ROYL is a comprehensive and integrated web app to help patients, families and loved ones achieve and understand Rest of Your Life planning. ROYL provides input, documents, and education about the multidisciplinary aspects of successful Rest of Your Life planning. ROYL is directed to patients, families, loves ones, doctors, nurses, lawyers, financial planners and insurance agents, clergy, social service workers and death industry counselors. ROYL is a digital solution including documents, e-signatures and e-notarizations. ROYL's first phase deals with advanced care planning and designation of a proxy for health affairs. ROYL's second phase focuses on aging in place and includes adaptive architectural and increased utilization of digital home health monitoring devices such as Bluetooth scales for congestive heart failure (CHF), digital glucometers for diabetes (DM) and digital Wright inspirometers for COPD/emphysema (the big three for CMS). The third ROYL phase looks to increase the time that patients are referred for home hospice care as the individual case evolves.
ROYL meets the need that only 1 in three Americans have advanced care plans and only 1 in four of these have plans available when needed. Even without plans, life goes on and plans will be made often by people without your interests at heart. Everyone knows someone in their family or circle who has had a 'bad' end of life. Usually, these represent protracted and futile treatments which provide no satisfaction to patient, family or health care provider. Current estimates for end of life care in the US top $100 billion dollars per year and this is an escalating price tag with the graying of the baby boomers. 78 million Americans were born between 1946 and 1964 and these people along with their children, who are now parents, are a large market for ROYL in addition to the very elderly and also those with unfortunate diagnosis. Once ROYL is ensconced in the USA market, it should be possible to see ROYL spread to other nations and cultures throughout the world.
My horse ranch currently has home propane monitoring and home electrical monitoring, all digital, with data readily available to me and to my service providers. It is remarkable that digital home health monitoring has lagged the applications in industry. CHF, DM and COPD are all diseases with devices already available. ROYL forsees the day where patients with CHF, DM and COPD are monitored from home through Bluetooth/internet technology and algorithms will monitor weight, glucose and FEV1. Alarming changes in any of these parameters will result in earlier pickup by health care providers and early treatments should reduce recurrent hospitalizations. Adaptive architecture should allow alliances with major builders such as National Home Builders Association, Home Depot and Lowes to form focused approaches on the internet and in brick and mortar stores to provide information and materials to make homes safer and more livable for the Rest of Your Life.
Earlier utilization of home hospice will increase patient comfort and family satisfaction with patients as they become more fragile and older. Medicare offers six months home hospice care and although more patients are dying with hospice, the average hospice involvement remains under a week which represents more of a dumping approach than an integrated palliative and compassionate care approach.
ROYL is a direct aid to increase patient involvement and satisfaction, improve quality of care, reduce cost of health care and improve practitioner satisfaction. Check out www.TheROYL.com and see for yourself. Less than an hour on the web site. will give you the benefit of 18 months research and design by the ROYL team. CMS is now reimbursing health practitioners for helping patients do advanced care planning and ROYL is a preloaded tool kit to help practitioners do the right thing, document their work, and bill CMS for doing the right thing.
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