National AT Reuse Scene: Accomplishments and Data

1. The National AT Reuse Scene….Accomplishments and National Data The National AT Reuse Scene….Accomplishments and National Data Pass It On Center Georgia Department of Labor – Tools for Life www.passitoncenter.org

2. Shaping A National Collaborative for AT Reuse First National Conference on AT Reuse May 7-8, 2006 The “beginnings” of a National Collaborative - Noun – To work together, especially in a joint effort.

3. Common Questions of of AT Reuse Programs • • Liability • • Costs and Funding – Sustainability • • Storage • • Transportation • • Equipment Donations and Volume • • Staffing, Credentials, Training • • Effective practice • • Relationships with vendors and suppliers

4. Pass It On Center’s Response to Questions and Challenges Pass It On Center’s Response to Questions and Challenges Broadly speaking….. Broadly speaking….. Address issues of national significance in AT device reutilization, Address issues of national significance in AT device reutilization, Provide technical assistance & training to entities engaged in or planning to engage in AT device reutilization, and Provide technical assistance & training to entities engaged in or planning to engage in AT device reutilization, and Coordinate and network entities involved in AT device reutilization. Coordinate and network entities involved in AT device reutilization.

5. Increase access to and acquisition of assistive technology – Get AT to those who need it Increase access to and acquisition of assistive technology – Get AT to those who need it Clean, safe, appropriate AT matched to the needs of customers Clean, safe, appropriate AT matched to the needs of customers An understanding of what success is for AT Reuse Programs An understanding of what success is for AT Reuse Programs Quality Indicators for AT Reuse Programs – IQ-AT Quality Indicators for AT Reuse Programs – IQ-AT Consensus and methodology for measuring outcomes of AT Reuse and Return on Investment (ROI). Consensus and methodology for measuring outcomes of AT Reuse and Return on Investment (ROI). Begin with the End in Mind…

6. National Task Force Study Groups: Goals, Progress, and Direction National Task Force Study Groups: Goals, Progress, and Direction

7. Challenges in AT Reuse 2006 We didn’t know what we didn’t know . Jeremy Buzzell, 2006 • • Cessi found 3 reports on 2006 AT Reuse programs. • • In 2009 there are now historical (1), economic (2); some comprehensive “how to” policy manuals; and, several evidenced- based outcome studies (3) of AT reuse.

8. Challenges in AT Reuse 2006 We didn’t know the scope of device reuse . • • How many device reuse programs are there? - No national database of programs existed. • • How many devices are reutilized nationally? - There was no data on what kinds of devices are reutilized. • • How many individuals receive reutilized devices nationally? • • There was no data on what kinds of persons with disabilities benefit from AT reuse.

9. On-Line Database Listing of AT Reuse in 2009 On-Line Database Listing of AT Reuse in 2009 As of September 9, 2009, the number of states and programs listed has increased to 174 (from 162 a year ago). Of these: As of September 9, 2009, the number of states and programs listed has increased to 174 (from 162 a year ago). Of these: – 116 conduct reassignment activities – 116 conduct reassignment activities – 87 conduct refurbishment activities – 87 conduct refurbishment activities – 44 conduct equipment exchange activities – 44 conduct equipment exchange activities – 60 conduct reassignment & refurbishment – 60 conduct reassignment & refurbishment – 18 conduct reassignment & exchange activities – 18 conduct reassignment & exchange activities – 15 conduct refurbishment and exchange activities – 15 conduct refurbishment and exchange activities – 12 conduct reassignment, refurbishment & exchange – 12 conduct reassignment, refurbishment & exchange 7 states and 5 territories have no AT reuse listing on the database of AT reuse programs. 7 states and 5 territories have no AT reuse listing on the database of AT reuse programs.

10. Challenges in AT Reuse 2006 We didn’t know the legal issues of AT reuse • • What are the liability issues? - Who is liable for a reused device? - How can a reuse program protect itself and its customers? • • What are the regulatory issues? - What federal agencies have oversight of these practices? - How can a reuse program be sure it is “complying” with applicable regulations?

