Remote Supports : 10 common questions every family should ask

Remote support technology comes in many forms. From medication dispensers that remind individuals to take their medication (and alert staff if access hasn’t occurred) to more high-tech options such as remote monitoring where external staff monitor a series of sensors and/or video  to alert internal staff to a need, options exist to help increase an individual’s privacy and independence while maintaining their needed level of care.

The first step in learning more about the remote supports that may work for you/your family member is knowing which initial questions to ask. We’ve captured the top 10 questions many family members and self-advocates have about using remote technology supports and received general answers from providers, vendors, and case managers. Keep these questions in mind when working with your team as you explore available options.

Without a physical body in the residence, how will the safety of the person be ensured?

Providers will work with the individual’s team to assess existing safety concerns, develop an appropriate monitoring and response plan, and then install the correct remote support technology to meet safety requirements as well as independence goals. The safety needs of each individual will be unique, and this planning process serves to outline the necessary staff coverage. It is important to remember that modifications may always be made to the plan to provide the best support possible for the individual receiving care.

Who determines what alerts and technology will be used? Who can change it?

The individual served and their team determines what monitoring technology will be needed to assure the individual’s needs and safety concerns are being met. Additional safeguards, such as specific alerts or tracking activity, may be set up to cover any “what if” scenarios the team may have, even if there isn’t a foreseen vulnerability or risk. At any time, the individual and team may make modifications to the technology in use. In fact, changes are common to either better account for things not originally considered or to decrease the level of alerts which the team may not find as necessary/useful as originally thought.

How does remote support technology increase independence?

Remote support technology allows a person to function throughout their day without staff having to be constantly present providing direction or reminders. For example, increased independence may be found by staff only entering the residence when the individual needs them vs having a staff member check in every thirty minutes to see if there is a need. In lieu of a staff member administering medication, a medication dispenser may be used to alert an individual to take their medication and signal staff when the day’s medication container has been opened (or has yet to be opened). Many individuals enjoy, and thrive, with the increased privacy and independence the technology offers them.

What happens if there is a power outage?

Prior to implementing the technology, providers walk team members through their response plans for emergency situations. Most remote support technology has a battery back-up, both for the systems installed at the home and at the remote site. In the event the system goes out completely, additional back-up plans would be put into action.These redundancies ensure individuals are not without assistance if needed, regardless of power supply.

What happens if there is a problem with the equipment?

During implementation, this would be a conversation to discuss with the team and provider. Many, if not all monitoring agencies will have a process available to notify of any issues with the functioning of the system or loss of contact. Back-up plans would be put in place to address what will happen when these instances take place. Also Identified and discussed in that plan would include items such as what to do when the system is down and the process and responsible parties for replacing components.

When should changes be made to the plan using technology?

The plan for using monitoring technology will be continuously evaluated to assess its effectiveness in supporting the person’s needs. Monitoring technology should change when the individual’s needs or goals change.

What about staff training regarding the use of technology?

The vendor will assure that staff, and all individuals involved, are educated on the equipment installed in the residence and how it works. The provider will be responsible for ongoing training on changes in alerts as the individuals needs change and address performance issues if staff aren’t meeting the needs of the individual as indicated by the data provided.

What happens when I/my family member needs assistance, but there is not staff in the home/apartment?

If an individual is in need of assistance when staff is not present in the residence, staff may be alerted in one of two ways. If a sensor has been tripped, staff will be notified according to the response plan. If staff isn’t present, but an individual needs/wants assistance outside of what their sensors are programmed for, they may “call” staff using the method chosen in their technology plan, such as by pushing a button, using a voice activated phone, or initiating a video call. Each alert has a “calling tree” that can include several phone numbers. The phone numbers and the order in which the system calls the numbers is able to be changed at any time.

I am curious about the use of the sensors and the data that is collected. Am I able to receive the data as well?

Yes. At any time, members of the team are able to request a data summary from their provider for the sensors in the residence.

What is the response time of the office staff?

As a part of the alternative adult foster care licensing process, your caregiver must develop and provide you with policies, procedures, and response protocols.  You must give your consent before use of technology is implemented. The statute requires that a caregiver respond within 10 minutes unless certain other provisions are met and approved by the Department of Human Services, Division of Licensing.  The alternative adult foster care license allows for a longer response if you consent to it, if the caregiver assures that certain conditions are met including the provision where the remote care provider can maintain interactive communications with you to assure you are safe and your needs are met.

