1. Benefits of Technology Integration in Tomorrow’s Senior Care
Presented by
John Dalton
President \ CEO of IT Initiatives, Inc.

2. Integration – What is IT?
The word integration is used commonly – but what does it mean?
Allowing multiple systems to work with one another to achieve a common goal
Using technology to achieve this goal
Ensuring the technology “works” to achieve the performance level required
Designing the system with redundancies to eliminate single points of failure
Implementing a cost effective solution

3. Physical Security
Involves a series of technologies within the senior care marketplace
Physical access control
Video surveillance
Intrusion detection systems
Emergency communication
Emergency duress
Resident monitoring
Gunshot detection

4. Physical Access Control
Controls access to a physical location based on day, time, user and location
Generally installed at perimeter locations to protect
unauthorized individuals from entering facility
Implemented on the interior of the facility to ensure
locations requiring secure access are protected
Utilizes smart card technology to ensure compliance
Protects residents, employees, assets and medical records
Allows for instantaneous removal of employees from
gaining access to physical locations

5. Physical Access Control and HIPAA
What do I need?
STANDARD - Physical safeguards (Facility Access Controls – (a)(1)
“Implement policies and procedures to limit physical access to its electronic information systems and the facility or facilities in which they are housed, while ensuring that properly authorized access is allowed.”
STANDARD – Facility Security Plan – (a)(2)(ii)
“Implement policies and procedures to safeguard the facility and the equipment therein from unauthorized physical access, tampering and theft.”

6. Where is Access Control Installed?
Interior locations
Med rooms
IDF \ MDF rooms
Nurse offices
Billing \ back office suites
Medical record storage rooms
ILU resident corridors
Continue to maintain a home like environment
A site survey is recommended to ensure your facility is properly protected by a security professional.

7. Risks Resident elopement Unauthorized individual access
HIPAA physical access violation
Employee theft
Medication theft
Unauthorized resident room entry

8. Video Surveillance
CMS recommends surveillance cameras be installed within a senior care facility (CMS HIPAA Security Series Volume 2, Paper 3)
Provides monitoring of camera covered area 24x7x365
Must be recorded
Cameras must be high definition to be viable
Cameras must have infrared technology to ensure content can be seen when the lights go out
Utilization of facility network infrastructure saves investment costs
Should be accessible by you from any location, including smart phone and tablet
Must be implemented maintaining a homelike environment for your residents

9. Video Surveillance Use case strategy Where and why to implement
Only implement if it will be used to provide better care
Effective when monitored from a security office or front desk
Use as a deterrent
Where and why to implement
Common areas (dining rooms, great rooms, community rooms, lobbies, care stations)
Med rooms and storage rooms
Entrances \ exits
Resident hallways
Stairwells, “nooks and crannies”

10. Video Surveillance & Staff Improvement
Executive directors and administrators cannot be everywhere, all the time
Video surveillance provides a method to monitor large portions of your facility, 24x7
Resolve staff performance before it becomes a problem
Use video surveillance as a teaching tool to improve employee care
Reference video surveillance content when disciplining employees (i.e. CNAs sleeping while dome lights are lite)
Improve patient outcomes

11. Interesting Use Case Scenarios…
Verify there are no ghosts in resident rooms
Monitor disappearing foodstuffs
My jewelry is missing!
Prove visually response times

12. Intrusion Detection
Intrusion detection systems – sometimes implemented in cottage homes on CCRC campuses
Provide burglar alarm technologies to residents
Make residents feel safe
Call facility in the event an alarm condition occurs
Sometimes used in facilities to create alarm conditions in the event of unauthorized entry
Can automatically alert security departments via wireless device
Local audible or non-audible alarm conditions can occur
Prevent theft of narcotic medications

13. Integration
Modern physical security systems include integration between systems
Provide a single interface for multiple security components
Facility mapping
Video surveillance
Access control
Visitor management
Eliminates the complications of
monitoring multiple software
platforms
Simplifies the ability to access information from anywhere at any time

14. Modern Monitoring
Many senior care facilities do not have security departments
Typically, SNFs and ALs do not have any security guards
Physical security technologies therefore take on this role
Front desk personnel can perform their daily tasks while also monitoring activity throughout the campus
Software applications provide the ability to staff to continue to perform work and receive popups when a security task is required
Cameras continue to record in the background and can be referenced later as needed
Facilities with guards can carry security-enabled tablets

15. Emergency Lockdown Procedures
Technologies are available to allow you to automatically lockdown your building in the event of a theft
HOW? – utilizing your wireless phone, desktop or computer and your access control system
WHY? – an unauthorized individual is in the building, a gunman or others
WHAT’S THE PROCESS? – enter a code on your phone through an app
WHAT DO I NEED? – many things!

16. Visitor Management How do you manage users in a building?
Have guests sign in via a kiosk
Print labels with pictures
Identify who they are seeing
Advise the employee automatically the guest is onsite
Perform instantaneous background checks on the visitor
Provide temporary access rights to contractors
Issue temporary access control cards to provide access to contractors

17. Emergency Duress Systems
Key locations throughout a facility should be outfitted with emergency duress buttons
Provides the ability to silently call for help in the event of an emergency
Can alert colleagues in other areas of the building that a situation is occurring
Automatically process emergency communication processes throughout the campus
Continue to communicate event when phone lines are cut
Limit and prevent tragic events from occurring

18. Active Shooter Detection Systems
Senior care facilities are not immune to workplace violence
Americans today are continuously concerned about violence in the workplace and public places
Shooting recently occurred in Voorhees ALF where a man fatally shot mother, then killed himself
March 24, 2016 – kitchen worker at Ohio ALF killed 2 housekeepers
April 7, 2016 – 1 killed, 1 injured in Boston-area senior care facility shooting
April 19, 2016 – shooting victim at Houston SNF
Automatically detect when a gunshot is recognized and call for help instantaneously
Alert police where and when gunshots are fired
Alerts staff on computers, wireless phones, cell phones, digital signage and AV systems within facility
Provide knowledge to staff to be informed and where NOT to go
Save lives

19. Emergency Call What is mass notification?
Utilize your phone system to automatically activate speakerphones throughout your facility and announce the emergency condition occurring
Contacts users via mobile phones, cell phones, computers, common area phones and desk phones throughout the facility
Alerts for emergency calls from the government, weather service and your own conditions
Pre-recorded messages and ad-hoc can be released instantaneously
Communicate with your residents and staff
Select groups to output the message to or all users

20. Resident Monitoring
Fall Management
Wander Management
Nurse Call
Patient Location
Failure to respond to resident monitoring alerts is one of our greatest risks in senior care
Distribute information instantaneously to caregivers via wireless handhelds
Communicate with residents via two way, integrated audio
Decrease the occurrence of elopement through system unification

21. Network Infrastructure
Nothing works without a viable network!
Cameras and doors utilize the network to communicate
Most technology devices are powered by the network
Proper emergency power and UPS systems must be implemented to ensure continuous operation
Structured cabling must be installed for all doors, cameras and other devices
Network must have proper security
Access to resources must be on an as-needed basis

22. Brainstorming
Sharing and Ideas
Questions and answers