11. Challenges in AT Reuse 2006 We didn’t know the legal issues of AT reuse • • The Pass It On Center has researched and disseminated information about legal and policy-related issues that include a report, The Applicability of the Food, Drug and Cosmetic Act on Reutilization of AT

12. Challenges in AT Reuse 2006 Challenges in AT Reuse 2006 We didn’t know the legal issues of AT reuse. Quality Indicators and standards designed to help programs improve quality Added entire section on sanitization and liability to the IQ-ATR following guidance of NTF member, Dr. Sara Sack. Many programs have received specific TA on liability and policy matters from Jessica Brodey and have policy and operational guidelines now.

13. Challenges in AT Reuse 2006 We didn’t know the “value” of device reuse . • • Is there a benefit to consumers associated with reuse? - What should be considered the benefit: receipt of AT, cost savings, clinical outcomes? - How to measure a benefit to consumer? - Do some consumers benefit more than others? • • Is there cost savings associated with reuse? - If so, to whom and how to measure it?

14. Challenges in AT Reuse 2006 We didn’t know the “value” of device reuse . • • Data collected from AT Act grantees shows substantial cost savings data. • • Individual programs collect additional data such as Return on Investment, and environmental impact data. • • The Pass It On Center will continue to work with stakeholders to identify the outcomes and benefits of device reuse.

15. Challenges in AT Reuse 2006 We didn’t know what makes a “good” reuse program . • • Is it volume? People served? Efficiency? • • Pros and cons of different models. • • What are the “best practices” in device reuse? • • - What practices lead to good outcomes? • • - What practices lead to cost savings? • • - What practices lead to sustainability?

16. Challenges in AT Reuse 2006 We didn’t know what makes a “good” reuse program . • • The 2006 national conference identified programs needing best practices in: • • Storage • • Transportation/Distributi on • • Labor • • Tracking and Managing Inventory • • Data collection • • Marketing and public awareness • • Sustainability and funding • • Appropriate disposal of devices • • Finding and retaining qualified staff • • Training staff and volunteers • • Determining the acceptability of devices (age, condition, type) • • Matching person to device • • Provide training and follow-up to consumers • • Standards for cleaning and repairing

17. Challenges in AT Reuse 2006 Challenges in AT Reuse 2006 We didn’t know what makes a “good” reuse program . Knowledge Base Is Built! Work in Process! Knowledge Base Is Built! Work in Process! – A priority requested by NTF in July 2008! – A priority requested by NTF in July 2008! – Excellent information from various AT reuse programs – a work in process! – Excellent information from various AT reuse programs – a work in process! – Over 303 entries of information with 100 – 150 links to references – Over 303 entries of information with 100 – 150 links to references – Vetting process through extensive usability testing process – Vetting process through extensive usability testing process – Actively working on downloadable step-by-step posters for sanitization – Actively working on downloadable step-by-step posters for sanitization – Actively working on sanitization room set up – Actively working on sanitization room set up – Actively working on videos demonstrating sanitization process and other AT reuse tasks – Actively working on videos demonstrating sanitization process and other AT reuse tasks

18. Challenges in AT Reuse 2006 We didn’t know the affects of reuse in “the long run.” • • What is the useful life of AT (both technologically and clinically)? • • What is the net effect on the AT/DME industry? - Positive, negative, or neutral? • • Is there an environmental impact?

19. Website Knowledge Base! We will take a “walk through” of the Pass It On Center website and Knowledge Base During the Next Session! Website Knowledge Base! We will take a “walk through” of the Pass It On Center website and Knowledge Base During the Next Session! www.passitoncenter.org/content

20. Website Knowledge Base Website Knowledge Base The Grantees have been especially generous in sharing materials they have developed. The Grantees have been especially generous in sharing materials they have developed. Materials that comprise the “content” of the KnowledgeBase have been determined by the Center to represent outstanding examples of those policies, procedures, and practices associated with quality AT reuse programs. Materials that comprise the “content” of the KnowledgeBase have been determined by the Center to represent outstanding examples of those policies, procedures, and practices associated with quality AT reuse programs.