If you live in your own home or another licensed or non-licensed home, you should ask your caregiver for the same procedures and protocols to ensure you are comfortable with the level of risk present with whatever response time is decided upon.


Visit the ARRM Technology Resource Center to learn about more success stories and case studies showing how technology is changing the lives of those living with disabilities or learn more about how to start the conversation.

A Trip to PACER’s Simon Technology Center

Tablets and keyboards and toys, oh my!

 

For people looking for assistive technology resources to help them, or those they care for, live more independently, Pacer Simon Technology Center (STC)  is one great place to start.

The STC houses 2,000+ pieces of low to high tech items for people of all ages and disabilities and provides individuals, families, and organizations service options including free technology consultations, hands-on training, and in-services or workshops. This allows individuals to experiment with devices/resources to get a feel for which options might be best for them, and families and professionals the option to see what might benefit those they care for.

Devices can be expensive, trying out several to see what works is not always feasible—that’s where the STC and their staff members come in.

How it works

Consultations

To set up a consultation, free to those living in Minnesota, a consultation application is filled out and a meeting date is set. There is a $50 refundable deposit that will be held and returned to individuals at their appointment to discourage no-shows.

For the consultation, individuals are paired with a staff member whose knowledge and background best matches their needs. The individual’s new guide will walk them through options they believe could benefit them/their family member based on responses in the application and give a demonstration on each. Individuals are then given the opportunity to try the items themselves.

Lending Library

If you are interested in becoming a member of the STC Lending Library, you can decide which devices/resources make the most sense to borrow. Members may check-out items for 30 days, including apps that may be sent directly to individual devices. This “trial period” allows individuals and organizations time to utilize the resource in all aspects of a person’s daily life (school, work, or home) and have time to make an informed decision before making a purchase.

Trainings and Workshops

For organizations looking to expand their knowledge on current available technology, the STC offers free workshops and for fee customized in-service trainings to help navigate options and explore solutions.

The Resources

There are a number of awesome “gadgets” located in the STC such as modified keyboards, tablets, and text-to-speech technology. One piece of technology opens up a world of options for assistive technology devices—a 3D printer. The printer can print items like pencil grips, playing card holders, raised book pages, braille cards, customized wheelchair joysticks, and even prosthetic hands! With the right instructions, this machine can be used to create an unimaginable array of assistive devices.

A backroom in the STC housed several “toy” cars—some propped up like you might find in an auto shop. And, just like at an auto shop, these special vehicles were being fixed-up and modified for their owners.

There was a bright pink off-roading giant and a green jeep just waiting to be customized. Parents are able to purchase vehicles for their children and bring them in to the STC to have them modified by a staff member to fit their needs—for free. Modifications may include creating higher seat backs, adjusting seats, moving the controls from foot pedals to buttons that hands can reach, etc. And, because children will be children, all cars are equipped with a “kill” switch that parents can use if their child gets a little too adventurous.

With the customization help of the staff at STC, a child with Spina Bifida is now able to cruise around her yard independently—go when she wants to go and stop when she wants to stop.  This is just one example of how easy it is to customize readily available technology to increase independence for people with disabilities (young and old).

Check out the PACER’s Simon Technology Center website to learn more about the Pacer STC and their array of services.

Getting to Know Assistive Technology

Resources for no-, low-, mid-, and high-tech options

Expert Contributor: Kit Piltingsrud, Program Manager and Assistive Technology Professional, Living Well Disability Services

 

Assistive technology devices can either be created at home, purchased and used off the shelf, modified, and/or customized to meet individual goals and needs. From low-tech options such as toy or game modification to high-tech devices that include voice recognition or elopement monitors, assistive technology is empowering those with disabilities to live, work, and play in the most independent way possible.

What’s the difference between no-, low-, mid-, and high-tech?

No-Tech:  No-Tech solutions make use of procedures, services, and existing conditions in the environment and don’t involve the use of special devices or equipment. Examples include pencil grips, colored paper, extra time for testing, and the use of a scribe, reader, or interpreter.

Low-Tech: Low-Tech devices are simple devices that have few mechanical parts and don’t require a power source. They include adapted spoon handles, adapted pens, canes, non-tipping drink cups, magnifying glasses, eyeglasses, and Velcro fasteners.  At most, only limited training would be necessary to use these devices.

Mid-Tech: Mid-Tech devices are relatively complicated mechanical devices that may require a power source but don’t contain sophisticated electronic systems. These devices include manual wheelchairs, talking calculators, adapted computer keyboards and mice. The operation of mid-tech devices requires some training and technical knowledge.

