Quickly Improve Rates of Mental Health Identification
With Vulnerable Elders

We offer help with a full range of descriptive and inferential statistics, and
graphical, narrative, and interpretive reporting.

Electronic data entry and real-time report benefits:

• Research shifts mental, physical and behavioral health assessments care from relatively high-cost labor units (Providers) to relatively low-cost labor units (attendants).
• Elder research begins with a resident-friendly technology. The hand-held tablet’s non-descript interface asks questions in 16 pt type. Residents self-assess for real-time report measurement and education of care-giver and staff.
• Data entry branches seamlessly through your questionnaire. Prompt real-time report results guide the caregiver and provider to inform the treatment plan.

Create a suite of custom tools [see sample]

• Look through the tools on our web site; There are many possibilities for combining assessments to Increase the amount and accuracy of information for providers.

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Pain – Alcohol Abuse – Depression – Diabetic Monitoring – PTSD – Suicide – Anxiety
Vulnerable Elder ADLs – Function – Dementia – Alzheimer’s – Satisfaction Research Surveys

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We help geriatric specialty clinics and aging-adult organizations
collect data electronically to:

		Improve quality of medical provider’s health assessment with real-time quality-of-life (QOL) reports.     a. Pain     b. Depression     c. Anxiety     d. ADLs. IADLs     e. Function, social ability Facilitate data collection for grant fulfillment, Publish scientific results in education announcements and help. Seniors self-assess the effectiveness of community programs at point-of-service.

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"Anonymous survey tools with no ability to manipulate results are mandatory, (especially) for smaller entities. Your tablets are the best we’ve seen in a portable fashion. "

Implementing Individualized Palliative Care
Quality-of-Life Reporting

• Combining assessments provide ideal investigation opportunities.
• Residents/patients self-assess in minutes on hand-held tablets for trended real-time report
• Residents/patient real-time report includes your Resident's Concerns, Referrals and Community Resources
• Three-page take-home report promotes family support and involvement
• Implementing quality-of-life programs. [ view PDF ]

Process
MA's/CNA's enter the resident ID# then patient/resident answer questions on the portable tablet. Results sent via web-docking station instantly compile each persons data. Real-time reports are trended. Researchers and medical directors off-site, easily view the real-time trended reports and import data into Excel for analysis.

NEW -- [see this example three-page real-time palliative care report which includes the PHQ-9 depression scale]

Providers Timesaver: Medical Providers login for their resident/patient's reports before going to your nursing center

• Doctors staff login and print out resident/patient reports ahead of visits
• Doctors also may call ahead and request quality-of-life assessments

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Consider combining several tools: Vulnerable Elders Survey (VES),  Functional Assessment Staging (FAST), Functional Status Questionnaire (FSQ), Geriatric Depression Scale (GDS), Qswestry pain, Diabetes Impact Measurement Scale (DIMS), Zung Anxiety, Alzheimer-unit patient satisfaction (can be answered by caregivers).

Pain	Alcohol Abuse	Depression	Diabetic Monitoring	PTSD, Depression, Bipolar, Suicide
Pain Disability Questionnaire [ view PDF ] No License PHQ-15 Somatic [ view PDF ] Symptom Severity	CAGE No License	Beck Depression Inventory II License Required [ view PDF ] DUKE - Eleven intake dimensions [ view PDF ]	Diabetes Impact Measurement Scale No License	Quick PsychoDiagnostics Panel - Specific DSM-IV diagnoses with diagnosis codes [ view PDF ] - License Required Wellness [ view PDF ] Wellness Now! PAR-Q - Physical Activity Readiness Questionnaire [ view PDF ] Reimbursable using CPT: 96101, 96103
McGill Short Form Quadruple Visual Analogue Scale QVA Bournemouth Neck Questionnaire Qswestry Neck and Back pain [ view PDF ]	The AUDIT No License	PHQ-9 [ view PDF ] No License CES_D Center [ view PDF ] for Epidemiologic Studies	Diabetes Care Profile (Michigan Diabetes Research and Training Center) No License	Proven in primary-care settings
Plastic Surgery	Geriatric	Depression, Drugs, Eating	Anxiety	Sleep Apnea
Plastic Surgery Report [ view PDF ]	RAND VES-13 [ view PDF ] GDS - Geriatric Depression Scale [ view PDF ] Functional Status Quest FSQ Functional Activities Quest FAQ	PHQ-A - depression and mood fear and anxiety - No License Alcohol & cigarettes, Depression  and mood, Fear and anxiety, Drug use, Eating [ view PDF ]	Zung Anxiety Report [ view PDF ] - No License	Kaiser Permanente’s Sleep Apnea - No License
Patient Navigators				RAND Health
FACT Cancer Assessments (50+ tools)  [view PDF]              FACT – list and description of measures [view PDF] FACT-General health [view PDF] FACT- Fatigue FACT Breast [view PDF] FACT Lung [view PDF] FACT Colorectal [view PDF] FACT BMT [view PDF]				RAND 36 - No License SF-12 SF-36 - License Required Vunerable elders survey