21. Website Knowledge Base Website Knowledge Base In several cases, the Center staff documented methods for specific activities including warehouse layout, equipment flow, repair stations, and sanitization methods. In several cases, the Center staff documented methods for specific activities including warehouse layout, equipment flow, repair stations, and sanitization methods. The Center now disseminates, through its website, many of the excellent materials developed by these programs and offered for use to the Center. The Center now disseminates, through its website, many of the excellent materials developed by these programs and offered for use to the Center.

22. D eveloping Indicators of Quality for AT Reuse Programs Pass It On Center www.passitoncenter.org

23. Vision and Goals for IQ - ATR 23 Knowledge Base supports IQ-ATR Self-Assessment Tool IQ-ATR and Knowledge Base inform Successful Practices Successful Practices inform Knowledge Base IQ - ATR IQ - ATR

24. Highlights of Three Years Three Amazing Years! - Technical Assistance Contacts - 22 Webinars - 11 State Summits for Stakeholders - NISAT Reuse Data Reported - Diversified Funding for AT Reuse Programs - Replication of Successful Practices and Policies …………. A national collaborative network

25. Highlights of 3 Years Highlights of 3 Years Webinars have been a useful tool for sharing information about the issues and solutions in the area of reuse. The Pass It On Center has facilitated 22 webinars over 3 years on a range of topics that have included: Webinars have been a useful tool for sharing information about the issues and solutions in the area of reuse. The Pass It On Center has facilitated 22 webinars over 3 years on a range of topics that have included: – Data Collection and Data Tracking for Reuse Projects – Data Collection and Data Tracking for Reuse Projects – Applicability of the Food, Drug, and Cosmetic Act to Reuse of AT – Applicability of the Food, Drug, and Cosmetic Act to Reuse of AT – Organization and Governance of AT Reuse programs – Organization and Governance of AT Reuse programs – A Closer Look at AT Exchange Programs – A Closer Look at AT Exchange Programs – Storage Solutions and Inventory Control – Storage Solutions and Inventory Control – Transportation Solutions – Transportation Solutions – Emergency Preparation and Response – Emergency Preparation and Response – Sustainability – Sustainability – Marketing Solutions – Marketing Solutions – A Walk through the Knowledge Base – A Walk through the Knowledge Base – From 15 to over 60 participants – From 15 to over 60 participants

26. Highlights of 3 Years Highlights of 3 Years Pass It On Center staff, consultants, and members of the National Task Force, promulgated use of AT Reuse definitions established by NTF in 2007 at: Pass It On Center staff, consultants, and members of the National Task Force, promulgated use of AT Reuse definitions established by NTF in 2007 at: – conferences (e.g., ATIA, NATTAP Annual Grantees Meeting, MedTrade), – conferences (e.g., ATIA, NATTAP Annual Grantees Meeting, MedTrade), – during Pass It On Center webinars, and – during Pass It On Center webinars, and – on the Pass It On Center website & brochure – on the Pass It On Center website & brochure

27. Highlights of 3 Years Highlights of 3 Years Webinars are opened to the national network of state AT programs and, increasingly, the Center is receiving requests from other groups to participate. Webinars are opened to the national network of state AT programs and, increasingly, the Center is receiving requests from other groups to participate. Webinar audiences are extremely diverse – ranging from program implementers, to administrators, to subcontractors Webinar audiences are extremely diverse – ranging from program implementers, to administrators, to subcontractors We Need Your Input on Proposed Webinars For Year 4! We Need Your Input on Proposed Webinars For Year 4!

28. Years 1 & 2 Stakeholder Meetings Years 1 & 2 Stakeholder Meetings Stakeholder meetings in several states: Delaware, Florida, Minnesota, South Carolina, Idaho and Montana Stakeholder meetings in several states: Delaware, Florida, Minnesota, South Carolina, Idaho and Montana

29. Highlights of 3 Years Highlights of 3 Years Center site visits were designed: Center site visits were designed: – to assist various programs and included discussions on policies, sustainability, marketing, evaluation, matching equipment, and program operating procedures. – to assist various programs and included discussions on policies, sustainability, marketing, evaluation, matching equipment, and program operating procedures.