High-Tech: High-Tech devices are often computer-based systems that incorporate sophisticated electronics. These devices are complicated to use and require extensive training, technical knowledge, and access to technical support.  Due to their sophisticated electronics, high-tech devices are often much more expensive than other technologies.  Examples include speech recognition software, eye gaze-controlled computers, closed caption televisions (CCTV), power wheelchairs, and environmental control units.

What types of Assistive Technology are out there?

There are several common categories in which assistive technology devices may be grouped, including (but not limited to):

Aids for Daily Living – Aids for use with daily tasks such as dressing, eating, cooking, bathing, etc

Environmental Controls – Electronic and non-electronic aids that help control items like lights, appliances, TV, air/heat

Mobility – Aids to assist individuals with limited to no mobility such as wheelchairs, automatic page turners, chair lifts, or hand controls

Seating and Positioning – Aids to assist with comfort and positioning including seat cushions, wheelchairs, adaptable work stations, vertical standers

Communication Aids – Verbal and non-verbal communication aids such as pointers, picture boards, type-to-talk or text-to-speech devices

Computer Access – Computer operation aids such as word prediction, keyguard, programmable keyboards, modified mice, screen readers, or voice recognition software

Blindness and Visual Impairment – Aids assisting those with vision loss or low-vision such as screen readers, video magnifiers, and braille watches

Deafness and Hearing Impairment – Assistive devices for all levels of hearing loss such as amplifiers, listening devices, or alert systems

Cognition and Learning Disabilities – Materials, devices, or programs that make an education curriculum accessible to students with disabilities such as raised line paper, talking calculators, scan and read programs, text-to-audio systems, and symbol based adaptive keyboards

Recreation and Leisure – Assistive technology providing opportunities for individuals to benefit from play, sports, and the arts, such as adaptive sporting equipment and games, or arm supports for drawing/painting

Vehicle Modification – Aids to help in vehicle operation such as modified hand controls, wheelchair lifts, power seats, and adjusted pedals

Finding the Right Device

When assessing possible AT solutions, providers will perform an initial evaluation and begin exploring options beginning with no-tech, low-tech, and mid-tech before recommending high-tech solutions. This will help achieve an ideal person/technology match and helps ensure the most cost-effective solution is being utilized.

Below are a few Minnesota resources that showcase and/or loan out assistive technology tools and devices to help individuals achieve a more independent lifestyle.

Courage Kenny Rehabilitation Institute on Pinterest

Courage Kenny Rehabilitation Institute has put together Pinterest Boards showcasing many assistive technology options.  From medication reminders to home assistants, and even DIY assistive technology devices including homemade styluses, playing card holders, or grips to make holding a pen or pencil easier, the Boards showcase numerous items and devices to help increase self-sufficiency for those living with disabilities.

View Courage Kenny Assistive Technology on Pinterest

PACER Simon Technology Center Lending Library

The Simon Technology Center Lending Library houses more than 1700 assistive technology items and devices that are available for individuals and families to borrow and try out before making a purchase. This allows individuals to find the right fit for them without having to purchase each piece of equipment they may be interested in.

Learn more about the Lending Library and membership options

Minnesota STAR Program

The Minnesota STAR program is federally funded by the Department of Health and Human Services. The STAR program offers device demonstrations, exchanges, loans, re-utilization, and more.

Learn more about the Minnesota STAR program

 

 

 

Do the Numbers – Remote Monitoring vs. Sleep Staff

Remote monitoring vs. sleep staff. How do the numbers add up?

Expert Contributor: Sandy Henry, Technology Advocate and former community residential services provider

When deciding to implement a new support strategy it is important to run a cost analysis to fully plan out the business case for your organization. A sample cost analysis has been created below that can be used to help analyze anticipated costs and revenue when going from on-site sleep to alternative overnight supervision.  In very round numbers, it may be surprising to know:

  • All other things being equal converting 8 hours/day of sleep staff hours to remote monitoring increases revenue about $8,000 (per 4 person site), as calculated on the RMS Framework.
  • Savings from replacing on-site sleep staff is usually around $30,000 (plus expenses to recruit, train, and manage those employees).
  • Cost of the technology is the most variable but may be less than expected.  In our sample the equipment and technology vendor support/service ranges from $5,000 to $16,400 per year per house, depending on whether using passive or active remote supervision.
  • Cost of a local staff on duty to respond to needs at the house can be in the $40,000 range, but when shared by 3 or even 2 houses the cost goes to $14,500 – $22,000 per house per year.

