dementia care, cognitive decline

Stick versus carrot: re-admission penalties emerge October 1st.  This may be much ado about nothing – but October is the month that hospitals begin being 'penalized' for readmitting the same patients within 30 days of discharge. What’s that mean in dollars and cents?  Well, by forcing hospitals to focus on what are euphemistically called 'transitions' -- cuts of anywhere from 0.42 percent to 1 percent in revenue loom. Or look at the flip side: CMS gets back $280 million from 2200 hospitals immediately.  And who are those pesky people who have been re-admitted? Surprise, they are disproportionately comprised of seniors, initially with diseases like pneumonia, heart attack and heart failure, with more diagnoses added each year.

Rounding up from a series of press releases over the past two months, here are some new (and very new!) technologies and/or services that may be new to you for use by or in support of older adults.  All material is from vendor published information:

Care Technology Systems and Qualcomm Life Join Forces.  "A cloud-based system, Qualcomm Life's 2net Platform enables companies, providers and users to capture data from any wireless medical device and deliver it to integrated portals or databases, storing it in a secure and reliable system.  Information can be easily retrieved by physicians, caregivers or other critical audiences, such as designated healthcare service companies, providers, payors, pharmaceutical companies and application/device collaborators, for use in healthcare decisions. CTS utilizes the 2net Platform to provide PERS, ADL monitoring and biometrics." Learn more at Care Technology Systems.

Are we at the crossroads of care? We are at an interesting and somewhat ominous crossroads in the care of those with dementia.  AARP (and the media that quote them endlessly) repeat that adults want to remain in their own home as they age.  Nice goal, but, not such a good fit for everybody. So combine the growing longevity of middle class adults with the beginnings of a multi-year revival in home sales and perhaps home prices, seniors may have an easier time selling and moving that will shift the average age of residents below today's age 89. To families searching for options, expensive assisted living memory units may look like good care options for those with serious functional memory loss.  But are they really good care?

The National Dinner -- heartrending and motivated.  I was fortunate to attend an amazing dinner last night in Washington as a guest of Philips. This looked like, but was no ordinary awards banquet. The National Alzheimer's Dinner, the organization's largest (and most well-attended, ever) Alzheimer's Association annual fundraising event, hosted by Meredith Vieria and with a parade of famous folk. These included Jane Seymour who has made a documentary about Alzheimer's sufferer Glen Campbell, Maria Shriver who produced The Alzheimer's Project on HBO, and Pat Summitt, the famed Tennessee coach who has early onset (beginning at age 58) Alzheimer's Disease, who was there with her son. Beyond those folk (!), the evening's ceremony included heart-stopping comments from individuals who currently have a diagnosis of Alzheimer's. But then the audience stood up in groups -- first to stand were individuals who have a current diagnosis, then those with a family member diagnosed with Alzheimer's, followed by those caregiving for someone with the disease, finally those with a family member who died as a result of Alzheimer's. Emotionally drained yet?