Windom Schools Light Speed Update by Wayne Wormstadt

I’m posting this on behalf of the Windom folks. They received funding from Blandin and here are some of the things they are seen and done with that funding…

Blog notes for Blandin Grant by Wayne Wormstadt, superintendent

Benefits of the grant are directly seen through the funding for the equipment to enhance our video classes at Windom.

Other benefits are the opportunities for the students with the video equipment to showcase school district and learn practical skills and influence career choices.

Helps with publicity and public access are future benefits for all involved.

The Homework helper has been a concern as the ongoing cost to support this project to connect students with teachers at home. The ongoing cost of equipment and pay for stipends makes this a very unlikely program in which to sustain after the grant is complete.

A change of course from Homework helper would be to take the funds and provide Smartboards and Webcam in our 6th grade classrooms along with the fiber connection. This would then allow our 6th graders to communicate with students in Mountain Lake and Jackson County School Districts. They currently communicate via paper and pencil through out the year and get together for projects and joint field trips. The collaboration would increase and also allow live interaction. This is important as we are part of an integration collaborative to have our students interactive with other minorities. As Mountain Lake has a significant Hmong and Hispanic population this allows our students to experience ethnic diversity. The live interaction will only increase and enhance the number of opportunities. This will be much more cost effective and sustainable beyond the grant as equipment costs will be minimized and also stipends will not be necessary within this project.

Concern on the video end is the lack of training opportunity and the time allowed to teach a complicated program. Student mastery is difficult with limited time. Resources for the school become tight with new Biennium budget projections coming out. How do we make this program more responsive to the needs of the students including mastery and maintain financial viability of the program in economic strain? An elective with 9 students using expensive equipment vs. a class of 20-25 students with little overhead costs could force us in the future to possible make this a reduction in 2-4 years depending on state funding.

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Lakewood Telemedicine Update

Our telemonitoring project is going very well with all our units in patient’s homes.  A day like today, with a winter storm blowing outside and prioritized staff visits,  highlights one advantage of telemonitoring .  Our nurses can “see” how our patients are doing by their vital signs monitor and the answers the patient gives to tailored questions like: “Are you having more problems breathing today than normal?” or ” Do you need your clinician to call you?”   The patient can be seen on days that they need to be, instead of every Monday or twice a week. 

A number of our telemonitoring patients have stated they feel more in control of their healthcare as they track their vital signs and are reminded daily which symptoms to report to the nurse.  Telemonitoring becomes part of their daily routine. 

Earlier this month, I had the privilege of presenting our telemedicine project to some of the attendees at the Connected Communities Conference in Eden Prairie.  At the conference, I had a number of session participants ask about the efficacy of telemonitoring.   Health care journals, over the last 7 years, have documented phenomenal improvements in patient outcomes through the use of telemonitoring.  The Veterans Administration has thousands of telemonitoring units across the country in veteran’s homes.  Many health insurance companies are putting their own units in patient’s homes because of the proven reduction in hospitalizations and emergent care. 

I am including some websites with research articles on the benefits of home telemonitoring.  http://www.hommed.com/Results/Clinical-Data.asp  

http://www.alexianbrothershealth.org/pdf/telehealth%20program.pdf

This website: www.healthcareitnews.com has many articles about Home Care agencies adopting telemonitoring to improve patient outcomes for people with Diabetes, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease and other chronic conditions. 

With the advance of technology, and broadband applications, there will be many more opportunities to make a difference with home health care.

Happy New Year!

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Senator Klobuchar Broadband Roundtable Notes Dec 29

klobucharHere are notes from the Broadband Roundtable meeting. Here’s the stated purpose of the meeting:

Roundtable participants will discuss the need for rural communities to have greater investment in and access to high speed broadband internet. Attendees will provide real world examples of the challenges rural communities face as well as success stories. Senator Klobuchar will discuss her priorities around “Information Infrastructure” and the Obama administrations emphasis on funding this effort.

Here are the speakers:

Here are my notes… Continue reading

Broadband boosts services to people with disabilities

blindMy fellow Blandin Broadband teammate Bill Coleman is giving a presentation at the Minnesota Gov Tech Symposium today. I’m kind of jealous but also happy not to travel in the bitter cold. We were emailing about the conference and he asked a great question about broadband boosting services for folks with disabilities.

I found a paper from the Benton Foundation, Universal Service and the Disability Community: The Need for Ubiquitous Broadband Deployment. It promotes the need to include broadband in with universal service. What I thought was most interesting was the brief examples of how broadband supports people with disabilities.