In short, even with the new costs for services and technology, the increased revenue plus cost savings create funds that can be used to support other aspects of the home’s costs/services.  For a more detailed look, let’s walk through our sample.

 

Remote Monitoring Rates VS. On-Site Sleep Staff Rates

In our sample, we are comparing revenue from on-site shared sleep staff (V1) to the revenue of overnight shared remote monitoring (V2). Because remote monitoring hours in the DWRS rate framework are calculated at the same hourly rate as on-site awake staff in the RMS Framework (yes, you read that right!), there is generally a revenue increase of over $8,000. Let’s repeat that if it did not completely sink in. The hourly amount calculated for remote supervision hours = hourly awake staff calculated rate, $13.53 for 2018, compared to the rate for sleep staff of $8.35. Still don’t believe it? Download the DWRS worksheet from DHS, fill in your numbers, and see for yourself.

Our Sample Revenue Calculation:

Cost/Savings

As a baseline, we are calculating the cost of paying one household’s sleep staff for one year using $9.50/hr as the base pay and adding in 25% for taxes and benefits (use your true staffing cost for a more accurate analysis).  When converting to remote monitoring overnight, these “costs” become savings because they’re an expense no longer incurred.  Other related costs could be added to this sample, such as recruiting, training, and managing those staff that are no longer needed, but for this example we’re keeping it simple.

Passive Monitoring Costs

Building on our scenario, below are the costs associated with “passive” remote monitoring (i.e. using motion sensors and other devices but not cameras/video with a live remote caregiver actively monitoring the site). We have obtained quotes from 2 vendors and averaged their estimates. Your costs may vary based on your circumstances, but these numbers are a best effort for a reasonable sample.

The initial capital outlay on equipment will be the largest initial investment, but remember purchased equipment will be depreciable. We used a 3 year depreciation schedule. Equipment rental vs. purchase is available with most remote monitoring agencies. Rental rates are higher than monthly depreciation and interest, as shown here, but often include repairs and replacement.  In addition to the equipment purchase, there will be a support fee, generally including access to the software, initial and ongoing programing, training, and 24-hour response/support.

When using remote monitoring, local response staff is still required in case staff intervention is needed. In our scenario, we are assuming one shared staff for three houses. We’ve also included the numbers for shared staff for only 2 houses for comparison.

Active Monitoring Costs

The rationale for the active remote monitoring costs is the exact same. The equipment costs increase because 2-way audio/video is needed for off-site active monitoring as well as an additional hourly monitoring fee. For these numbers, the higher estimate of $5/hour of active remote supervision has been used, and eight hours per night of monitoring is assumed.  The cost of shared local response staff remains the same as in passive monitoring above.

Sample Recap

When moving to remote monitoring supervision from sleep staff in an hour for hour exchange – your rates will increase slightly.

  • The revenue difference for Remote Monitoring vs. Sleep Staff is $8,336.60/yr
  • 8 hrs of on-site sleep staff costs approx. $34,675/yr
    • This amount is saved when using remote monitoring
  • 8 hrs of Passive Monitoring (sensor only) costs $19,340/yr  (including local responder staff shared by 3 houses)
    • This usage leads to an annual $23,671.60 in savings
  • 8 hrs or Active Remote Supervision costs $31,004/yr  (including shared local responder staff for 3 houses)
    • This usage leads to an annual $12,007.60 in savings

The main sample is comparing outcomes when sharing responder staff with 3 houses. If we share responder staff with just 2 houses, the savings are as follows:

  • Passive Monitoring  =  $16,371.60 Savings
  • Active Monitoring =  $4,707.60 Savings

The hourly rate for on-site sleep staff in the RMS Framework is currently (2018) below minimum wage. This leads to certain loss for your organization. By Implementing remote monitoring, organizations not only increase security and accountability (not to mention quality of life improvements for person served), but also based on above scenario, savings may be rolled back into awake staff wages, expanded services, or used to recoup other costs. Implementing remote monitoring will help increase and maintain a talented and dedicated workforce and strengthen service offerings.


 

Learn about additional funding options.

