methods-for even that which we now do well

minorbigarmSecurity

Nov 30, 2013 (3 years and 11 months ago)

77 views

To face tomorrow with the thought of using the
methods of yesterday is to envision life at a
standstill. To keep ahead, each of us, no matter
what our task, must search for new and better
methods
-
for even that which we now do well
must be done better tomorrow.

-
James F. Bell


Sengistix LLC
-

2012

Use of
cameras

for video and two
-
way audio

Use of
sensors
,
biometrics or other
non
-
identifying
technology

SENS Vision
Active
Monitoring by
remote entity

Remote
Monitoring

Sengistix LLC
-

2012

Maximum Self
Dependence

Verification
and
Reminders

Maximize

Active

Intervention

Minimize

Passive

Caregiver

Reduce caregiver levels

when intervention is not
needed

Active caregiver time


more productive,
prevention vs.
reaction

Verify things happen
as they should,
medications , leave for
work, reposition

The less caregiver
presence,

the more self
dependence

Sengistix LLC
-

2012

Sengistix provides individuals

with the safety and freedom
of
greater
independence,

and their caregivers with enhanced
peace of
mind in two ways
.


Sengistix LLC
-

2012

Sengistix LLC
-

2012

Motion

Incontinence

Remote Alert Smoke
Detector

Wireless
Bed/Chair

Toilet

Contact

Adaptable
Buttons and
Switches

Wireless Pull
Cord

Pendant

Sengistix LLC
-

2012

Stove Guard

PTZ Night Vision
Camera, 2 Way
Video/Audio

Sengistix LLC
-

2012


Easy individual reports



Reminders, if planned time has past



Set individual thresholds for immediate
notification (call, email, text)

Sengistix LLC
-

2012

Sengistix LLC
-

2012



All activity
viewed on web
portal


Sensors are self
monitoring


Alerts and
system issues
immediately
reflected


Data available for
download and
analysis


Sengistix
Response Center
monitors system
24/7

Even when 3 calls need to be made, it takes less than 2 minutes



August 2010 Monthly Report

Report at a Glance

Questions, Comments, Concerns?

Front Door Open Night (M
-
Th; 23:00
-
05:00):
1x

Primary Advocate: michael.e@sengistix.com

Front Door Open Night (F, S, Su; 23:00
-
06:30):
2x

Response Center: 651.695.5819

Back Door Open Night (M
-
Th; 23:00
-
05:00):
0x

RC Manager Kirk Simmons: 651.695.5818

Back Door Open Night (F, S, Su; 23:00
-
06:30):
0x

Thank you for your business!

Bedroom A Repetitive Bathroom Use (23:00
-
05:00):
3x

Bedroom A out of bed (23:00
-
05:00):
0x

Afternoon Motion in Kitchen (M
-
F; 11:30
-
13:30):
3x

Afternoon Motion in Living Room (M
-
F; 11:20
-
13:30):
3x

Daytime Motion in House (M
-
F; 8:30
-
11:30)
1x

Daytime Motion in house 2 (M
-
F; 8:30
-
11:30)
1x

Pendant Alert (24/7):
0x

Date/Time

Type

Alert

Response

8/31/2010 23:02

Monitor Event

Front Door Open
-
night

Staff Accepted

9/6/2010 9:04

Monitor Event

Daytime Motion in House

Staff Accepted

9/6/2010 10:55

Monitor Event

Daytime Motion in house2

Staff Accepted

9/6/2010 11:51

Monitor Event

Afternoon motion in LR

Staff Accepted

9/6/2010 11:52

Monitor Event

Afternoon mot in kit

Staff Accepted

9/8/2010 1:55

Monitor Event

Bdrm A Repet B/R use
-
wk

Staff Accepted

9/9/2010 4:12

Monitor Event

Bdrm A Repet B/R use
-
wk

Staff Accepted

9/10/2010 2:21

Monitor Event

Bedroom A repetitive bathroom use

Staff Accepted

9/10/2010 13:08

Monitor Event

Afternoon motion in LR

Staff Accepted

Sengistix LLC
-

2012

Uses sensor information with camera and two way audio


Pan, tilt, zoom camera with microphone and speakers, night
vision and back light protection for top clarity


