Resources

Technologies to Help Older Adults Maintain Independence: Advancing Technology Adoption

Americans are living longer. And despite the health challenges of longevity, a majority of older adults hope to remain in their homes as long as possible.1 Fortunately, many technologies have the potential to help older adults maintain their independence and health. Technology is an enabler in creating systems of health and long- term care that are more integrated and reliable, and that address the needs of older adults in a more efficient and effective way. If these technologies could also mitigate the workforce shortages and financial burdens that are inherent to long-term care today, both older adults and society at large will benefit.

Research Areas & Topics: Telehealth, Health, Technology, Aging, Digital Health, Health Equity, CTA

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American Telemedicine Association’s Home Telehealth Clinical Guidelines

The need for homecare is expanding dramatically. There is a surge in the number of older adults in the United States with the aging of the baby boomers. People are living longer than ever before in history. They are better educated and are more comfortable with the use of technology. Most people want to remain independent and live in their homes for as long as possible, yet greater numbers of persons are suffering from chronic conditions. At the same time, the health care industry is facing a critical shortage of public resources, as well as nurses and other health care personnel to care for our population. Health care providers are forced to do more with less, with decreasing reimbursements and increased focused on quality and clinical outcomes.

Research Areas & Topics: Telehealth, Technology, Aging, Workforce, Innovation, CTA

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ATA Home Telehealth Toolkit

The ATA Home Telehealth and Remote Monitoring SIG Toolkit Task Force, a group of clinicians and academicians involved with delivering or overseeing the delivery of home telehealth services, has developed this toolkit to provide guidelines and procedures for the design and delivery of home telehealth services for the benefit of patients, their families, and clinicians.

Research Areas & Topics: Telehealth, Health, Technology, Aging, Digital Health, Innovation, Mobile Devices, CTA

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Chronic Disease Self-Efficacy Scales

These scales were developed and tested for the Chronic Disease Self-Management study. We use the shorter, 6-item scale now (shown in another document), as it is much less burdensome for subjects. There are 2 ways to format these items. We use the format above, because it takes up less room on the questionnaire. The other is shown on the web page.

Research Areas & Topics: Technology, Aging, Health Equity, CTA

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Telehealth Patient Satisfaction Survey

This tool was submitted by Centura Health At Home as a part of their Enhancing the Home Telehealth Program with Call Center Activities project supported by the Center for Technology and Aging, Remote Patient Monitoring Diffusion Grants Program, 2010- 2011. Additional information is available at toolkit.techandaging.org

Research Areas & Topics: Telehealth, Technology, Aging, CTA

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Telehealth Clinician Orientation and Training Tools

ADOPT Toolkit Accelerating Diffusion of Proven Technologies Centura Health at Home has submitted a set of tools to be used for nurse/clinicians during a telehealth orientation or training. These tools can be modified for other settings. Centura's project was to augment the current telehealth continuum by merging 24/7/365 call center activities with telehealth. The clinical call center was linked with telehealth monitors (inLife by American Telecare) and video conferencing system (American Telecare Lifeview) with the goal of decreasing hospital readmissions.

Research Areas & Topics: Telehealth, Technology, Aging, Workforce, Innovation, CTA

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Evaluating the Effectiveness of Remote Patient Monitoring to Reduce Readmissions in a Medi-Cal Waiver Program

California Association of Health Services at Home’s goal with this project is to convince Californian’s Medi-Cal program to authorize and reimburse for RPM technology. The strategy is to conduct a carefully structured and evaluated pilot project in the Medi-Cal Waiver Program. This is a population of aged and chronically ill patients cared for at home in lieu of a skilled nursing facility or acute hospital. An additional advantage of conducting the pilot program in the Medi-Cal Waiver Program is that it does not require federal approval and can be implemented rapidly.

Research Areas & Topics: Telehealth, Technology, Aging, Health Equity, CTA

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Telehealth Vendor Questionnaire

The following information, presented in separate analysis sections, is intended to provide a sample set of Telehealth Vendor Selection questions. Please note that as the specific definition and need for Telehealth will be determined by each user of this questionnaire, the sample questions will need to be edited and expanded. This need is most evident within section 4.0 FEATURE REQUIREMENTS where the questions are representative of several different types of Telehealth technologies/services, and, therefore, not intended to be used as a collective whole. Other sections, that are more commonly applicable, may require less modification.

