Online Communication Makes a Positive Difference in Families

Published in Pawtucket Times on August 11, 2003

Seniors are turning to their computer-savvy children to help learn the intricacies of using a computer, so says a recently released AARP survey.

Computers can be intimidating to older persons who may not be able to do more than just flip the “on”/off” switch.  According to the AARP survey, a growing number of seniors are calling their younger children and grandchildren for computer help.

The findings reveal that more than half of the survey respondents whose parents have a computer have been contacted for help by them at some point.

Moreover, the survey found having an older relative online has made a positive difference in the lives of 80 percent of those survey respondents who are contacted for help by their parents.

Sthe AARP survey was conducted to learn to what extent adult children provide technical computer support to their aging parents and how computers bind together intergenerational relationships.

Wirthlin Worldwide conducted the online survey for AARP among 534 respondents ages 25 to 44 who reported having a parent or older relative that frequently uses a computer and contacts the younger adults for help.

Countering America’s highly mobile society, computers can play a key role to keep generations together, the telephone survey found. Families are using computers to keep closely in touch with each other. Nearly all the younger respondents and their parents use a computer to contact each other (97 percent), most frequently with email (96 percent). 

“Families who live geography close to each other are nearly as likely to use email as those who live far apart (94 percent verses 99 percent). Those who live far apart cite long-distance phone savings, while those who live close together cite the fact that it makes it easy to dash off a quick email to let their family members know they are thinking of them,” said Christine Donohoo, associate executive director of membership.

“Not only do computers and the Internet help families keep in touch,” added Donohoo, “it can enhance older American’s quality of life.”

AARP’s survey also found that:

  • Nearly nine out of 10 (87 percent) respondents aid their parents in finding information on the Internet.
  • 43 percent of the respondent’s parents age 50 and older use instant messages to keep in touch with their children.
  • 78 percent of respondents have taught older adults computer use; 74 percent how to use email; 64 percent have helped set up a computer;
  • Older grandchildren (52 percent of respondents with kids ages 18-24 and 48 percent of the respondents with kids ages 11-17) help their grandparents with the computer of the Internet.  

AARP provides an outline resource for all generations, by creating AARP computers and technology (www.aarp.org/computers), an easy-to-use Web site.

“Helping older adults become more comfortable with computers and the Internet is the main reason we developed this area,” said Mark Carpenter, director of web strategy and operations.

The AARP site features articles that include how-to-guides and reviews and a monthly email newsletter with tips and latest news.

Carpenter said he believes the valuable area of the site is the on-line discussions board, where members share questions and solutions.

In conjunction with the release of these AARP survey findings the nonprofit announced its launch of AARP today of “Generations On-line Sweepstakes,” an initiative that recognizes the important bond between parents and their grown children.

Sthe initiative will also encourage older Americans and their children to use the Internet for fun and sharing. Parents or their children can enter to win two new Dell computers – one for each generation.

For more information or to enter the sweepstakes parents and their children can visit AARP’s computers and technology section, http://www.aarp.org/computers.

Internet will soon be good source for information on nursing homes

Published in The Pawtucket Times, May 2003

A growing number of Americans are doing their shopping for products and services, via the Internet.  But if the federal government has its way consumers in five states will rely on Medicare and Medicaid programs and their family members, will be able to cruise the world wide web to find the best nursing facilities to meet their specific needs.

Rhode Island is among five states chosen by the Centers for Medicare and Medicaid Services (CMS) for a pilot project that will identify collect, and publish nursing home quality information on the Internet for easy access and comparison of facilities.

The other states are Colorado, Maryland, Ohio and Washington.  Eventually, this federally-funded initiative will be expanded nationwide.

People covered by Medicare and Medicaid have the power to choose the best care to meet their individual needs, but they have to have more reliable information to choose quality care, HHS Secretary Tommy G. Thompson, who oversees the Medicare and Medicaid programs. “Our efforts will help beneficiaries all across the country to compare the performance of their local nursing homes, and will provide the recognition that high-quality nursing homes deserve”.

In April 2002, the newly compiled performance information becomes available online at www.medicare.gov and will also be disseminated through Rhode Island Quality Partners, an agency contracted by the federal government to oversee the quality of health services provided to Rhode Island Medicare beneficiaries.

So what information can consumers find when shopping for the right nursing facility on the world wide web?

Currently, the CMS’s website provides nursing facility-specific information compiled from state annual surveys.

As a result of this five state pilot project, consumers will be able to see data culled from the Minimum Data Set (MDS), a standardized medical collection form that every nursing home is required to complete on every patient upon admission and on a regular schedule thereafter.

For those seeking a long-term placement, CMS will bring together comparative state-wide information that indicates quality care is being provided.  When shopping you will be able to find out how many residents are being physically restrained, how many have pressure sores, how many are taking anti-psychotic drugs without a psychiatric diagnosis, how many have lost weight, how many have acquired an infection, and finally how many residents can no longer take care of themselves.

For those seeking short-term stays after hospitalization, CMS will provide state-wide MDS data compiled from nursing facilities that can tell you how many residents are in pain, how many residents fail to recover from delirium, along with how many are re-hospitalized and improvement in walking.

Dr. David R. Gifford, principal clinical coordinator with Rhode Island Quality Partners, told All About Seniors that CMS chose Rhode Island for the pilot project because of the state’s interest in public reporting of consumer information.  He noted that CMS was aware of Lt. Gov. Charles Fogerty’s legislation, recently enacted that now requires reporting of nursing facility quality information.

“We’re very pleased to be involved in the pilot project because it allows us to help shape the national data dissemination effort,” Gifford adds.

How will consumers not computer savvy gain access CMS’s new quality measures?

Dr. Gifford notes that each state participating in the pilot project must develop other avenues for non-computer users to tap into the MDS data compiled on its website.

Roberta Hawkins, Executive Director of the Alliance for Better Long Term Care and the state’s ombudsman, applauds the new federal effort to help consumers in choosing nursing facilities.

However, Hawkins is concerned that the MDS does not always provide “insight into the personality of a nursing facility.”

“MDS won’t tell you if a facility’s staff are compassionate to residents.”  she says.  Additionally, the newly compiled CMSA information will not provide you with specifics about how some facilities specialize in taking care of ethnic populations.”  she added, specifically, if staff speak a foreign language, sever ethnic cuisine, or plan culturally-related activity programming.

Additionally, Hawkins notes that while CMS’s website may tell you how many persons have bed sores, a higher incidence of bed sores may only reflect that a newly admitted resident came to the facility with bed sores or that a facility specializes in taking care of that medical condition.

At best, internet information can only provide a snapshot of care being provided by facility staff, warns Hawkins.  “Today’s best nursing homes may become next weeks providers of poor care,” she adds, when key staff in leadership positions leave the facility.

Take advantage of CMS’s website to cull nursing facility specific information compiled from state annual surveys.

When in doubt, call the Alliance for Better Long-Term Care at 785-3340.