Secure web video software support with time
-
limited recordings,
download capability for investigations, individual password
protected access for approved caregivers 24/7


Act as ‘virtual’ caregiver on duty


Formal hand off with on
-
site caregiver if relieving or being relieved


Provides only as much interaction as needed from observation and emergency intervention only
to regular check in and discussion


Weekly reports of all activity and any/all intervention needed


Incident Reports whenever on
-
site intervention activated


Routine drills to assure emergency protocols work, as requested


Trained Advocate



Skilled in the Sengistix software, internet connectivity and data
analysis


College of Direct Support educated


40+ hours of job shadowing and training


Trained by primary caregiver in each person’s vulnerabilities, risk
management plan, emergency procedures and protocol

Sengistix LLC
-

2012

When direct intervention is typically not needed,
but availability of supervision and guidance is.



Regularly scheduled in hourly
increments (any time of day or night)



Intermittent (as needed when
someone has a day off work, is home
sick, etc.)



Emergency situations (e.g.,
supplement on
-
site caregiver when
high behaviors pose extra danger)

Sengistix LLC
-

2012

GENERAL MONITORING FOR SAFETY


Sengistix LLC
-

2012

BEHAVIORS

VERIFICATION AND REMINDERS




Sengistix LLC
-

2012


19, Fetal Alcohol Syndrome, poor impulse control


Independent in most ADLs & public transit


Motivated to not appear “disabled” and be more independent


1 year of school left


Being discharged from crisis

SITUATION
:


High truancy and failing to come after school


“. . . history of emerging in relationships in which he can be
harmed. He has been stabbed, hit in the head with a tire iron
and has come home with a black eye.”


Verbal aggression to housemates and authority


History of elopement


particularly during the night

CHALLENGES/RISKS:


Wants to live at 3
rd

St with 3 men who work


Wants to be independent and “normal”


Does NOT want a “babysitter” when comes home from school

DESIRES/GOALS
:

Traditional approach


Add Staff


Add staff 2:00


4:30 in afternoon and


Day time staff
= 2.5 hr/day X 5days/wk = 650 hr/yr X $10.50/hr = $6825.00/yr + T&B @ 25%=$8,532.25/yr


Convert sleep to awake night staff


7 hr/night X ($10.50
-

$7.25 =$3.25/hr) X 365 nights = $8,303.75 + T&B @ 25% = $10,380/yr


TOTAL On
-
going Cost =
$18,912.25/yr

Alternative Option: Add Sengistix SENS and SENS Vision


SENS services verifies Jake goes to school, No elopement overnight


sleep staff alerted if Jake opens
bedroom window or doesn’t come in after smoking (7 min)


Sengistix monthly SENS
-

$169.95/mo =
$2,039.40/yr


All equipment including 2 cameras, sensors, internet access point, power back up, installation and set
-
up =
$4,528 Capital Cost


Sengistix provides SENS Vision 2:00
-

4:30 M
-
F, to assure Jake comes home from school alone and stays
home until staff on duty (PD is responder)


2.5 hr/day X 5 days/wk = 650 hr/yr SENS Vision X $3.00/hr =
$1,950.00/yr


TOTAL (non
-
capital) COST = $3,989.40/yr


Tom has lived with John, Fred and William for 10
years


Each person has 2
-
6 hours of alone time/day


Home has live
-
in staff and single staff during eve
and morn hours

SITUATION
:


Tom developed some mobility issues


One night he fell & broke leg


live
-
in staff found
him in morning


CHALLENGES/RISKS:


Keep Tom in current setting


Minimize the restrictiveness and intrusiveness for
Tom and housemates


Minimize cost increase, while keeping Tom safe

DESIRES/GOALS
:

Traditional plan would be to move him or convert to awake
overnight staff


No one believes it is in Tom’s best interest to move him


He would move to a site with more restrictive staffing at a substantially higher cost


