Delivering Value Through Information Communication Technology

Innovative Use of Assistive Technology

Introduction

Assistive technology (AT) is a generic term that includes assistive, adaptive, and rehabilitative devices for people with disabilities, special needs and includes the process used in selecting, locating, and using them.

In certain regions of the world, AT use, enablement and prohibition of discrimination related to people with disabilities and special needs is codified into law such as the U.S. Technology-Related Assistance for Individuals with Disabilities Act of 1988 (US Public Law 100-407) and the U.K. Disability Discrimination Act 1995 (1995 CHAPTER 50).

An ever increasing number of enlightened, citizen-focused governments across the globe are embracing AT not only as a matter of law, but also as top national priorities to harness the "intellectual powers" of all their citizens and building a "competition-ready", productive, enabled citizenry.

AT is not only a matter of altruistic humanitarian values for societies wanting to enable, integrate their entire populations in healthy, productive societies, but also a paramount imperative that enables global competition, presence in a "integrated" technology world!

Perhaps no better example of AT benefits is celebrated, world-renowned British theoretical physicist Dr. Stephen Hawkins who single-handedly broadened the scope of human knowledge profoundly impacting science and its application for decades to come.  AT enabled the unlocking, harnessing of one of the most brilliant minds in history trapped in a debilitated body. 

The question inevitably arises: how many Dr. Hawkins-like individuals are amongst us awaiting "the promise of tomorrow" in an AT-enabled society?

e Worldwide Group fully understands the importance, brings a successful track record, creative solutions for effective deployment, education, adoption and use of AT.  Our goal is to enable "the promise of tomorrow, realized today".

 

e Worldwide Group and AT

e Worldwide Group brings an interdisciplinary approach to AT.  Our Vice President, Healthcare Systems brings valuable knowledge, experience and know-how of Kaiser Permanente's Garfield Center. 

The Garfield Center opened on June 26, 2006 and is located in San Leandro, California near the Oakland airport. Created as a resource for all of Kaiser and its regions, the Center is jointly funded internally by Kaiser Permanente’s National Facilities Services (NFS), Information Technology (KP-IT), and Cross Regional Patient Care Services (PCS) groups. 

A Garfield Center-like model should be an innovations center where many new and advanced healthcare technologies are tested for use in many settings ranging from enabling technologies for the disabled and persons with special needs to the "extension" of the doctor and hospital setting at patient homes, workplaces and leveraging computer-assisted technologies to provide "real-time" healthcare delivery.

An AT center is a living laboratory where ideas, products are tested and solutions are developed in a hands-on, mocked-up environment. Many aspects of delivering healthcare can be innovated and examined at the center using real-world scenarios and activities, such as simulations, technology testing, prototyping, product evaluations, education and training.

From our experience we realize that the effective implementation of a successful AT initiative relies on four interrelated components:

  •  Research

  • Availability

  •  Education

  • Adoption

 

Experience

Our experience is grounded on strong technological foundation allied to our extensive knowledge in e Health both in terms of care delivery and its impact on daily living.

Our track record in working with both public and private sectors, mission and passion for social enablement, empowerment at a global scale provide us with an extensive toolset of experience, determination and drive to see through a successful AT implementation.

The following detail our track record in the four critical components for an effective, workable AT initiative:

I. Research

As a foundation stone research is on which a successful AT initiative can be effectively built and delivered.  The research area is broad and extensive while at the same time needs to be focused in critical areas that can deliver significant and immediate value and social benefits.

Our experience and knowledge focuses technology research in the following areas:

·         Mobility, social interactions and independent living (voice-command technologies, computer-assisted mobility, special needs sports equipment, transfer/lift devices, etc.)

·        Special needs human-machine interactions (tactical input, voice-activated, Braille technologies, assisted devices, etc.)

·        At-home, at-workplace enablement (ergonomics, accessibility, rehabilitation, aiding devices, learning management systems, etc.)

·         Device-based healthcare and delivery (monitors, health-check, biomed devices, etc.)

·         Comfort-based technologies (bed, special needs clothing, eating, utensils, etc.)