30. Highlights of 3 Years Highlights of 3 Years Stakeholder meetings: Stakeholder meetings: – These meetings were well attended by a diverse group of people providing AT services in public agencies, non-profits, and private companies. – These meetings were well attended by a diverse group of people providing AT services in public agencies, non-profits, and private companies. – These well-designed meetings also explored a wide range of reuse issues and solutions specific to their states. – These well-designed meetings also explored a wide range of reuse issues and solutions specific to their states.

31. Year 3 Stakeholder Meetings Paraquad – to Plan August 2008 Grantee Meeting Tennessee Statewide Summit South Carolina – Meetings and Expo Virginia Summit of Stakeholders STAR Network Summit Invited to Puerto Rico AT Program– Postponed!

32. Tennessee AT Reuse Summit - 2008

33. Round Table Planning at Tennessee AT Reuse Summit

34. Highlights of 3 Years Highlights of 3 Years Training & Technical Assistance Activities – – Annual Conference of AT Reuse Grantees at Paraquad in Missouri –August, 2008 Thank you, Carla Walker, Kerri Morgan and Lindsey Bean! – – Excellent presentations by many model demonstration grantees on many different topics and opportunities to share and bond. – – Paraquad Tour included Repair Shop & Tiled Sanitization Room

35. AT Reuse Grantee Meeting August 2008 Paraquad - Tiled Sanitization Steam Room FODAC is Building One,Too

36. Paraquad in Missouri during Tour Paraquad in Missouri during Tour AT Reuse Grantee Meeting August 2008

37. AT Reuse Grantee Meeting August 2008 Paraquad – Sanitary Plastic Packaging

38. AT Reuse Grantee Meeting August 2008 Paraquad – Organization Plus+++

39. Highlights of 3 Years In Review Collaborative Conference of NATTAP and PIOC in Atlanta Summary of Conference presented at NATTAP Annual conference in Philadelphia STAR Network Southeastern AT Reuse Conference November 2008

40. Highlights of 3 Years Highlights of 3 Years Training and TA Activities Training and TA Activities Paper on AT Reuse published in the Assistive Technology Outcomes & Benefits Journal (ATOB Fall 2008) Paper on AT Reuse published in the Assistive Technology Outcomes & Benefits Journal (ATOB Fall 2008) A Pass It on Center Strand at ATIA 2008 -2009, Chicago and Orlando 2010 A Pass It on Center Strand at ATIA 2008 -2009, Chicago and Orlando 2010 ATIA Orlando 2010 Pre-conference on AT Reuse ATIA Orlando 2010 Pre-conference on AT Reuse A Range of Topics – AT Reuse Webinars are now on Knowledge Base with Attribution to ATIA and Presenters A Range of Topics – AT Reuse Webinars are now on Knowledge Base with Attribution to ATIA and Presenters Planned! ATIA Special Publication on AT Reuse in 2010 Planned! ATIA Special Publication on AT Reuse in 2010

41. Highlights of 3 Years Highlights of 3 Years Passitoncenter.org Passitoncenter.org Date Range: 03/01/2007 -5/30/2007 Date Range: 03/01/2007 -5/30/2007 Total Sessions 2,679.00 Total Sessions 2,679.00 Total Pageviews 6,482.00 Total Pageviews 6,482.00 Total Hits 30,930.00 Total Hits 30,930.00 Average Sessions Per Day 29.44 Average Sessions Per Day 29.44 Average Pageviews Per Day 71.23 Average Pageviews Per Day 71.23 Average Hits Per Day 339.89 Average Hits Per Day 339.89

42. Highlights of 3 Years Highlights of 3 Years Passitoncenter.org Passitoncenter.org Date Range: 03/01/2007 - 05/30/2008 Date Range: 03/01/2007 - 05/30/2008 Total Sessions 23,035.00 Total Sessions 23,035.00 Total Pageviews 65,844.00 Total Pageviews 65,844.00 Total Hits 114,013.00 Total Hits 114,013.00 Average Sessions Per Day 253.13 Average Sessions Per Day 253.13 Average Pageviews Per Day 723.56 Average Pageviews Per Day 723.56 Average Hits Per Day 1,252.89 Average Hits Per Day 1,252.89

