICF/MRs Recent Wall St. Journal ranking of Nations Drunkest Cities

What is Residential Assistive Care Technology? Technology for the home that is designed to: Empower independence Monitor routines & activities Be proactive about health and safety Offer customizable response options Provide peace of mind Dakota learning how to Use his Medication Dispenser.

Common Applications Night time activity and sleep patterns Access to medications, health monitoring Toileting frequency, incontinence, bathing frequency Cooking and eating habits, use of appliances

Common Applications Temperature in home, environmental controls Inactivity, wandering, falling, egress Ability to page staff support Trends in behavior

What is Community Living? Housekeeping Emotional support Community connections Home Health Transportation SHC DLS

Residential Supports without Walls or Number of Beds Think Licensed Group Home, Not Supportive Home Care

Community Living Program Assess/Identify outcome – change both how the goal is reached (self-directed) and funded (hourly to daily). Provide supports when needed/requested and minimize/eliminate “just in case staffing scenarios”. Support the entire person, not just a few needs. Wrap around services Each person shares goal to live a self-directed life as a full citizen of their community. Intense supports when needed

Living a Real Life Supports available 24hrs a day Teach how to self direct and access community resources vs. relying on paid supports Flexible schedules Most supports provided based on life routines not based on alerts or notifications Changing the role of a caregiver to a facilitator

Think Differently – Critical Elements of CSL Program Daily Rates-service model is based on a Group Home Service approach NOT SHC Communication of choice, appropriate response and care plan change The role of Natural Supports vs Paid Supports Partnerships with local landlords Comparative Rate analysis to Comparative Service

Assessment Determine gifts and strengths of individual Tool to capture outcomes of person Tool to determine cost to support person and the identified outcomes in days not hours How to use Natural Supports in the care plan Measurement of outcomes vs tasks Take a recovery model approach to service not a medical model Standard supports are to maintain current home/apt; build/create natural relationships as part of the services offered; use natural supports to provide outcomes; reduce rates as people develop skills and have strong natural relationships; do not measure service or supports in hours and do not limit what supports are provided

The cost to support 98 people who moved from 24hr staffed group homes The cost to support 98 people who moved from 24hr staffed group homes. -Annual savings of $3.8million as compared to previous service arrangement Group of individuals offered the choice of Community Supportive Living have diverse needs for support, ranging from relatively little to extensive and complex. This mix was important in order to learn what was possible in terms of cost and in learning if there are any limitations on who might be offered this option in the future. Daily rates range from $3/day to over $200/day as demonstrated in chart.

Community Supportive Living Cost Effectiveness The chart shows 98 members currently living in Supportive Living cost $61.54/day. The same individuals living in a residential setting of 1-8 beds with sleep staff would cost on average $77.03/day. CCCW would have spent 25.2% more ($554,077 annually) on the same individuals. The same individuals living in a residential setting 1-8 bed with awake staff would cost on average $107.03/day. CCCW would have spent 73.9% more (1.6 million annually) on the same individuals.

The results of new tools Innovative Services, Inc. was founded in 2004. In 2014 ISI became Wisconsin’s largest residential provider. Finding ways to overcome challenges of low population density, limited cell and internet coverage and mother nature in ongoing expansion in Northern Wisconsin Northwest WI Development began in June 2015. As of May 1st, 2016 ISI SUPPORTS 120 PEOPLE in community living programs in Northern WI-natural supports encompass 30% of regular support

Cost-Effective Ability Beyond Clapboard Program: For every $1 spent in year 1 of using technology they saved $3.99. For every $1 spent after year 1 they are saving $11.23. UCP of NYC: Prior to using SimplyHome technology, staff at one location were needed 24/7. Today, staff is needed 21 hours per week, saving them at least $3,000 per month. Wildwood Programs has seen $39,000 savings per person. Annually, that is $500,000 savings for 16 individuals.

Other examples of how Innovative Services, Inc uses technology Quality Assurance indicators/alerts based on data SimplyHome systems collect Within Group Homes Individual control of their home from the TV to the front door Inclusive monthly workshops for all people in various communities on how to maximize use of person technology (cell phone, tablet, laptop, amazon echo, wearable.)

Seeing the Value in Redefining Possible “We choose to go to the moon not because it is easy, we choose to go to the moon because it is hard…” -JFK

Thanks! Any questions? You can find me at: rickb@isiinc.org Visit: www.simply-home.com www.isiinc.org