 

Direct/Related Experience

Globally, there are many options, tools and vendors providing solutions in this space, e Worldwide Group will seek out to research and work hand-in-hand with qualified healthcare delivery personnel within the context of an AT Enablement Centre in researching, selecting, adapting, testing relevant technologies.  Our understanding, knowledge and exposure of the work being done at the Garfield Centre make us uniquely qualified.

 

II. Availability

As a launching platform availability is a crucial element for the introduction of practical and effective AT.  Availability makes ready relevant and tested technologies within the context of an AT Enablement Centre for general adoption and use.

Our experience and knowledge focuses availability work in the following areas:

 

           ·         Adaptation (language, interface requirements, localization, interoperability, etc.)

·         Customization (disability, special needs, age, gender, education level, dexterity, etc.) 

·         Context (home, work, school, outdoors, social settings, etc.)

·         Culture (norms, customs, sensibilities, awareness, etc.)

It is not enough having effective and tested AT, societal context is vitally important for effective introduction and adoption.  Language, localization, cultural settings and context are fundamental prerequisites.  Broad, multicultural, global presence and awareness make e Worldwide Group an effective, uniquely qualified partner.

   Direct/Related Experience

Of particular relevance is the extensive work e Worldwide Group has been doing globally in multi-cultural settings for the introduction and adoption of technology as part of our DEVTECHICT and IMPACT divisions:

·    Linkage for Knowledge Society

·         Creation of Multi Stakeholder Partnerships

·         Awareness Building Workshops, Seminars for ICT

·         Assessments of ICT4D initiatives

·         Pre Launch Surveys

·         New Product Launch Strategy

·         Customer Analysis

·         Customer Satisfaction Surveys

·         Brand Market Penetration

 

 III. Education

As a springboard to adoption, education is an essential element for effective adoption and widespread use of AT not only to the general public with disabilities and special needs, but also for healthcare professionals, allied providers, parents and educators to understand and leverage AT capabilities. 

Our experience and knowledge focuses education work in the following areas:

·         Information Resource Centre, knowledge base (content delivery, lessons-learned, alliances with international organizations in the field, building knowledge databases with local relevance, etc.) 

·         Social media (building a community network for the users and by the users, interconnecting people: parents, friends, family, educators, "idea banking", etc.)

·         Training (program development, computer-based, educators, providers, users, parents, friends, family, etc.)

·         Outreach (schools, institutions, academia, community, international associations, vendors, etc.)

 

 

Direct/Related Experience

e Worldwide Group brings a strong toolbox of skills and experience in this area from our work in e Health and our IMPACT consultancy division, of particular importance are:

·      Training and Certification in various ICT Disciplines

·      Design support of Kaiser's "Idea Book" internal Social Media site

·      Implementation of a Product Management Framework for Kaiser's Member Access Portal KP.org

·      Design, planning and implementation of Blue Shield of California's Member Access Portal Mylifepath.com

·      Implementation of a full technology renewal program for the CTB/McGraw-Hill Education division subsidiary

·      Implementation of knowledge management infrastructure at Health Systems Design

 

IV. Adoption

As the final stage for a successful AT implementation, adoption is a key element that ensures that assistive technologies become an ubiquitous, pervasive and natural presence in day-to-day living.  Successful adoption not only requires the pre-requisites of research, availability and education, but also requires:

·         Effective Implementation Planning (plans for: AT centre development, facilities, technology integration, Programme, rollout, implementation, testing, operations, sustainability, etc.)

·         Workable Operational Framework and Process (governance, operational  guidelines, policies, procedures, monitoring, reporting, compliance review, staffing, access and utilization - public, institutional, academic, etc.)

·         Sustainability Programme (quality and outcomes measurements, continued improvement, technology and facilities upgrade, operational and efficacy testing, vendor and partner management, etc. )

Adoption is one of the "sweet spots" and key competencies of e Worldwide Group.  We bring credible, tested know-how in complex initiative planning, implementation, adoption and sustainability leveraging our interdisciplinary approach, strategic partnerships and world-class resources.

