Caregiver: An Exercise in Lean & Agile Design & Development

Bringing the Human Element
of Happiness to Home Care

A Hackathon

A month ago, PhillyCHI teamed up to promote Drexel University’s Philly Codefest, a three day hackathon in Drexel’s URBN Center. Of course, some of us also wanted to participate, so PhillyCHI board alum Matt Thomas, 50onRed dev ‘n design players Patrick Smith, Matthew Parke, Andrew Christiano, and myself created a team to make some cool stuff.


It was a fun weekend of camaraderie, coding and creating. Each of us got to know each other better, some of us stayed up all night and we did our best to create a lean, functional application with thought out, well designed accouterments (as our judging requirements suggested we do.) In the end, though quite a positive experience overall, we were unable to present any of it to anyone at the event. Thusly, I’ve taken the opportunity to showcase the raw materials of our efforts here.

With our diverse backgrounds, we decided to utilize the data provided us to create something useful for a growing constituency: caregivers in the United States. Welcome to our organized notes for our app, Caregivers.

(The slidedeck is broken up into parts below, but for a continuous look: Slidedeck)


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Summary

As life expectancy increases, so too, will the need for caregivers. Searching for home care services is challenging for a caregiver already managing a multitude of care-tasks.

The senior demographic is an emerging market for social innovation. In 2013, the oldest baby boomers (depending on birth years used) reached a common retirement age in the United States—67 years. This demographic also sits in what is called the “sandwich gap,” meaning they act both as caregivers for their parents while simultaneously caring for both the X-gen and the ever popular millennial.

Cornered into this unique position, a baby boomer, the average caregiver, is faced with managing a full-time job (remember, baby boomers aren’t retiring anytime soon), caregiving on either end, which deals with a multitude of logistics ranging from setting appointments, scheduling medication intake, transportation, other activities for daily living (ADLS).

Our solution looks to streamline this finding process with a unique score/comparison algorithm vetted by a unique Happiness Index. To enhance care-recipient safety and quality of life, when an appropriate home care service is located, the solution will act as a mediator to create a symbiotic relationship between caregiver and home care providers.

Persona

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John Michaels is a 56 year old caregiver for his mother, Sarah, who is 84 years old. She has dementia which causes her to have difficulties with her Activities for Daily living (ADLs).

John works full time as a high school teacher in Philadelphia. His wife passed away several years ago leaving John as the sole caregiver for Sarah. He also has a 31 year old daughter, but his daughter lives in San Francisco.

Individual is a inspector-provider personality type.

Inspector (ISTJs) are responsible organizers, driven to create and enforce order within systems and institutions. They are neat and orderly, inside and out, and tend to have a procedure for everything they do. Reliable and dutiful, ISTJs want to uphold tradition and follow regulations.

Provider (ESFJs) are conscientious helpers, sensitive to the needs of others and energetically dedicated to their responsibilities. They are highly attuned to their emotional environment and attentive to both the feelings of others and the perception others have of them. ESFJs like a sense of harmony and cooperation around them, and are eager to please and provide.

John has a inspector-provider personality type, which means John prefers organization, having a procedure for his day-to-day while also having a high level of compassion and sensitivity.

Working long hours, John is looking for a home health care provider to send an aid with occupational therapy and nursing care capabilities to help out with his mother’s ADLs. Attempting to search online, John finds he must navigate to too many sources for quality assessment of home health care services. Furthermore, he is shocked at the information overload and that these sources do not talk to one another.

Despite being an organizer and planner, John is easily overwhelmed with too much input of information, but does his best to organize information to provide the best care solutions for his mother.

Overwrought with work, his personal life and other care-tasks, John’s pain points are as such:

Painpoints:

  • No quality assessment of existing home health care services (HHCS)
  • Information overload (when researching resources)
  • Fragmentation: all resources do not communicate together
  • No voice compared to HHCS
  • No community with other individuals in need of HHCS
  • Overwhelmed with other care-tasks (full-time job, scheduling, care-recipient’s activities for daily living

John owns an iPhone 5 and is proficient with email and word processing. He navigates the web for resources dealing with dementia, but his searching acuity is low.

Experience

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John uses CAREGIVER’s geotargeting to find all of the home care services in his area. John then selects search filtering options appropriate to the needs of his mother and then CAREGIVER feeds medicare feedback data into a proprietary algorithm to provide John with a list of the best home care services.

Having selected a home care service, the aid visits Sarah every day, providing 5.5 hours of service including weekends. John rates his and his mother’s experience through CAREGIVER’s Happiness Index data, compiling this information into an overall score for the home care provider.

Hacking

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Happiness Index

Our solution innovates by streamlining the process of finding home care services with a unique score/comparison algorithm vetted by a unique Happiness Index. When an appropriate home care service is located, the solution will act as a mediator to create a symbiotic relationship between caregiver and home care providers. This in turn will enhance care-recipient safety and their quality of life, while also providing much need respite for the caregiver.

We are taking data provided by medicare.gov relating to home health care resources and aggregating this into an easily digestible format for the caregiver. A caregiver, using our solution will be able to locate and bridge into the best home care aid to assist the care-recipient.

In addition to indexing nearby facilities, we’re also feeding medicare feedback data into our proprietary algorithm, where it’s aggregated with our Happiness Index data, and compiled into an overall score for each in-home healthcare facility.

This in turn adds to the home care provider’s overall score for other users. John is able to go back and look at the trends of his and his mother’s experience to ensure an additional way to aid in the caregiving responsibilities and expectations for Sarah.

Presentation

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As stated earlier, for a variety of reasons, not everyone who created something at the hackathon was given a platform to present. While unfortunate, we are glad to have put this much thought and effort into our presentation. The broken up slides throughout this writeup made for a five minute presentation with a demonstration of our app. For an uninterrupted, undivided look at our presentation, check it out over here.

By Weekend’s End

By the end of it, we were all pretty tired, but built some great camaraderie and friendships. Honestly, these guys are great. If you have the honor of knowing them or working with them, pat them on the back. We all chose a topic that we hoped would benefit a needing population and we all did it with agility, ingenuity and a helluva lot of fun.

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