Some examples were common sense – with better broadband more people can work from home. For some people the physical act of getting to work it the hardest part of the job. As telecommuting options grow so do their opportunities for gainful and meaningful employment that suits their strengths. A specific example they mentioned was retirees who might be hindered by physical barriers but are able to share their expertise from home boosting the ability to become entrepreneurial and again support themselves through jobs that fit their skills level.

In that same boat, better broadband opens the door to remote healthcare solutions which can mean less time spent going to healthcare visits, more time doing more productive things – or more fun things. Remote monitoring can help keep people in their homes. It’s been fun to watch Home and Community Options of Winona and the work they have done with remote monitoring.

Some examples were pretty cool and innovative – such as the remote sign interpreters. Apparently there is a shortage of signers. I remember needing to hire one for an event and being very surprised at the hourly rate. Also you have to book far in advance – which wouldn’t work so well for an emergency call to a plumber or doctor. Well now you can hire one remotely. So the signer sits in the office with a PC-equipped video camera. They sign what they hear from the client’s side and the client can view the signer and respond accordingly.

Some examples make old services better – like the old relay services. Now they are primary run on broadband-based video relay services (VRS) . The FCC reported more than two million minutes of VRS use per month in 2005.

For people that are blind, there are searchable text and speak aloud software that makes information, especially news available more quickly than ever before. Apparently printed materials, such as textbooks, newspapers or government reports, can either be downloaded or viewed in real time over a broadband connection.

It was an interesting article that provided even more reasons for me to think broadband is a good way to go. Also it was inspiring to hear about how technology can and does change lives. In that vein, I wanted to mention the annual Closing the Gap conference held in Minnesota each October. It’s an amazing showcase of assistive tools and technology that help folks with a wide range of disabilities.

I’m always looking for the broadband killer app – as my 4 year old says, “We’re so lucky” we don’t need remote signers but for many people I have to think that’s a killer app!

2008 Blandin Broadband Conference: Breakout Session One

We had 3 options for the first breakout session. I have included links to presentations when I had them:

Financing Options for Municipality Networks
Milda Hedblom, Dain International & HBC, Inc.
Brenda Krueger, Springsted

Community Broadband Resources
Bill Coleman, Community Technology Advisors
Pam Lehman, Lac qui Parle ED
Heidi Peper, SHE

Health Care Applications
Peter Walsh, Home and Community Options
Jessica Martensen, Lakewood Healthcare
Michael Hawton, MN Health

2008 Minnesota Community Broadband Awards

Last night the Blandin Foundation award six communities and business with the Minnesota Community Broadband Awards. It was a really nice ceremony. The honorees each received beautiful awards created by a local artist (Craig Campbell) and $2,000 towards a technology project.

Here are the winners:

Broadband infrastructure and services for communities under 2,500 … the winner is Federated Telephone Cooperative of Chokio. General Manager Kevin Beyer accepted the award.

Broadband infrastructure and services for communities between 2,500 and 10,000 .. the winner is Sjoberg’s Inc of Their River Falls. Dick Sjoberg accepted the award.

Broadband infrastructure and services for communities above 10,000 … the winner is Hiawatha Broadband Communications of Winona. Gary Evans accepted the award.

Broadband market and application development communities under 2,500 – … the winner is Menahga Area Historical Society& Museum. Linda Karjala accepted the award.

Broadband market and application development communities between 2,500 and 10,000 . .. the winner is New Ulm Economic Development Cooperation. Brian Tohal accepted the award.

Broadband market and application development communities above 10,000 . .. the winner is Home and Community Options of Winona. Peter Walsh accepted the award.

We were lucky enough to get brief interviews with each winner. Bill Coleman is seen talking with each:

Continue reading

IP VCR

Its hard to believe the LCTN has only had the IP VCR for a year. The tool that allows us to record a videoconference has been used daily since we installed it. Most people now ask if the conference is going to be recorded as they have a conflict with the current date and time of the original conference or they want others to watch the conference.

We used it daily for our Chinese classes allowing students who missed the class or those who wanted to see the lecture again, a chance to view the course from their home computer.

Whats really hard is to tell someone we can not record an event, like the total Knee replacement surgeries due to limitaions placed on us by the provider.

The IP VCR seemlessly integrates into our videoconferencing MCU. The MCU can connect up to 20 videoconferencing sites and allows us to set up the IP VCR to record as soon as the connection is made to all sites.

Thanks Blandin on providing us with the grant funds to be able to purchase this wonderful piece of equipment!