 

Direct/Related Experience

We bring a considerable mix of competencies, skills and experience in this area from our work in e Health and throughout our consultancy practices:

·     Developed and Implemented eHealth Technology, Operational and Implementation Framework at Kaiser Permanente

·     Managed Technology Renewal and Integration at CTB/McGraw-Hill

·      Established ICT rollout and adoption plans at Blue Shield of California

·     Built an ITC Operational Centre at Blue Shield of California including facilities, technology, and physical plant

·     Formulated “e enablement” Strategies with UNDP, ADB, IDB ,UNESCO, UNCTAD & Governance in multiple sectors

·     Created the roadmap and transformation model of  Telemedicine Centres into Multipurpose Self Sustainable Telemedicine & Information Centres in rural  Pakistan

·     Created blended-team ITC vendor management function at Sun Microsystems for global ERP rollout

·      Established ICT Governance, Risk and Compliance Programme for Kaiser Permanente

·      Created and designed models for Multipurpose Community Telecentres focused on empowering women in Africa, ITU, Geneva

  

Operational Model

There are multiple models currently existing in the United States for assistive technology implementations.  These models range from community-run, hospital-based, regional, institutions-based, academic-based, education-based and end-to-end centres like the Garfield Centre all with varying degrees of capabilities in terms of research, availability, education and adoption.

We envision the creation and implementation of a first-of-its-kind Assistive Technology Centre that not only brings together the research, availability, education and adoption functions in an active, productive Endeavour hub, but also a physical and virtual community anchor with regional reach bringing together participants from care providers, academicians, partners, educators, parents, family members and users to showcase existing, emerging and applicable enabling solutions providing people with disabilities and special needs with a higher level of quality of life.

Our vision is to establish a plan, do, check and act methodology to enable effective, efficient implementation and create and environment of continuous improvement.

Plan

Planning not only for the operational readiness of the centre, but also related activities such as information seminars, symposiums, outreach campaigns, parents and family members training, user adoption, etc.

Do

Doing not only due diligence in the implementation of assistive technologies, but also bringing in disabled and special needs users to be enabled with and trained for assistive technology, parents, family members, educators to be trained on the use and handling of assistive technology and its users.

Check

Checking not only for the efficacy of assistive technologies, but also on its impact on the daily living of its users, its impact in the social context of home, work, school, evaluation of lessons-learned, etc.

Act

Acting not only on lessons-learned for continuous improvement, but also on new findings, new technologies and emerging ideas of care, suggestions by the users, parents, family members, educators, etc.

 

Potential Areas of Collaboration

The e Worldwide Group is capable, ready and enthusiastic about engagement and collaboration opportunities on several fronts for the implementation and realization of a successful AT initiative.  Potential areas of collaboration include:

·         Requirements Gathering and Definition

·         Facilities Planning

·         Programme Planning and Management

·         Implementation Planning and Management

·         Execution Planning and Management

·         Partner/Vendor Selection and Management

·         Research Function Planning and Management

·         Operational Planning

·         Governance Structure Definition

·         ITC Infrastructure

·         Availability Planning and Management

·         Education Planning and Rollout

·         Adoption Planning and Management

·         Social Media Build-Out

·         Sustainability Planning and Management

·         International Outreach and Collaboration

·         Information Communication and Dissemination

·         Others as requested

 

Conclusion

The e Worldwide Group brings extensive, practical and relevant experience for the successful implementation of an effective AT initiative. Our extensive eHealth experience, allied with our mission and sense of purpose for social betterment and enablement make us uniquely qualified and a passionate partner. 

We approach our work with the fundamental deep belief, realization, and understanding that what we do in healthcare technology really matters.

This belief has consistently propelled and motivated our work.  Not only an intellectual, sincere belief but rather a personal, visceral and foundational understanding of what we do really matters and improves quality of life – by helping to give hope when hope is in short-order and to buy time when time is all what is left.

From our perspective eHealth ICT, especially assistive and enabling technologies, is not only a matter of skill sets, qualifications and "tools of the trade", but much more so it is a work of the heart in making the world a better place for those needing inclusion as productive, equal and happier members of healthy societies!