Overnight staff
= 7 hr/night X $10.50 X 365 nights = $26,827.50 + T&B @ 25% =
$33,534.37/yr

Alternative Option: Add Sengistix SENS


Used double bed sensors, motion detector in bedroom and contact sensor on door


Equipment (including install) = $1,150


Monthly SENS for one person = $169.95 X 12 =
$2,039.40/yr
on
-
going cost


Tom out of bed >15 min. 11 pm


5:30 am, alert call to live
-
in


If live
-
in doesn’t respond, call escalates to supervisor & eventually to Sengistix


System tracks time for live
-
in response


49 yrs, MR, CP, Manic Depressive, Epilepsy, Hypertension,
Tardive

Dyskensia


Independent in most ADLs


Motivated to be more independent


Has a great support team of family, community and
professionals, lives in townhome bought by family

SITUATION


Frequency of falls increasing


Concern that seizures may have increased


Safety in home and community is increasing concern (forget
walker, wallet, jacket, etc.)

CHALLENGES/RISKS:


Maintain as much of independence as possible, for as long as
possible


Better monitor/asses health & safety in least intrusive manner


Minimize risk and better assure if injured, help arrives fast

DESIRES/GOALS
:

Keep hourly supports at current level


HPC service used only when Frank needs direct assistance

Remote monitoring sensors used to monitor safety
and gather data 24/7


Sensors used in private areas for fall detection (motion & bed)


Chair sensor provides data on time in chair


Call pendant


to notify when needs help

Remote Supervision (SENS Vision) added for direct
observation and availability of guidance


Late evening, overnight & morning


Afternoons Mon
-

Fri

Services


Goes about his day without seeming to notice the technology until he
needs something


Team pleased with the information they receive on health and safety
and the flexibility of the system


3 months in, Sengistix advocate witnessed first grand mal seizure, got
emergency services & notified team


After 3 hospital days & 3 days with 24 hr staff, returned to previous
schedule

Financial


Service provider bills I/O Waiver $9.83/hr for every authorized
remote monitoring hour. Equipment lease is $2330/yr. Compared
to $18.64/hr if an HPC staff had provided supervision


County determined they are saving over $25k/yr

Process:


Individuals select and rent open apartments


# of roommates depends on income and desire


Technology installed


Call Pendants for individuals and staff




Silent call for help for individuals


Tracks when staff are in each apartment


Door and motion sensors


Bed sensors (in most cases)


Smoke alarm sensors


Stove Guard


Teams decide on individual service goals, expectations, and support
needs


Equipment cost = $3,200 on average


Each apartment monthly SENS service is $99.95/month



Julie and Devin are married, both employed


Josh suffered 2
nd

degrees burns to legs and back


Was deemed to be accidental scalding due to poor skills


Josh removed by child protection, in foster home


Both Julie and Devin possess adequate daily living skills

SITUATION:


Devin has no involved family


Julie’s only family is against the relationship, their
involvement is negative


Some alcohol and drug use


Significant lack of child development knowledge (12
months


only toy was a rattle)

CHALLENGES/RISKS:


Reunite family and save Josh from life in foster care


Monitor the family to assure safety of child


Develop positive parenting skills in Julie and Devin to
maximize Josh’s development potential

DESIRES/GOALS:

Plan


Use the technology to monitor the activity in the apartment and safety of Josh


Program staff work with Julie and Devin on household safety, budget & billing
paying, nutrition


Parenting support trainers visit and work with Julie and Devin 2X/week to improve
parenting skills


Julie and Devin can keep Josh if they:


Retain their jobs and pay all bills


Maintain a safe environment for Josh


Maintain insurance (MA eligibility)


Demonstrate positive parenting skills


Comply with expectations of both parenting support and independent living
support

Cost:


Equipment = $2880 capital cost


Sengistix monthly fee of $99.95/month = $1,199.40/yr


Comparative cost of Josh in Foster care = unknown





Sandy Henry, Senior Director


651
-
216
-
3645


Sandy.h@sengistix.com



www.sengistix.com



Sengistix LLC
-

2012