Research Areas & Topics: Telehealth, Technology, Aging, CTA

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American Society of Consultant Pharmacists Foundation (ASCPF)

This project utilized Monitor-Rx to optimize the medication regimens of older adults seen in six practice sites that provide pharmacist services: AFSC, OASIS, HbL Pharma Consulting, IFPMH, UCI-SHC and UCI-HAPS. Monitor-Rx is a web-based clinical tool that associates medication effects with geriatric problems (e.g., falls, incontinence, depression, and delirium), identifies anticholinergic medications and medications inappropriate for use in the geriatric population, and provides medication monitoring recommendations to foster early recognition of adverse drug effects that can be avoided, managed, or reversed.

Research Areas & Topics: Telehealth, Technology, Aging, Innovation, CTA

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The Medication Optimization Technology Diffusion Grants Program

After a brief background about the Center for Technology and Aging (CTA) and its grantmaking initiatives, this report describes the CTA Medication Optimization Technology Diffusion Grants Program (“MedOp” program). The purpose of and results from the MedOp grant cycle are described, including an update of MedOp grantee activities one year after funding ended. The report concludes with a policy discussion followed by a brief description of each of the five MedOp grantee projects.

Research Areas & Topics: Technology, Aging, CTA

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Technologies for Optimizing Medication Use in Older Adults

The paper provides an overview of the medication-use process, and discusses three areas of opportunity for medication optimization for older adults: 1) medication reconciliation, 2) medication adherence, and 3) medication monitoring. Medication-use problems can occur at different phases in the medication-use process. To help pinpoint where medication-use problems occur, what opportunities exist to solve these problems, and which technologies may be beneficial in the process, it is helpful to visualize the medication-use process as a series of five steps or phases: assess, prescribe, dispense, administer, and monitor.3-5 Medication reconciliation problems mainly present in the Assess and Prescribe phases of the medication-use process, whereas medication adherence problems commonly occur in both the Dispense and Administer phases.

Research Areas & Topics: Telehealth, Technology, Aging, Data Exchange, CTA

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THE NEW ERA OF CONNECTED AGING: A Framework for Understanding Technologies that Support Older Adults in Aging in Place

The United States is a rapidly aging nation. A demographic change is quickly outstripping the capacity of family caregivers, providers, and programs and services that serve the aging population. To address the impending increase in the demand for health care and long-term care, new programs must be created that reinforce the ability of older adults to thrive in their homes and communities, and support them in aging independently.

Research Areas & Topics: Technology, Aging, Digital Health, Mobile Devices, CTA

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Determining the ROI from Remote Patient Monitoring: A Primer

Remote patient monitoring (RPM) refers to a variety of high tech and high touch patient care approaches that do not require a face-to-face visit. RPM solutions promote better health at lower costs because they enable more frequent health status monitoring and feedback, make home the central place of care, serve as an early warning system of deteriorating health, enable early intervention, and, as a result, typically reduce emergency room visits and hospitalizations.

Research Areas & Topics: Technology, Aging, Health Informatics, CTA

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Practice Brief February 2011 Organizational Adoption: Implementing New Technologies to Optimize Medication Use Among Older Adults

In 2010, five health services organizations received grants from the Center for Technology and Aging to demonstrate how technologies could help improve medication use in older adults with chronic health conditions. Each project involved the use of one or more technologies in a coordinated effort with patients, families, and caregivers – such as pharmacists, home health agency staff, and physicians. The two-fold goal was to help improve the independence of the participating older adults while enabling them to avoid medication-related issues that potentially result in harm, hospitalization, or higher health care costs.

Research Areas & Topics: Technology, Aging, CTA

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Fact Sheet: Highlights from the Remote Patient Monitoring Position Paper

Remote patient monitoring (RPM) technologies have been shown to be effective in helping to manage chronic disease, post- acute care, and monitoring the safety of the older adult population. RPM technologies can help older adults slow the progression of chronic disease and ensure continued recovery after being discharged from an acute care setting. RPM has the potential to help the large number of older adults that are challenged by chronic and acute illnesses and/or injuries.

Research Areas & Topics: Technology, Aging, CTA

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Banner for the Transatlantic Telehealth Research Network International Scientific Conference 2023.

Call for Abstracts: Transatlantic Telehealth Research Network International Scientific Conference 2023

Now is the time to take stock of the role that technologies play in supporting and/or challenging health care systems. What lessons have we learned about implementing new digital health technologies? What needs to be learned and improved? How can regional digital health experiences contribute to international solutions? To address these crucial questions, the Transatlantic Telehealth Research Network (TTRN), in collaboration with the International Society for Telemedicine & eHealth and Aalborg University, invites you to the international scientific conference entitled: “An International Perspective on Building Capacity in Health Care through Technology” to be held at the University of California, in Berkeley, California, USA, on August 22-23, 2023. The conference is supported by the Center for Information Technology Research in the Interest of Society and the Banatao Institute (CITRIS).

