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Elder Care News

New Company Has New Ideas on Helping Elderly Stay at Home Longer

Private company, Dovetail, joins national efforts to extend living at home

January 25, 2007 – A major goal of many new government programs, senior citizen advocates and seniors themselves is to find better ways that will allow the elderly to stay in their own homes longer, rather than moving to a care facility. Late last year a private company, using new technology, introduced a program in the Boston area for older people to stay in their homes through better ways to monitor and manage their health and medication requirements.

 

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“Long-term care has traditionally consisted of two options for older adults — move in with a family member, or move into a nursing home,” said Leslie Hoyt, Chief Care Officer, Dovetail Health. “But today’s seniors are living longer and they want the same level of choice and independence that they’ve had all their lives. This is what Dovetail Health will help provide.”

By the year 2030 there will be 70 million people over the age of 65, many with health challenges that could become serious or costly to treat if not managed and monitored on a regular basis. Even managing their medications is a concern for older adults, with medication errors accounting for nearly one-fourth of nursing home admissions and one-third of hospitalizations for seniors.

To help meet these growing needs and fill in the care gaps for older adults, Dovetail Health has developed a service offering that combines personal care with easy-to-use technology. Starting with a thorough in-home assessment by a registered nurse, Dovetail creates a comprehensive, personalized care plan for the client’s health and medication management.

 

Challenges Ahead

 
 

New Generation of Older Adults

• By the year 2030 approximately 70 million people will be over the age of 65.

• Nine out of 10 Americans age 60 and older wish to remain in their own homes and communities as they age.

• The 85+ population is projected to increase from 4.2 million in 2000 to 6.1 million in 2010 (a 40% increase) and then to 7.3 million in 2020 (a 44% increase for that decade).

• Approximately 8,000 people turned 60 everyday in the United States in 2006.

Chronic Health Conditions

• Today, 45% of the American population, or approximately 135 million Americans are affected by one or more chronic health conditions.

• Almost 75% of adults 65+ have at least one chronic condition, and 50% have at least two.

• By 2010, an estimated 80% of healthcare spending — as much as 17% of the Gross Domestic Product — will be devoted to the chronically ill.

Injuries

• More than 33% of adults 65+ fall once per year. Of those who fall, 20–30% suffer moderate to severe injuries that reduce mobility and independence, and increase the risk of premature death.

• Falls account for 10% of emergency room visits and 6% of urgent hospitalizations for the elderly.

Medication Management

• Almost 50% of older adults do not follow their medication management properly.10 • Thirty percent of hospitalizations among the elderly can be attributed to mistakes managing his or her medication.

• Twenty-three percent of nursing home admissions result from medication mismanagement.

• Individuals aged 65-69 have an average of 14 prescriptions written per year. Those who are age 80-84 have an average of 18.

Telemonitoring

• Home telehealth has been shown to reduce:

  >> Hospitalizations by as much as 90%

  >> Hospital re-admissions within 30 days by as much as 60%

  >> Hospital bed days by as much as 80%

  >> Emergency room trips by as much as 80%

• Telemonitoring has been shown to reduce medical expenses by 18% in heart failure patients.

• Eighty-four percent of American consumers say they would pay for services or equipment to help them stay at home as long as possible.

• Use of telehealth for remote monitoring by nurses can be more effective than standard outpatient care following hospitalization for heart failure, with a documented 32% lower readmission rates and 25% lower costs.

 

The nurse remains at the heart of the Dovetail care team throughout the year, calling clients regularly and performing at least six in-home follow up visits. Dovetail clients also work with a licensed pharmacist, who comes to their homes and is available by phone to help them understand their medications.

Personal assistants are available to clients by phone to coordinate these services and to provide health and lifestyle referrals that help seniors live safely and well at home.

Dovetail clients and their assigned care team are also supported by simple technology from Philips Electronics, which monitors clients’ weight, blood pressure, and blood sugar. This information is reviewed by the Dovetail nurse every day, helping her assess client progress and detect problems before they become emergencies. The in-home device is also tailored to send messages, health and wellness tips, and reminders to each client about their medications, exercises, and other health-related needs.

“Dovetail Health offers seniors an opportunity to fulfill their desire to live independently in their later years, despite certain health conditions,” said Stever Aubrey, CEO and Managing Partner of Dovetail Health.

“What we want for them is the same thing we want for our own parents and ourselves as we age — to live with hope and dignity, and in our own homes. For many, it can defer the need, worry and expense of moving into a senior care facility. Dovetail is excited to bring its unique offering to this new generation of seniors.”

The company does not take the place of older adults’ physicians or caregivers, including their adult children. Instead, through personal contact from the care team and telemonitoring, Dovetail strengthens these relationships by collecting and summarizing valuable information about a client’s health needs and status. With client approval, Dovetail shares this information with designated providers and caregivers, helping them to both remotely and confidently monitor the older adult’s well-being.  

Editor's Notes:

About Dovetail Health

Dovetail Health believes that living in one’s home has a positive effect on the body, mind and spirit. That is why Dovetail Health helps older adults live independently in their own homes as long as possible by combining extraordinary care with easy-to-use technology to help them personally monitor and manage their health needs at home. For more information, please visit www.dovetailhealth.com.

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