Medforall · Stark County Board of DD
Privacy-First Thermal Sensing Program
Implementation Template
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A1–A8 Per-Participant Implementation Template

HEARO Thermal Monitoring — Stark County DODD Contract #2558727
Important: This system supports the people keeping your loved one safe — it does not replace them. No existing supports are removed until the team has real data showing the system is reliable for this person. This is a gradual shift, not an overnight switch.

Complete all 8 sections during Phase 1 (Research & Identify). Update as the participant moves through the gradual shift phases.

A1 Case Snapshot

Current Supports

Primary Caregiver Concerns

Seizure History

A2 Recommended Approach

Claim Scope Statement

What this configuration can and cannot detect for this individual. Include limitations.

CtLC Scorecard Results

A3 Responder Model & SLAs

RoleName / AgencyContactAcknowledgment SLAIntervention SLA
Primary on-site staff
Remote Support
Family / Guardian
Backup responder
Emergency (911)Protocol: ___

A4 Triggers & Thresholds

Event TriggerThresholdClassificationAction Required
Out-of-bed
Floor presence
Prolonged immobility
Repeated sit-to-stand
Prolonged bathroom/away
Other: ___

A5 Escalation Ladder

Time from AlertActionResponsible
0–2 min
2–5 min
5–10 min
10–15 min
15+ min / no response

Life-Safety Criteria (call 911 immediately)

A6 Documentation Standard & QA

Required Event Note Fields

QA Sampling Plan

A7 Metrics & Cadence

KPITargetReporting Cadence
System uptime
Alert response time (avg)
False positive rate
SLA compliance (%)
Seizure-related event capture
Caregiver confidence score

Reporting cadence: weekly for first month, then biweekly. See Monthly Update Template for report structure.

A8 Timeline & Responsibilities

MilestoneOwnerTarget DateCompleted
A1–A8 workbook completed
CtLC scorecard completed
Seizure Action Plan on file
Consent form signed
Equipment ordered
Site assessment
Installation complete
Baseline period start
30-day review
Phase B eligibility review