Technology Enabled Care: The Future of Senior Care Age and Disability Odyssey Conference Michael Klatt, President and Chief Executive Officer, The Lutheran Home Association

Top Trends Impacting Healthcare The Macro-Economy: Debt and Demographics Lower Unit Reimbursements New Methods of Reimbursement The Urgent Need to Develop New Healthcare Models and Strategies Rapidly Increasing Aging Population Looming Caregiver Shortage

The Age Wave

The Age Wave Source: US Administration on Aging

Impact for Older Adult Services Hospital systems to operate or have integrated services with post-acute and pre-acute provider settings Coordination of care and prevention of hospital use will be essential to the financial success of the healthcare system New models of care will be implemented that promote aging in place in all care levels Increased application of the use of health monitoring technology and additional advancing technologies to manage care

Technology Enabled Care Model The Lutheran Home Association expanded the Technology Enabled Care model through funds awarded through the MN- DHS Community Service and Service Development (CS/SD) grant projects. The CS/SD grant projects are led at the state level by Jacqueline Peichel, Aging HCBS Development Lead, MN Board on Aging, MN-DHS. Grant funds received through the MN-DHS CS/SD grant project have supported the implementation of the Technology Enabled Care model and educational outreach programs for the community This unique model utilizes health monitoring technology paired with an individualized service delivery system

Enhanced Care Experience The Triple Aim Enhanced Care Experience Reduced Cost of Care Improved Health Health & Wellness Time Poor ($$$) Good ($)

Technology Enabled Care Combines traditional personal care practices with technology tools Caregiving shifts from reacting to health crises to prevention and early intervention Results: Enhanced Care Experience Reduced Cost of Care Improved Health

Factors to review Technology Enabled Care needs Lives alone Independent or minimal supervision Lives with a caregiver who needs support Uses assistive devices (cane, walker, medical phone alert, etc) History of falls or concerns about falls Risk of wandering or dangerous behavior Lifestyle Falls/Risk Behavior Health & Wellness Access to Support Alone for more than 4 hours/day No frequent and regular contact with others on a daily basis Reliability of care giver or change in care situation Hospital or SNF usage Concern regarding taking meds on time Concerns regarding eating or weight Need for in-home vital sign monitoring

Comparing Cost Options   Private Home with Care Services Campus Based AL Annual rent $0 $33,600 Utilities + Insurance + taxes $4,800 Personal Care Assistance $6,600 Property maintenance $1,800 Healthsense Technology $1,200 Total Annual Cost $14,400 $40,200 ~30 million seniors living in private homes 21,000 Independent Living Facilities 33,000 Assisted Living 17,000 Skilled Nursing, Memory Care Facilities $20—$35K/yr $30—$45K/yr $74+K/yr

Technology Enabled Care Solutions Creative use of technology offers the prospect of better lives for seniors, families, and caregivers

Summary The Age Wave is rapidly approaching: innovative care models must be developed to position the healthcare system for increasing demands Effective models will provide improved and preventative care with a reduction in care costs Creative use of technology offers the prospects of enhanced lives for seniors, families and caregivers Technology will be utilized to improve the quality of care, the care experience, and total cost of care