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Technology for Aging in Technology for Aging in Place Place Laurie M. Orlov Aging in Place Technology Watch January, 2012
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Technology for Aging in PlaceTechnology for Aging in Place
Laurie M. Orlov
Aging in Place Technology Watch
January, 2012
Technology change can be daunting
Source: The New Yorker
Age
Decline in Mobility or Memory
Time
Engaged with:-Family-Friends-Church-Volunteering-Hobbies-Work-Learning
Isolated from:-Family-Friends-Church-Volunteering-Hobbies-Work-Learning…
Does engagement dwindle along with mobility or memory?
Context: Internet, social networking, cell phones
58% of US 65+ population has a cell phone (average 3 calls per day, 34% sleep with their cell phones)
31% of the 65+ population has a ‘broadband’ connection, up 1% from 2009 (Pew Research)
Only 42% of the 65+, 30% of the 75+ population goes online
Only 15% of iPad buyers are over the age of 56…(NielsenWire)
…But baby boomers are the fastest growing age segment of Facebook’s 800 million members
The fastest growing age demographic -- the 85+
Older adults and Internet technology (Pew)
Category All Boomers (50-64)
Seniors (65+)
Comment/ Example
Online 79% 78% 42% % of all adults
Use search daily
59% 52% 37% % adults w/Internet
Use video sharing site
71% 54% 31% View YouTube, % adults use of video
Seek Health info
59% 58% 29% % adults w/Internet
Social network
61% 47% 26% % adults w/Internet
Older adults and online technology (Pew)
Category All Boomers (50-64)
Seniors (65+)
Comment/ Example
Have cell phone
85% 85% 58% % all adults
…Smart phone
35% 24% 11% % all adults
Internet calls
24% 19% 18% % all adults
Have E-Reader
12% 13% 6% % all adults
Have a tablet
8% 8% 2% % all adults
Have mobile health app
9% 6% 5% % adult cell phone users
Four aging in place technology categories
Communicationand Engagement
Safety and Security
Health and WellnessLearning and Contribution
Email, Chat,Games, Video,Cell phone, Smart phone,Tablet,PC, Mac
Security,PERS,Webcam,Fall detection,Home monitor
mHealth apps,Telehealth,Medication mgmt,Disease mgmt,Fitness
Legacy,Education and learningVolunteer, work
Copyright Aging in Place Technology Watch 2010
Aging status changes vary an individual’s needs over time
Home Safety
PersonalStatus
PersonalSafety
PersonalHealth
Personal MedicalStatus
Time
Independent Frailer
Alarm system E-mail, phone,Video, chat
PERS,Fall Detection,HomeMonitor
MedicationReminders,WellnessGuides
Chronic disease monitors
Copyright Aging in Place Technology Watch 2010
Providers
Seniors
Family & Caregivers
Aging in Place depends on connected relationships…
…Not well connected today
Copyright Aging in Place Technology Watch 2010
The looming crisis of care
2011 2020
55 million seniors 65+
> 40 million seniors 65+
*** Caregivers:
Women aged 25-44
2015Population growth projection from US Census*Source: 2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs
$42K/year for AssistedLiving 2011*
Cost of c
are?
$51K/year Assisted Living**
**Source Amer. Association LTC & MetLife***Source National Clearinghouse Direct Care Workforce
Growth Rate
Time
Copyright Aging in Place Technology Watch 2011
Four aging in place technology categories
Communicationand Engagement
Safety and Security
Health and WellnessLearning and Contribution
Email, Chat,Games, Video,Cell phone, Smart phone,Tablet,PC, Mac
Security,PERS,Webcam,Fall detection,Home monitor
mHealth apps,Telehealth,Medication mgmt,Disease mgmt,Fitness
Legacy,Education and learningVolunteer, work
Copyright Aging in Place Technology Watch 2010
Caregiving
Proportion of 65+ Who Use Personal Health & Wellness Tech?
