Piloting New Care Technology: A Checklist Before You Commit

A sales demonstration is designed to look flawless. Real life in a care community is messier: spotty Wi-Fi, busy shifts, staff with varied comfort levels and residents whose needs do not fit a brochure. The best protection against an expensive mistake is a well-planned pilot, a limited trial with defined goals, before you sign a multi-year contract.

This checklist walks administrators and clinical leaders through designing a pilot for any new care technology, from fall detection and remote monitoring to resident engagement tools and documentation aids.

Define the problem first

Technology should answer a specific need. Write one or two sentences stating the problem, such as "We want to reduce the time nurses spend on a particular documentation task," or "We want faster alerts when residents leave their beds." If you cannot state the problem, you are not ready to pilot.

Set success measures in advance

Decide, before the trial starts, what success looks like. Choose a handful of measures tied to the problem:

Outcome measures, such as incidents, response times or time spent on a task

Adoption measures, such as how many staff use it and how often

Staff and resident feedback, gathered through short surveys or conversations

Reliability, such as downtime, missed alerts or false alarms

Cost, including time, training and support needs

Capture a baseline before the pilot begins, so you can compare. Agree on the thresholds that mean "proceed," "adjust" or "stop."

Limit the scope

Keep the trial small and contained:

One unit, one shift pattern or a small group of residents

A defined duration, long enough to get past the novelty, often several weeks to a few months

A named pilot lead and a group of willing staff, including skeptics

Clear rules for what happens to the data and devices when the pilot ends

Involve the right people early

Clinical leaders to confirm the tool fits care workflows and safety standards

Frontline staff who will use it every day

IT or your managed service provider to assess the network, devices and security

Compliance or privacy officer to review data handling

Residents and families, where the technology affects them, with appropriate consent and communication

Security and privacy checklist

Pilots are where security shortcuts creep in, since everyone is in a hurry. Before connecting anything, ask the vendor and confirm:

Will it handle protected health information? If so, will they sign a business associate agreement?

Where is data stored, and how is it encrypted in transit and at rest?

How do staff authenticate, and does it support multi-factor authentication or single sign-on?

What network access does it need, and can it live on a segmented network?

How are updates and vulnerabilities handled?

What happens to your data if you end the contract or the vendor is acquired?

Can the vendor provide a security assessment or documentation of its practices?

Use real data only if the agreements and protections are in place. Otherwise, use test data.

Technical readiness

Walk the area where the pilot will run. Check Wi-Fi coverage, power, device charging and integration with existing systems such as your EHR. Confirm who supports it after hours, and what the fallback is if it fails. A pilot that quietly depends on a heroic staff member is not a reliable test.

Support and training

Plan a short training session and quick reference guide. Have the vendor or your IT team on site during the first days. Give staff an easy way to report problems, and respond quickly so frustration does not poison the trial.

Check in regularly

Meet briefly each week with the pilot group. Record issues, workarounds and surprises. Adjust the setup where possible, but avoid changing the measures midstream.

Decide and document

At the end, compare results with your baseline and thresholds. Write a short summary covering what worked, what did not, the total cost and a recommendation. Include staff and resident feedback. Whether you proceed, change course or walk away, the document records why, which helps when the next product arrives.

Negotiate with evidence

If you proceed, use pilot findings to shape the contract: scope, service levels, training, data ownership, exit terms and pricing tied to the results you observed.

UnityCare IT helps care organizations evaluate the network, security and integration side of new technology, so pilots test the product rather than the weaknesses of the environment around it.

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