43. Highlights of 3 Years In Review Highlights of 3 Years In Review Passitoncenter.org Passitoncenter.org Date Range: 05/31/2008 - 09/07/2009 Date Range: 05/31/2008 - 09/07/2009 Total Sessions 103,701.00 Total Sessions 103,701.00 Total Pageviews 489,289.00 Total Pageviews 489,289.00 Total Hits 853,779.00 Total Hits 853,779.00 Average Sessions Per Day 223,01 Average Sessions Per Day 223,01 Average Pageviews Per Day 1,052.23 Average Pageviews Per Day 1,052.23 Average Hits Per Day 1,836.08 Average Hits Per Day 1,836.08 Average Length Per Session 15.33 Average Length Per Session 15.33

44. The Future – From Jeremy Buzzell – NTF 2008 • • What does OSERS need to do? • • What does PIOC need to do? • • What does NATTAP need to do? • • What does NISAT need to do? • • What do programs need to do for themselves? • • What does Congress need to do? • • What does ATAP need to do ? …. To Sustain and Continuously Improve the Quality of AT Reuse Programs?

45. Shaping A National Collaborative for AT Reuse Shaping A National Collaborative for AT Reuse Emergency Preparedness & Disaster Response to focus on recommendations concerning proper deployment of reutilized AT matched to specific needs of area consumers. Emergency Preparedness & Disaster Response to focus on recommendations concerning proper deployment of reutilized AT matched to specific needs of area consumers. Survey on Assistive Technology Reuse & Emergency Planning, Management and Response www.disa bility.gov Survey on Assistive Technology Reuse & Emergency Planning, Management and Response www.disa bility.gov The Pass It On Center is developing an emergency response system based on an existing network of Assistive Technology (AT) Centers. At the foundation of this project is a national survey designed to develop an understanding of the current involvement of a variety of programs in efforts related to assistive technology reuse and emergency planning, management and response. Information obtained will be vital to developing effective emergency response systems for all populations. The Pass It On Center is developing an emergency response system based on an existing network of Assistive Technology (AT) Centers. At the foundation of this project is a national survey designed to develop an understanding of the current involvement of a variety of programs in efforts related to assistive technology reuse and emergency planning, management and response. Information obtained will be vital to developing effective emergency response systems for all populations.

46. Shaping A National Collaborative for AT Reuse Shaping A National Collaborative for AT Reuse Third Party Collaborators and AT Reuse Third Party Collaborators and AT Reuse Third Party Entities such as Medicaid are continuing to ask for technical assistance on AT reuse from Center consultant Dr. Sara Sack Third Party Entities such as Medicaid are continuing to ask for technical assistance on AT reuse from Center consultant Dr. Sara Sack What about Other Potential Third Party Collaborators such as Vocational Rehabilitation, Worker’s Compensation, and Private Insurance Companies? What about Other Potential Third Party Collaborators such as Vocational Rehabilitation, Worker’s Compensation, and Private Insurance Companies?

47. Your Input and Guidance Your Input and Guidance You are experts in your field and… You are experts in your field and… Collectively, we are brilliant! Collectively, we are brilliant! Solutions found through an interactive team process will yield the most informed choices and results Solutions found through an interactive team process will yield the most informed choices and results Comments and Suggestions? Round Tables on Tonight, 5:30 – 7:30 pm and Strategic Planning Sessions on Thursday! Comments and Suggestions? Round Tables on Tonight, 5:30 – 7:30 pm and Strategic Planning Sessions on Thursday!

48. If we Nurture our Dreams, they will take Root in our Souls & Bear Fruit in our Lives -Francis Phillips, Carolyn Phillips’ Mother If we Nurture our Dreams, they will take Root in our Souls & Bear Fruit in our Lives -Francis Phillips, Carolyn Phillips’ Mother

49. …for your Input, Time and Dedication! …for your Input, Time and Dedication!