Pete R

LCTN

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Telehealth Tools for the Masses

Thanks to Bill Coleman for sending me a great article from the New York Times on Zume’s the Zuri and other up and coming telehealth tools. The Zuri is a small handheld device that prompts users to take their pills on schedule and to keep track of health-related matters like diet and exercise.

The Zuri reminded me of the recent Lakewood Telemedicine update. They took are looking an implementing tools that will help monitor medical issues for patients and will allow monitoring to be accessed remotely – so a parent could check up on a kid at college or a kid could check up on an elderly parent. Or some days I must admit I’d like to check up to see how I’m doing!

The NY Times article pointed out that one beauty of the handheld device is that you can track symptoms or get reminders as you carry on with your day. The Times also mentioned a range of other services similar in one way or another to the Zuri – such as Google Health.

I can’t remember if I wrote about Google Health here but I looked into it this summer. Google has set up personal health portals. I would love to be able to print out shot records for the kids’ schools. (OK I guess that means I’d have to type it into the system, which isn’t going to happen.) It would be nice to see these tools take it a step forward where not only could you give the doctor access to you – but where you could get access to them or at least to your official health care records – for things like shot records.

Take that a step forward where these records can be shared all over the world – and it makes it easier for people to move from country to country. To borrow an image from Thomas Friedman, it makes use even flatter.

In my quest for the killer app – this is a definite contender!

Not a contender but a fun and semi-related application – Minnesota-based General Mills just created a series of video podcasts on healthy cereal. It’s a great way to impart health-related news. But even more than that it’s a great way for them to disseminate infomercials to partner (and other) sites. They have made it easy to embed the videos into your site – helping to boost the viral impact of the video. Here’s a sample and here’s a kind of helpful (not really) press release on the series.

Lakewood Telemedicine update

Happy Fall!  We are enjoying beautiful fall weather here in central MN.  Our telemedicine program is off to a great start already improving the quality of care provided to our customers.  Our six telemonitoring units are deployed and on active duty, monitoring daily vital signs and assisting the nurses in tracking their client’s health status.  One “win” we have had so far occurred after the nurse noticed her client’s heart rate was getting slower and slower during the week.  The nurse contacted the client, who at the time denied symptoms, but after checking with the MD, a heart medication was found to be the culprit.  The client was taken off the medication and the heart rate returned to normal.  Without this monitoring, the client may have had a number of days of dizziness, general malaise, or worse before the cause was determined. 

The next phase of our project will be marketing.  The telemedicine project manager and I have met with our marketing department to determine the best strategies for getting the word out about our new service.  While there are a few agencies in the area that have telemonitoring, there isn’t anyone that has this kind of technology which includes the Lifestream application- a content-management platform allowing access to information from any internet connection and disease specific content management.  The idea is that in the future, families separated by great distances will be able not only to call on the telephone, but actually see data showing that Grandma is doing well, or Dad answered on his monitor that he is having problems breathing, so he better have someone check on him. 

We are excited to be able to make a difference in health care!

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Home and Community Options, Inc.

Light Speed Grant Recipient

Peter Walsh, Project Coordinator

Project Update

August 12, 2008

 

We met a major milestone in our development of a remote monitoring system last week when we gathered some staff and supporters together to view a demonstration of our remote monitoring system.  We have completed our installation phase and are now moving into the testing phase.  We intend to run a parallel test for several months to document the dependability and reliability of the system.  Let me share a few of the details of this system and why we are so excited about it.

 

First of all we have a residential program that consists of four adult men and their staff.  The men and their interdisciplinary team worked with our remote monitoring team to develop the conditions under which everyone could agree that the men would be safe and appropriately supervised during the evening hours using remote monitoring.  These conditions are all delineated in a document called an “Informed Consent”.  The Informed Consent will be a fundamental document in our request for a variance from the Minnesota Department of Human Services to use our remote monitoring program in an adult foster care setting.  The details of the Informed Consent document are too lengthy to share here but some of the key technology requirements are:  remote video supervision of all public spaces, remote two-way audio communication in all public and private spaces, all first floor doors and windows alarmed; smoke and fire alarms, a security system linking all alarms and devices to the remote monitoring sight, and finally, a call escalation program that guarantees a physical presence in the home in the case of crisis. 