Assistive Technology Assessment and Flow Chart

Kit Piltingsrud, Program Manager and Assistive Technology Professional, Living Well Disability Services

The DHS Olmstead Plan outlines several key goals that must be accomplished to ensure people with disabilities are living, learning, working, and enjoying life in the most integrated setting possible. One strategy outlined within the plan to achieve person-centered planning goals is to incorporate assistive technology assessments into person-centered planning processes. Learn more about the Olmstead Plan

With new assistive technology devices becoming available all the time, and as needs of individuals change, staff should assess assistive technology needs annually to ensure individuals are given the opportunity to perform as independently as possible.

To help us facilitate this objective, we created the following flow chart and assessment form to guide staff through the assessment process, and to determine the best course of action moving forward.

The documents referenced below are approved by Living Well Disability Services to be copied and modified for use by other organizations and individuals.

A flow chart to investigate how and when to use assistive technology


Visit the Technology Resource Center to learn more

 

Measuring for Success

A provider’s guide to technology program measurement and valuation

Sandy Henry, Technology Advocate and former community residential services provider

With newly implemented technology support strategies, it is important to measure the success, not only for persons-served and staff, but the financial success as well. To get a full look at the impact technology supports have had on an organization, providers should consider several key factors when assessing the financial output and associated benefits of the plan in place to determine cost effectiveness.

Calculating Costs

Providers should identify and calculate:

  • Any changes in revenue or income
    • Including rate changes and/or new revenue related to technology use
  • All direct cost reductions
    • Reduced employee wages, reduced overtime, avoided cost of recruiting and training new employees, if turnover reduced or staff hours reduced, etc.
  • Indirect costs or savings
    • Management and administration time saved due to reduced turnover and/or reduce staff hours and total number of employees
    • Management and administration time saved with access to better, more timely information that informs managers on activities and needs, and/or reduced time spent on investigations
  • Provider out of pocket cost
    • Cost to rent, purchase, and install equipment, tech vendor support costs, etc.
    • Costs associated with maintaining equipment such as batteries or staff time

 

The calculation of these numbers gives a surface look at cost effectiveness.

It is important to consider the financial impact the addition of technology supports has had on occupancy.  Items such as enabling a provider to continue to serve individuals they otherwise would not be able to, the ability to accept someone with needs not previously able to be served by the organization, and new individuals attracted by the technology enhanced services should also be weighed during calculations.

Calculating time saved of management by having the ability to check on information remotely is also an important factor to consider along with the other benefits realized in the areas that follow.  

Additional Benefits Realized

Workforce – aside from direct reduction of on-site staff hours

  • When individuals served are able to do more things for themselves independently without staff assistance, staff time can be focused on other priority needs and tasks. For example, staff may be alerted if/when someone needs intervention versus continually checking to see if needed.  Even if staff continues on-site, when individuals use technology to change the TV channel, take medications, get up on time in the morning, etc., staff may have more time for administrative and documentation tasks, and relationships between staff and individuals usually improve.
  • Technology offers the potential to document actual occurrences, verifying when staff have done their job or completed tasks, even if something bad were to occur. This may reduce stress and pressure on staff and managers.
  • Managers’ ability to more quickly identify when tasks aren’t being done or to identify when procedures are not followed enables managers to address and correct issues before something bad happens, and to pinpoint training and needed improvement.

Reduction & Investigation of Errors, Omission, Suspected Maltreatment

  • Data from some technology can provide early information about delayed or missed cares and activity of staff, allowing managers to intervene sooner – before there is a pattern of errors and/or a negative outcome or harm.
  • Technology may be used to provide reminders and prompts to busy staff on scheduled cares, such as medications or repositioning, before a care is actually missed.
  • When there is a report of maltreatment, data gathered by technology (e.g., staff movement, individuals served movement/actions, etc.) can help identify whether expected actions by staff were followed or not. This may be used to supplement staff documentation and reporting.

Organizational Growth Opportunity

The ability to add technology that helps staff know where to be and when to be there can enable a provider to serve some individuals they otherwise couldn’t or would have been reluctant to.  Behaviors like elopement, going into other’s rooms, and fall risks are easier to support with technology that keeps staff informed of activity without having to be constantly physically present.  This assists with occupancy by preventing demission when a person’s needs increase and by increasing the number and types of individuals considered for admission.

The use of technology can open opportunity for new types of services and greater flexibility in a provider’s ability to successfully meet individuals’ needs.  Supporting people in their own apartments is a growing area of service that may be added by a provider with little capital investment.  Enabling lower need individuals to move into more independent services opens group settings to admit individuals with higher needs.

The use of technology in support plans is not new, but it is changing the landscape of  the care industry.