Source: AARP Healthy@Home 2.0, April 2011 (Base = 940 responders age 65+)
Proportion of 65+ Who Currently Use Home Safety Devices
2%
3%
5%
11%
17%
0% 20% 40% 60% 80% 100%
An electronic system that let's a family member or friendknow if you ae okay, or if your daily rouine changes
suggesting you might need help
A device that tracks w here you are in preparing food andcan remind you of steps you completed
Sensors that can be placed throughout your home to detect ifsomeone falls and, if so, calls for emergency help
Small electronic devices that can turn off appliances
An alarm that could tell you w hen a door or w indow hasbeen opened or closed w hen not expected
Source: AARP Healthy@Home 2.0, April 2011
Overall willingness to pay, total per month, all devices:
Source: AARP Healthy@Home 2.0, April 2011
Video phone system
Interactive system for physical, mental, and leisure activities
Caregiving decision support tool
Medication support system
Caregiving coaching software
Caregiver training simulations
Caregiving coordination system
Caregiver mentor matching service
Passive movement monitoring system
Transportation display
Symptom monitor and transmitter
Personal health record tracking
Video phone system
Interactive system for physical, mental, and leisure activities
Caregiving decision support tool
Medication support system
Caregiving coaching software
Caregiver training simulations
Caregiving coordination system
Caregiver mentor matching service
Passive movement monitoring system
Transportation display
Symptom monitor and transmitter
Personal health record tracking
Moderate Potential(Helpful, High Barriers)
Greatest Potential(Helpful, Low Barriers)
Least Potential(Less Helpful, High Barriers)
0%
25%
50%
75%
100%
25% 50% 75%
Barriers (% prevented from trying by any barrier )
Hel
pful
ness
(%
ver
y or
som
ewha
t hel
pful
)
Source: National Alliance for Caregiving, “Caregiving and Technology 2010”
A day in the life: Tech-enabled relationships – meet Margaret
•Passes doorway motion sensor•Puts on wearable fall detector•Receives reminder to take meds•Gets a video call from grandkids•Requests a transportation pickup•Participates in online hobby forum•Attends online learning course
Senior living at homeLong-distanceFamily
•Makes the video call•Shares trip photos•Sets up family tree
Family/Caregivers
•Updates personal health record•Preloads medication canister•Sets med reminder schedule•Configures notification phone list•Receives home-related alerts•Enters daily activity onto portal
Healthcare Providers
•Updates personal health record•Writes ePrescription•Checks downloaded data from wearable blood pressure cuff•Answers e-mail question•Provides a video consultationCopyright Aging in Place Technology
Watch 2010
A wave of technology to help Margaret and her family
Microsoft Kinect
TelikinOptelec
GrandCare
MobileHelp
What if Margaret had dementia?
SentryGPSid
CoroHealth
Example report – sleep disturbance
Hubs – national, neighborhood - offer a lens to find services
Example sites:
DiabetesMine.com Alzheimerstore.com
MayoClinic.com
Role-based Hub-and-spoke model (Caregiver - Senior)
Need-based hub-and-spoke model (Rehab at home)
Example sites:
Alz.org
Caring.com
AARP.org/ caregving
Products Services
Devices Guidance
Shared Information
Copyright Aging in Place Technology Watch 2009
Role- and Need-based hubs will emerge and grow – who will provide?
Providing a lens to serving aging-related roles
Powering a community of shared interests
Serving caregiver family and professionals
Spanning the distance and disconnect in relationships
Building upon today’s social networks
Simple to use and intuitive
Copyright Aging in Place Technology Watch 2010
Fewer boxes, less data, more information
Referral channels should be critical Identifying and marketing to common needs» Health and home care provider» Social services» Geriatric care managers
Who goes into the home? Tablets, TVs, smart phones, wireless, with sensors and cameras in and around the home, easily switched on and off
Who connects the home and the individual? » ISP Network provider» Cable company» Security dealer or PERS reseller» Cell or smart phone provider
Applications will meet social needs: Subscription-based services – opt-in Systems to link home to outside – for health-
related monitoring or for sharing information Wearable inside and outside Passive without intrusion Discovery and finding people with common
interests Opt-in information and connecting to services
(health, safety, work) Blurred life stages – available as needed
independent of age Mobile – applications will follow the person from
home or away
Copyright Aging in Place Technology Watch 2010
Aging in place market silos have begun to overlap – in a down economy
HealthcareHome Automation
Home Services*
Home Design
AssistiveTechnology
Copyright Aging in Place Technology Watch 2011
* Example services include: Home care, transportation, geriatric care management, social services
Communication
Aging in place market silos will overlap – it’s already happening
Home automation bundles as a service will become a feature – 20% of CE vendors are now interested in aging
Security vendors will provide interfaces for healthcare devices
Carriers will offer health-apps through partners, layered on discount bundles
Remote healthcare services will partner with security and home monitoring
Vendors will band together – see AgeTek Alliance
Copyright Aging in Place Technology Watch 2010
Barriers and disconnects
Only incremental growth in tech access of oldest adults, hamstrung by current economy
U.S. adults living with chronic disease are significantly less likely than healthy adults to have access to the internet (62% vs. 81%) (Pew)
Monitoring tech and chronic disease invite the reimbursement debate and consumer distraction
New tech niches are interesting, but rarely marketed as solutions Mainstream tech like smart phone shuts out seniors Referral channels are interested, but not fully engaged Resellers are engaged, but not necessarily selling through VCs are intrigued, but not necessarily funding the small and the
weak
How large is the market?
2008 2020
20152010
Growth Rate $
Time
Copyright Aging in Place Technology Watch 2009
$2 billion
$20 billion…
•Games/Fitness•Computers/TVs•Web cameras•Smart phones•Chronic disease mgmt•Caregiving•Home automation•Mobility aids•Fall detection•Fall prevention•Car safety technology•???
