Laurie Orlov - Ageing in Place Technology Watch

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Page 1: Laurie Orlov - Ageing in Place Technology Watch

Technology for Ageing in Place

Laurie M. OrlovAging in Place Technology Watch

September, 2011

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Technology change can be daunting

Source: The New Yorker

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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?

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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

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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

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Providers

Seniors

Family & Caregivers

Aging in Place depends on connected relationships…

…Not well connected todayCopyright Aging in Place Technology

Watch 2010

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The looming crisis of care

2010 2020

55 million seniors 65+

39 million seniors 65+

*** Caregivers:

Women aged 25-44

2015

Population growth projection from US Census*Source: 2010 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs

$40K/year for AssistedLiving 2010*

Cost of care?

$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

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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

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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

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A wave of technology to help Margaret and her family

Microsoft KinectTelikin

Optelec

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What if Margaret had dementia?

SentryGPSid

CoroHealth

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Example report – sleep disturbance

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Global market potential of tech

Category Description Global Market Size

Potential Barriers/Drivers

Remote home monitoring

Environment(in home)

$US 2.8 billion by 2015

Medium Senior willingness to use

Passive activity monitoring

Sensors placed in locations

None available

Low Awareness is low

Wearable monitoring/PERS

PERS watches, pendants

$3.4 billion by 2015

Medium High age range for short term

Communication devices

Senior phones, computers, software

Mass market

Will replace senior focus

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Global market potential of tech

Category Description Global Market Size

Potential Barriers/Drivers

Chronic disease monitoring

Self-test cholesterol, BP, Diabetes

$7.9 billion 2015

High DoctorsHealth system

Med management Reminder and notifying dispenser

None available

Low unless pharmacy engages

Admin of doses

Behavioral health/brain fitness

PERS watches, pendants

$300 million

Low Driver: baby boomer fear dementia

Dementia care Wander detection

$1.8 billion

Low Barrier: provider willingness

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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

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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

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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

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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

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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

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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

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Advice to marketers: Make offering easy to buy, consume, use, get help

· Create a boomer-and-senior aware website· Test usefulness with the target audience· Narrow scope, broaden message· Imagine the functionality upgrade· Give away device and sell service · Use YouTube video to show offering in use· Add related subject matter content· Add community to the product website · Offer or refer customer to quality support· Cultivate members of other markets --

early

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Barriers and disconnects· Only incremental growth in tech access of oldest

adults, hamstrung by current economy – 15% of European older adults use the Internet

· Severe vision, hearing or dexterity problems, frustrate many older peoples' efforts (21% of the over 50s) to engage in the information society.

· 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

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How large is the market?

2008 2020

20152010

Growth Rate $

Time

Copyright Aging in Place Technology Watch 2011

$2 billion

$20 billion US…double globally

• Games/Fitness• Computers/TVs• Web cameras• Smart phones• Chronic disease

mgmt• Caregiving• Home automation• Mobility aids• Fall detection• Fall prevention• Car safety

technology• ???

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Thank you!

Laurie M. OrlovAging in Place Technology Watch

[email protected]

772-345-3725