 

We have created a portable remote monitoring station that links to all the monitoring devices in the home.  This portable unit can be run from any of our other program sites linked to our network.  It is our intention to use an existing overnight staff to provide the remote supervision, thus saving the cost of one overnight staff.  The design of the remote monitoring system allows the supervising overnight staff to sleep.  When an incident occurs at the home the remote monitoring station requires a response from the night attendant.  We have built in a couple of ways of waking the staff but if he/she is unable to respond for some reason the system will alert an on-call staff to go to the house.  This is part of our call escalation program that can be set up to call a list of staff that could respond to the home.  One of the features of the system is that once the program moves into the call escalation process it can only be resolved by someone physically being at the home.  An emergency call to 911 is automatically made if no one arrives at the home before the “fail-safe” time elapses.  The system has a number of built in redundancies and backups to ensure its dependability and reliability in case of power outages, phone disruptions, loss of internet and so forth.  There are also a number of conditions that need to be met every day in order for the remote system to be used.

 

It has taken us almost two years of development after a year of design to bring this system to the testing phase so yes, we were excited to gather and watch the remote video, engage in a two-way audio conversation with the folk at the home, monitor doors being opened and closed and to have the automated phone system kick in and make the calls from the call list.

 

We have set up the remote monitoring station in one of other program sites and are in the process of training the night attendant staff how to use it to supervise the home remotely.  While we are testing the system the regular overnight staff will continue staying at the test site but they will not engage with the men unless the remote system requests them to or if the remote system fails.  We will be running a number of test scenarios and documenting the results.  We are confident that we will need to make some fine tuning adjustments but excited to see the system go through its paces.  In a few weeks we intend to invite some interested colleagues to come for a show and tell session.  That will be another exiting milestone that I look forward to sharing with you.

 

 

 

 

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Blandin eNews – local Minnesota broadband news

The Blandin Foundation monthly eNews just went out. I wanted to share the compilation of news items acorss the state and Coleman’s Corner. You can get the whole issue online.

Austin
Downtown Austin is planning to deploy a municipal wireless network in October (2008). http://tinyurl.com/6yju8q

Duluth
Compudyne, an IT support company, purchased WiFi provider Superior Broadband,. http://tinyurl.com/6kgqd9

Fergus Falls
Online classes will be available for the 2008-09 school year for grades 6-12 at iQ Academy Minnesota. iQ Academy is certified through Fergus Falls Independent School District #544. http://tinyurl.com/6sb9u6

Grand Rapids, Brainerd and Bemidji
With the help of some grants (including a $124,000 from the Blandin Foundation), KAXE is developing news and information Web sites for each community in its market. http://tinyurl.com/56v664

Iron Range
The Iron Range FiberNet project winds down, led by Hibbing’s decision to discontinue their participation rendering the project financially impractical. http://tinyurl.com/ironrange

Itasca State Park
Reporters and campers debate the benefits of a wired wilderness. http://tinyurl.com/6ny8jy

Mankato, Blue Earth and Scott Counties
An intra-county network of government-owned fiber-optic cables could be installed this fall in Mankato, Blue Earth and Scott counties. Each county has been looking at installations but in the aggregate they may be able to save money.
http://tinyurl.com/6nrm84

Marshall
For the past year, the Marshall school board has been using a computer program called Electronic School Board to help streamline meetings, record agendas and minutes, and share information with the public. http://tinyurl.com/5zefmg

Minneapolis
The Digital Inclusion Grants are looking for proposals from organizations in Minneapolis that promote digital inclusion. http://tinyurl.com/5ha3up
Minneapolis-based HealthFitness quintupled the amount of education content on its Web-based eHealth platform. http://tinyurl.com/5n24ss

Monticello
The City of Monticello moves forward with its plans for a municipal fiber network, despite a lawsuit from the incumbent provider, TDS. http://tinyurl.com/mitchellvideo TDS is moving forward with its own fiber network upgrade. http://tinyurl.com/montivideo

Rochester
Rochester-based online retailer BuyOnlineNow.Com is growing at a record pace despite economic slowdown. http://tinyurl.com/6lgzp4

Staples
Light Speed Grant Recipient, Lakewood Medical unwrapped new telemedicine equipment and plans for staff training in August. http://tinyurl.com/64n45g

Winona
Light Speed Grant Recipient, Home and Community Options, Inc. took time to celebrate and show off their paperless office and remote monitoring. http://tinyurl.com/5c8ngq

Coleman’s Corner

If you have been keeping up with the Blandin on Broadband blog lately, you will notice that Ann Treacy has been adding video interviews to the blog. There is no doubt that video is an increasingly powerful force on the Internet. Videos on YouTube, political web sites, news channels, vacation spots and real estate provide information of increased value to end users. The increased use of video is driving the need for more robust networks and broadband connections.