Fine-tune the elder-care tools to support screening strategies
Combine instruments, assess, add screening questions, check your data correlations and re-assess tools. One low price includes unlimited assessments. License fee may apply for non-public domain instruments

Real-time Assessments & Research

GDS real-time report ID, gender, date Trends total scores Lists each item & response

Functional Status Questionnaire FSQ... Highest reliability is achieved in the basic ADL, intermediate AL and mental health scales, says Jette et.al, “Functional Disability Assessment, PT Journal” Reliability is above .60.

Experimental group physicians answered an anonymous evaluation questionnaire at 6 months after study entry. MEASUREMENTS AND MAIN RESULTS: Forty-three percent of experimental group physicians reported that they had used the functional status questionnaire to change therapy. Ninety-five percent reported that it was useful and accurate. www.RAND.org

The Functional Activities Questionnaire (FAQ) [ view PDF ]

• For your long-term care, Alzheimer's Unit's consideration is the Functional Activities Ques tionnaire (FAQ). Screening questions answered by patients or caregivers can trigger the FAQ or another tool.
• Measure IADLs affected by depression in senior centers, senior housing, or congregate housing. 
• This Functional Activities Questionnaire (FAQ) can detect dementia with sensitivity and specificity comparable to to that of the MMSE - according to AHRQ http://www.ahrq.gov/clinic/3rduspstf/dementia/dementrr.htm
• The FAQ Scales are: Basic activities of daily living, Intermediate activities of daily living, mental health, work performance, social activity and quality of interaction.
• The tablet or kiosk offers a quick way to collect large amounts of data to import into Excel and inform the visit with real-time trended reports.

Functional Status Questionnaire FSQ [ view PDF ]

Experimental group physicians answered an anonymous evaluation questionnaire at 6 months after study entry. MEASUREMENTS AND MAIN RESULTS: Forty-three percent of experimental group physicians reported that they had used the functional status questionnaire to change therapy. Ninety-five percent reported that it was useful and accurate. www.RAND.org

Example research using two tools [ view PDF ]

Electronic VES/GDS Research Paper Summary – subsequent analysis with seniors:

The RAND Vulnerable Elders Survey (VES) and Geriatric Depression scale (GDS) assessed activities of daily living and rates of depression at long-term care and independent living facilities.

Process
MA’s entered the resident’s ID on the portable tablet. Residents answered both questionnaires concurrently - - the RAND Vulnerable Elders Survey (VES) and the Geriatric Depression Scale (GDS). We used SPSS to find how much depression correlates with ADL's.

Findings
Research assessing vulnerable elders' ADL's and depression indicated that certain IADL’s were more strongly associated with geriatric depression.  1. Inability in writing, handling and grasping small objects, (r=.655). 2. Walking a quarter of mile, (r=.378). 3. Doing heavy housework such as scrubbing floors or washing windows, (r=.392).

Sample - Vulnerable Elders Survey (VES) / Geriatric Depression Scale (GDS) research paper

“The DUKE profile, takes four minutes in the tablet, to score: Physical Health, Mental Health, social Health, General Health, Perceived Health, Self-Esteem, Anxiety, Depression, Anxiety-Depression (Duke-AD), Pain and Disability.” [View the DUKE]