Covering Care: Long-term care planning and education tool for AD/ADRD caregivers

Covering Care：针对 AD/ADRD 护理人员的长期护理规划和教育工具

• 批准号: 10669855
• 负责人: Olu Olofinboba
• 金额: $ 99.6万
• 依托单位: MOAI TECHNOLOGIES, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-05 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10669855
• 关键词: Address; Adult; Advocate; Age; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Caregivers; Caring; Child; Complex; Computer software; Custom; Databases; Decision Trees; Dementia caregivers; Development; Education; Effectiveness; Elderly; Eligibility Determination; Enrollment; Ensure; Face; Family Caregiver; Feedback; Financial Hardship; Friends; Government; Home; Human; Image; Individual; Knowledge; Language; Laws; Lawyers; Lead; Learning; Legal; Long-Term Care; Medicaid; Medicaid eligibility; Methodology; Methods; Modeling; Modernization; Occupational activity of managing finances; Online Systems; Output; Persons; Phase; Process; Provider; Recommendation; Regulation; Resources; Risk; Savings; Security; Services; Small Business Innovation Research Grant; Spouses; System; Testing; Trust; Uncertainty; United States; Visual; base; care recipients; caregiving; commercialization; cost estimate; design; disability; education planning; experience; follow-up; improved; innovation; iterative design; loved ones; programs; prototype; response; sound; tool; trustworthiness; two-dimensional; uptake; usability; web app; web site

Project Summary/Abstract Older adults with Alzheimer's disease (AD) and AD-related dementias (ADRD) need a trusted financial advocate to help orchestrate and oversee their care as they age. Spousal and adult child caregivers need comprehensive education around financial caregiving and tools on how to access resources to pay for long- term services and supports (LTSS). This SBIR project will create an easy-to-use online decision tree-based tool to give a caregiver the exact knowledge they need to plan for long-term care financing without overwhelming them with unnecessary information. We focus on the extremely complex problem of helping caregivers understand Medicaid while providing customized recommendations for Medicaid eligibility planning. Our financial management and LTSS planning and education tool—the Assistant—will be designed for the spousal or adult child caregiver who can navigate websites but who has very little understanding of public programs that help pay for LTSS and how to access them. Medicaid planning is extremely complex and eligibility rules vary from state to state. Most caregivers do not have the financial or prior caregiving experience to know how to navigate the process of becoming eligible for the program or how to finance LTSS in general. Caregivers often start by getting advice from friends or by searching online. Lack of tailored information can lead to financial missteps that can delay individuals with AD/ADRD from getting the level of care they need, or result in the caregiver tapping into their own savings to pay for LTSS. Other mistakes include depleting assets too quickly or improper wealth transfers that may extend periods of ineligibility. If the person with AD/ADRD has a spouse residing in the home, that individual's financial security is at risk in the absence of proper planning. To address these needs, we propose to develop an online “Assistant” that: (1) educates spousal and adult child caregivers about long-term care financing/Medicaid eligibility in English and Spanish, (2) collects information on the care recipients' assets and disability status to provide customized recommendations needed to execute the next steps in planning and enrollment, and (3) if desired, refers caregivers to planning professionals like Certified Medicaid Planners (CMPs), elder law attorneys, Agencies of Aging, or to the appropriate government office. In order to increase uptake, trustworthiness, enjoyment, and usability of the Assistant, we will use an innovative conversational agent, driven by a decision tree database and certified provider database.

项目摘要/摘要 老年人患有阿尔茨海默氏病（AD）和广告相关痴呆症（ADRD）的老年人需要一个值得信赖的财务 提倡随着年龄的增长来协调和监督他们的护理。配偶和成人儿童护理人员需要 围绕财政护理和如何获取资源支付悠久的资源的综合教育 术语服务和支持（LTSS）。这个SBIR项目将创建一个易于使用的在线决策树 为照顾者提供他们为长期护理融资计划所需的确切知识的工具 用不必要的信息压倒他们。我们专注于极其复杂的帮助问题 护理人员在提供医疗补助资格计划的定制建议时了解医疗补助。 我们的财务管理和LTSS计划和教育工具（助理）将是为 可以浏览网站但对公众几乎没有理解的配偶或成人照顾者 有助于支付LTSS以及如何访问它们的程序。医疗补助计划非常复杂， 资格规则因州而异。大多数护理人员没有财务或事先的护理经验 要知道如何浏览有资格获得该计划的过程或一般如何为LTSS资助。 护理人员通常是从朋友那里获得建议或在线搜索的开始。缺乏量身定制的信息可以 导致财务失误，可能会使AD/ADRD的个人无法获得所需的护理水平，或者 导致照顾者利用自己的储蓄来支付LTSS。其他错误包括资产耗尽 太快或不当转移可能会延长不合格的时期。如果有广告/adrd的人 有一个居住在家里的配偶，在没有适当的情况下，个人的财务安全处于危险之中 规划。 为了满足这些需求，我们建议开发一个在线“助手”：（1）教育配偶和 成人儿童护理人员关于英语和西班牙语的长期护理融资/医疗补助资格，（2）收集 有关护理接收者资产和残疾状况的信息，以提供所需的自定义建议 要执行计划和注册的下一步，（3）如果需要 诸如认证医疗补助计划者（CMP），法律律师，衰老机构或向专业人士等专业人士 适当的政府办公室。为了增加吸收，可信赖，享受和可用性 助理，我们将使用由决策树数据库驱动并经过认证的创新对话代理 提供商数据库。