I recently purchased a video camera for use in my work and in my personal life. I found the video editing software “Movie Maker” right on my computer and was able to upload my first video clips and begin editing for uploading. I was pleased to see the variety of cameras available for very reasonable prices.

What’s going on in your community with video? Has any organization begun the transformation to using video on its web site as a marketing or educational tool? If not, it may be time to conduct some training and encourage the use of video in your community. You can start with city council meetings, tourist attractions, a welcome video from the mayor, local sporting events. Videos put a very unique face on your community or business web site.

The tools are in place to make this a relatively painless process. Both YouTube (http://www.youtube.com/) and Google video (http://video.google.com/) are available for free use so that you can upload your videos to these sites and place a link on your web site. Happy shooting!

Home and Community Options, Inc.

 

Light Speed Grant Recipient

Peter Walsh, Project Coordinator

Project Update

 

July 22, 2008

 

 

We had an exciting time sharing our progress with Bill Coleman a few weeks ago.  He came to visit so we could do a little “show & tell”.  Some of the staff who participated in our classroom training were there as well as staff who helped develop our eFile program.  The staff gave Bill a tour of the eFile program and explained that we had developed and integrated these Outlook, Excel and Word templates to reduce the amount of manual writing, to improve accuracy and to improve communication among the team that is providing care within the program.  The staff engaged well with Bill and were quite animated in sharing how much the training provided by Blandin and the Blandin support of our eFile development helped spur this project along.

 

As the staff were sharing some of the details of the program I could not help but to feel very proud of their accomplishments.  Having worked in the systems integration field for 15 + years I know how much creativity and persistence something like this requires.  These are professional care givers, not software integrators, who had a vision of a paperless system and were not put off by the “I don’t think you can do that.” response of the “experts” to whom they turned for help.  They were relentless in their quest and would accept help from whoever was available.  They got a lot of assistance from part time staff – college students – who were also excited about the possibilities.  This project has also affirmed a leadership model of empowering direct line staff to be creative.    These are some very sophisticated solutions and ones that I think could benefit other agencies like Home and Community Options; we do hope to find a way to share them.

 

After showing off the eFile system we reviewed the Remote Monitoring application.  The IP cameras acted up a little ( of course they worked just fine after he left). but we were able to demonstrate an alarm being triggered, the system calling a staff, the staff indicating that they could respond to the incident and the system patiently waiting the allotted time for the staff to log in and indicate that they were on site and resolving the incident.  I will share more on our Remote Monitoring System next time as we are just finishing the installation of our equipment in a test home. 

 

Gary Evans, CEO of Hiawatha Broadband our matching fund partner, attended our gathering and shared HBC’s plan to provide fiber to the household for all of our Winona based program sites.  Gary conveyed the excitement HBC has about being involved with Winona Non-Profits and HBC’s plan to eventually bring FTTH to all of Winona.  This will open up many more potential applications and we are already beginning to explore partnering on a project with our Public Health Department.  I think there is an exciting future for Non-Profits as FTTH becomes more available and they continue to seek ways to improve care and reduce costs.  We are thankful for the assistance we have received from the Blandin foundation.

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Lakewood Telemedicine Update

Happy Summer!  A couple of weeks ago, I announced that we had completed a purchase agreement with Honeywell HomMed.  We are excited to announce that the equipment for our telemedicine project is finally here!  It felt like Christmas opening the boxes and realizing the potential that each piece of equipment has to make a difference in the lives of our clients.  I have been in contact with our designated trainer from Honeywell HomMed.  Our training dates have been set for August 5th- strategic planning and August 26-27th – all-staff training.  The all-staff training will include the set up of the secure website where every piece of communicated information from the client’s monitoring unit is held, the actual equipment set up (Blood pressure cuff, scale, oximeter, video phones, and recording unit), along with a number of equipment set-ups in our clients’ homes.  We will be working on identifying the clients who would benefit most from a telemonitoring unit.   

A number of factors will go into identifying clients who would benefit; a couple of examples being the risk for hospitalization and the client’s ability to learn how to use the equipment.  While the equipment is not complicated, a client with severe memory problems or severe illness may not be appropriate. 

Again, we are grateful to the Blandin Foundation for helping us to obtain the tools to provide better care to our clients! 

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Lakewood Home Care Telehealth Update

Greetings!  The summer has found our agency busy.  A few months ago, a baby girl was added to my family so I have been out of the office for a while but I am returning to our telemonitoring project with exciting news. 