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Funding Senior High-Speed Internet Access Opportunities Guide

In March 2020, communities across the United States implemented social distancing measures to protect people from transmission of COVID-19. Social distancing has indeed helped slow the virus’s spread in households, communities, and facilities, especially before vaccines became available. But with social distancing has come a significant downside: the lack of social connection. For people who are already distanced from others by their living situations, age, poverty, zip code, or health status, social distancing has increased isolation. High speed internet offers a scalable solution to mediate social isolation as well as provide access to telehealth, information, and other services. This Opportunities Guide, assembled by Freedman Consulting, LLC. provides a comprehensive list of funding sources that can support a wide range of congregate living facilities in providing internet to older adults.

Research Areas & Topics: Telehealth, Technology, Lighthouse

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An animated image of three adults standing with a background of circles connected by lines. From left to right, the circles contain a phone with a WiFi symbol, a blood glucose monitor, a heart, and a blood pressure monitor. In the bottom left corner is the phrase Introducing ACTIVATE with the ACTIVATE logo.

Introducing ACTIVATE

Now you can see ACTIVATE in action through brief videos created by our partners Diverse Health Hub. In Introducing ACTIVATE, follow a patient as he discovers how ACTIVATE can help him learn about his chronic conditions (diabetes and high blood pressure) and connect with his health care team.

Research Areas & Topics: Telehealth, Health, ACTIVATE

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Dr. Juan Lopez Solorza with the ACTIVATE logo next to his head.

Introducing Livingston Community Health Center’s ACTIVATE program

ACTIVATE is a demonstration project using digital health to improve the health and well-being of rural or underserved communities in partnership with community health centers. ACTIVATE is designed to help patients learn more about their diabetes and/or high blood pressure and how to help get them under control, all from the comfort of their own home!

Research Areas & Topics: Telehealth, Health, ACTIVATE

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white-haired elder woman with glasses holding tablet

Lessons on Scaling Equitable Vaccine Distribution to Help High-Risk Populations

A conversation with Dr. David Lindeman, Director of CITRIS Health; Veronica Chavez, Community Outreach Manager at Livingston Community Health; Helidee Millan-Govea, Community Outreach Manager at Livingston Community Health; Sheri Peifer, Senior VP and Chief Strategy Officer of Eskaton, Darlene Cullivan, Senior Manager of Outreach and Impact at Eskaton and Dr. Sheri Belafsky, Medical Director of Healthy Davis Together, as they discuss the lessons learned through the development and deployment of their vaccine initiatives, the importance of partnerships with trusted community organizations, and the equity considerations required for building an equitable infrastructure for providing vaccines to underserved populations.

Research Areas & Topics: Telehealth, ACTIVATE, Lighthouse

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An older couple smiles and laughs.

Lighthouse Playbook

A new, step-by-step guide is available to help affordable housing leaders plan and implement programs within affordable housing communities. Based on findings from pilot projects to implement Lighthouse for Older Adults in several California communities, the guide shares lessons learned through tips, checklists, customizable sample materials, and other resources.

Research Areas & Topics: Lighthouse

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A doctor holds a baby to while speaking to two other doctors on a screen via video.

Personalized Telehealth in the Future: A Global Research Agenda

As telehealth plays an even greater role in global health care delivery, it will be increasingly important to develop a strong evidence base of successful, innovative telehealth solutions that can lead to scalable and sustainable telehealth programs. This paper has two aims: (1) to describe the challenges of promoting telehealth implementation to advance adoption and (2) to present a global research agenda for personalized telehealth within chronic disease management. Using evidence from the United States and the European Union, this paper provides a global overview of the current state of telehealth services and benefits, presents fundamental principles that must be addressed to advance the status quo, and provides a framework for current and future research initiatives within telehealth for personalized care, treatment, and prevention. In this paper, the members of the Transatlantic Telehealth Research Network offer a 12-point research agenda for future telehealth applications within chronic disease management.

Research Areas & Topics: Telehealth, TTRN

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An animated image of three adults standing with a background of circles connected by lines. From left to right, the circles contain a phone with a WiFi symbol, a blood glucose monitor, a heart, and a blood pressure monitor. In the bottom left corner is the phrase Presentamos ACTIVATE with the ACTIVATE logo.

Presentamos ACTIVATE

Ahora puede ver ACTIVATE en acción a través de breves videos creados por nuestros compañeros Diverse Health Hub. En Presentamos ACTIVATE, siga a un paciente mientras descubre cómo ACTIVATE puede ayudarlo a aprender sobre sus condiciones crónicas (diabetes y presión arterial alta) y conectarse con su equipo de atención médica.

Research Areas & Topics: Telehealth, Health, ACTIVATE

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