Policy and Research Needs to Maximize Independence and Support Community Living Workshop Summary (2016) / Chapter Skim
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6 Technology to Support Independence
6 Technology to Support Independence
Pages 69-80
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From page 69... ...
TECHNOLOGY FOR ACCESSIBILITY David Baquis Accessibility Specialist, United States Access Board The United States Access Board (the Access Board) , explained David Baquis, an accessibility specialist for the board, is an independent federal agency that promotes equality for people with disabilities through leadership in accessible design and the development of accessibility guidelines and standards.
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From page 70... ...
The Access Board develops and maintains design criteria for the built environment, transit vehicles, telecommunications equipment, medical diagnostic equipment, and information and communications technology. These guidelines and standards are updated as necessary to address changes in technology and practices and to include specific
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From page 71... ...
The challenge for a technology company such as Comcast is to decide which accessibility solutions to build into their technology products and which to accommodate by making the technology compatible with additional services or devices. In the context of Comcast customers, Wlodkowski said, accessibility means that someone who has visual impairment or a physical disability can purchase an on-demand movie or change television channels using a voice guidance feature, and someone who has difficulty hearing can access closed captioning across all of the company's platforms, including the set-top-box and mobile applications.
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From page 72... ...
Furthermore, this feature is integrated into a cloud-based platform that enables the company to introduce new accessibility capabilities without the need to install additional hardware or software in the customer's home, and it allows the company to deliver new accessibility solutions much faster. Another new product Comcast is developing to increase independence for people with disabilities combines home security, automation, and management services to give individuals with disabilities and older adults the ability to take advantage of smart home technology through a single, integrated interface.
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From page 73... ...
TECHNOLOGY FOR HEALTH -- CHANGING THE LOCATION OF CLINICAL CARE Adam Darkins Vice President of Medical Affairs and Enterprise Technology Development, Americas Region, Medtronic, Inc. Adam Darkins of Medtronic, Inc., began the workshop's final presentation by noting that while many people have heard of telehealth -- also known as telemedicine, eHealth, mHealth, and virtual health -- fewer have thought about developing services for it.
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From page 74... ...
Although the hospital moved only a few miles away, this extra travel to have access to care could be a significant hardship for an older adult with chronic disease living in a big, crowded city. To alleviate this burden, Darkins's solution was to provide video sessions for these patients in the primary care clinic that was in the hospital's original location.
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From page 75... ...
Instituting a remote care management system, he said, requires developing methods for training care coordinators to work remotely and building the infrastructure and quality management systems that enable high-quality care. It is not simply a matter of buying and installing technology, but rather it entails identifying a clinical need, figuring out what can be done from a clinical perspective, and then determining how technology can be applied to enable the clinical solution.
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From page 76... ...
Darkins remarked that one benefit of delivering care remotely is the ability to provide access to providers who can communicate with patients in different languages. FACILITATED TABLE DISCUSSIONS Three questions were posed to the workshop participants for short facilitated table discussions (answers not limited to what was covered in panel presentations)
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From page 77... ...
reg ulations and other policies on data sharing that make it difficult for long-term care providers and other community health provid ers to access client electronic health records (Feldman, McGuire, Nagro) • Policies that impede or prohibit the use of telehealth and tele medicine to deliver care across state lines (Parks)
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From page 78... ...
Research and Policy Priorities The facilitated table discussions produced the following list of research and policy priorities for technology supporting independence and community living, as noted by the table rapporteurs. Areas for Additional Research • Study the impact of using technology to change the delivery of care by measuring cost, access, quality, and effectiveness of care (Ewell, Feldman, McGuire)
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From page 79... ...
• Establish a public–private partnership initiative to create a coor dinated approach to study the efficacy of technology-enhanced care for older adults and people with disabilities, to be headed by the White House Office of Science and Technology Policy (Montgomery) Best Practices The facilitated table discussions produced the following list of best practices, as noted by the table rapporteurs.
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From page 80... ...
Companies already doing this include Apple, Com cast, General Electric, Panasonic, and Verizon (Ewell, Feldman, Parks) In addition to reporting on specific best practices noted at her table, Kelley reported that the discussion at her table emphasized that best practices will be derived ultimately from real-life learning, not from the scientific literature.
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