Yesterday, we were able to submit a purchase order to Honeywell HomMed for 6 telemonitoring units.  We were able to purchase some “peripheral” monitoring devices which include oximeters, scales, blood pressure kits, a PT/INR machine (to monitor blood thinning medications) as well as two video phones and a glucometer kit!  Some of our units will be GPRS enabled, allowing for wireless communication from the peripheral monitoring device to the central unit. 

We were able to use the full Blandin grant amount and chose to use additional funds from another grant to secure the amount of equipment we felt was initially necessary to create a lasting and effective telemonitoring program.  Our matching Lakewood funds will be used to assist with marketing, training, and implementing our new program. 

We will continue to update you as to our progress.  Happy Summer!

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.

Home and Community Options, Inc.

Light Speed Grant Recipient

Peter Walsh, Project Coordinator

Project Update

June 24, 2008

 

 

 

 

As I came out of our Technology Committee meeting last week I was struck by the excitement and personal investment of the committee members in our discussion of our goals for the year and the progress we have made.  Every year in late fall we undertake a strategic planning exercise in which we review our technology related strengths, weaknesses, opportunities and threats.  The committee members talk to their colleagues about technology issues; seeking needs, frustrations, concerns and good ideas.  We start by having a general open discussion about our technology use and move to developing an open ended, no holds barred “wish we could…..” list.  Then we group the topics into clusters of similar or related headings and eliminate the obvious wild, impossible and impractical ideas.  We break into groups; our total committee is about 20 folk so we will have four groups of five to discuss the topics and to rank the top three in each cluster – identifying the pros and cons of their top choices.  The groups report back and we have a general open debate of speaking for or against topics on the list.  And, finally we rank our personal choices using a nominal group process.  The method of ranking varies from year to year but I personally like the one where we are each given ten stickers which we can place next to the topic of our choice – with no limit as to how many stickers you can put on any one topic.  The top ten are then organized, some fit together, and others stand alone.  Then we identify the resources needed, indicators of success, responsible parties, and approvals needed and so forth.  The entire process generally takes about four hours.

 

As we were reviewing our progress on this year’s goals and we realized the gains we have made there was a general excitement in the room.  Our discussion became more detailed when we reviewed our eFile program goals. This project is also part of our Blandin Light Speed grant and we have far exceeded our initial objectives.  The eFile participants were excitedly reflecting on the tremendous gains they have made this year.  We had hoped to have eFile implemented in three programs by the end of the year and we already have six programs using it.  There was a general agreement that the support of the Blandin grant enabled us to work on several pieces of the puzzle at once creating a synergy in that solutions in one piece turned out to benefit other pieces.  As we added a second and third test site and new staff began to grapple with some of the limitations of the beta program we began to discover solutions at a faster pace.  We reached a state of having attained the “critical mass” of minds working on the same problems.  All of a sudden the solutions were coming faster and faster.  The methodology was standardized and everything began to fit together.  New insights were gained as staff were trained, began using the program and saw additional ways that it could be used within their program.  Another interesting outcome is that staff from the individual programs began to meet for what they called “Show and Tell” sessions.  These were opportunities to show off new tools and techniques and to ask questions of each other.  These sessions really stimulated the problem solving and facilitated program standardization. The eFile coordinator reported an impressive list of functionality that is now being handled electronically in a standardized uniform manner: Client Calendaring, Client Programming, Program Documentation, Medication Administration, Client Progress Notes, Staff Scheduling, Staff Notes, Cleaning Lists, and even Menus. The task list for starting eFile in a new program has even been delineated; this is a check list that notes the steps that the program needs to complete to demonstrate that it is ready and qualified to implement the eFile program.  This check list came about as the first couple of implementation attempts did not work out because the program staff were not sufficiently trained and the program was dealing with other administrative issues at the time. 

The entire eFile Program development and implementation is a tremendous example of problem solving from the bottom up.  Those who have the need and use the system are the ones who created the solution, are vested in its success and excited to share it with others.  Management does not have a problem trying to convince other programs to try eFile because staff sell the idea to each other.  Now there is the problem of programs that don’t have eFile getting impatient because the have to wait their turn.  It will be very interesting to see where we what we have accomplished at the end of the year.

light speed communityThe Blandin Foundation is supporting four standout broadband programs through the Light Speed program. The program’s purpose is to stimulate the deployment of bandwidth intensive applications that connect local institutions to area resident’s home. This post comes from a Light Speed community leader.