There are many benefits realized by providers through the implementation of technology,  and weighing the benefits/costs of these supports into existing offerings has the potential to allow providers to continue providing care in the future as staffing shortages increase.


Learn more about Measurement or to learn the entire process of how to implement technology into care plans, visit the ARRM Technology Resource Center.

Alternate Overnight Supervision – what it is and how to get it

Anna MacIntyre and Deb Amman
Minnesota Department of Human Services

What it is

Legislation, introduced in 2009, made it possible to use monitoring technology in Adult Foster Care (AFC) and Community Residential (CRS) settings in place of on-site overnight staff during normal (overnight) sleep hours.

A proven way to increase both independence and privacy of the person served, this newer monitoring practice is called Alternate Overnight Supervision and can be utilized following a formal assessment of the individual and once informed consent has been given by the person served. Along with obtaining an AOST (Alternate Overnight Supervision Technology) License, defined policies and procedures must be in place.

The person served should:

  • Be reasonably independent and have the ability to request assistance or direction.  
  • Be able to have their needs met within a reasonable timeframe for health and safety by using the least intrusive technology option.

How to get it

Once the technology has been found to match the needs of the individual, the AOST License can be applied for. DHS Licensing provides an AOST Licensing Checklist which identifies all licensing requirements.

Following the submission, barring any open investigations relating to supervision, the Licensing Consultant will review the file within 60 days. If any deficiencies are found within the application, the applicant will have 45 days to correct.

Read the full article on what AOST is (and isn’t) and further explanation on how to obtain and maintain AOST Licensing >

Anna MacIntyre is the policy lead for the Minnesota Department of Human Services, Disability Services Division. She can be reached at anna.macintyre (at) state.mn.us

Deb Amman is a licensing consultant  with the Minnesota Department of Human Services, Office of Inspector General Licensing Division. She can be reached deborah.g.amman (at) state.mn.us

Funding 101 – Disability Waiver Rate System

Download Funding 101 – PDF Handout

Key Points

    • There are numerous funding streams that providers and service recipients can use to support
      technology use.
    • Minnesota has one of the strongest models for funding the use of technology.
    • Providers, technology suppliers, and individuals should work together to determine the right mixture
      of services and funding supports.
    • Remote support for residential services under the Disability Waiver Rate System is recognized as a
      form of supervision on the 6790 and rolled into the service provider daily rate.
    • 24-hour emergency assistance, paid to a service provider, and environmental accessibility adaptations,
      paid to the technology vendor, are available for people living in their own home.
    • Funding for technology is also available under the CDCS waiver and some items through State Plan
      services.

FundingDiagram

*Monitoring technology: 3 supervision/support options. 1) Awake on-site staff 2) Sleep on-site staff 3) Remote monitoring supervision

 

Download Funding 101 – PDF Handout, or visit the Technology Resource Center and learn more about Funding.

Asking the right questions

Utilizing assessment tools to help identify goals and begin conversations surrounding technology.

Assessments for remote monitoring—and technology in general—help teams ask the right questions to identify goals and outcomes technology may assist with. Most technology service vendors and many service providers have their own assessment process to help fine tune outcomes and recommend specific tool options. The following basic questions are a good place to start the conversation:

  1. What is/are the thing(s) the person wants to do with less caregiver intervention?
    Do they want to live in their own home with less staff; be in their own room without staff checking in all the time; get to work; take medications; choose and make their own food; etc.
  2. What are the risks/vulnerabilities if the person did this without or with reduced caregiver intervention?
    What would the caregiver need to know to be comfortable NOT being physically present?
  3. What prompts, tools, or support would the person need to help him/her manage this without having a caregiver physically present all the time?
    Identify only what you want the tool to do at this point; not the technology solution. For example, prompt to take meds, if hasn’t done so; prompt if not out of bed by 7:00 and notify caregiver if not out by 7:30; identify possible falls; prompt or turn off stove, if left unattended.

Assessment templates are included in the Technology Resource Library as examples. The Ohio Remote Monitoring Assessment and Instructions was developed and has been used in Ohio to help teams consider and discuss when remote supervision for a person or group might be appropriate and what the needs are. The Hammer Residences’ Person Centered Technology Support Addendum is used to consider assistive technology on a broader scale. Ohio and Hammer Residences’, Inc. have given their permission for others to use and adapt these tools to meet individual needs.

Visit the Resource Library to review additional tools that may be used to help begin the conversation.