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Executive Summary

Every day across the United States, thousands of senior living organizations assist with housing transition decisions for older adults experiencing health-related changes. These decisions impact resources for older adults and senior housing corporations, yet these decisions are based primarily on subjective observational data regarding older adults’ changes in function or cognition. Smart homes offering continuous, unobtrusive health monitoring with artificial intelligence capabilities are emerging as solutions offering health maintenance support and objective functional and health information. Such systems are well-positioned to support hospitality staff conversing with residents about transitioning from independent to assisted living. Our interdisciplinary nursing research and hospitality student team used data from two multi-year smart home studies and Stanford Design Thinking to create a case report template to discern how this objective information might be used during housing transition conversations. We interviewed senior living executives and frontline staff having experience with our prototype smart home to co-design the report template. This article presents our case report template and exploratory findings suggesting that standardized reports displaying functional and cognitive changes over time may support hospitality teams assisting older adults and their families with housing transition decisions.

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