Technology 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) CategoryAll Boomers (50- 64) Seniors (65+) Comment/ Example Online79%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) CategoryAll Boomers (50- 64) Seniors (65+) Comment/ Example Have cell phone 85% 58% all adults …Smart phone 35%24%11% all adults Internet calls24%19%18% all adults Have E- Reader 12%13%6% all adults Have a tablet8% 2% all adults Have mobile health app 9%6%5% adult cell phone users

Four aging in place technology categories Communication and Engagement Safety and Security Health and Wellness Learning and Contribution , 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 learning Volunteer, work Copyright Aging in Place Technology Watch 2010

Aging status changes vary an individual’s needs over time Home Safety Personal Status Personal Safety Personal Health Personal Medical Status Time Independent Frailer Alarm system , phone, Video, chat PERS, Fall Detection, Home Monitor Medication Reminders, Wellness Guides 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 million seniors 65+ > 40 million seniors 65+ *** Caregivers: Women aged Population 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 Assisted Living 2011 * 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

Four aging in place technology categories Communication and Engagement Safety and Security Health and Wellness Learning and Contribution , 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 learning Volunteer, work Copyright Aging in Place Technology Watch 2010 Caregiving

Proportion of 65+ Who Use Personal Health & Wellness Tech? Source: AARP 2.0, April 2011 (Base = 940 responders age 65+)

Proportion of 65+ Who Currently Use Home Safety Devices Source: AARP 2.0, April 2011

Overall willingness to pay, total per month, all devices: Source: AARP 2.0, April 2011

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 home Long-distance Family 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 question Provides a video consultation Copyright Aging in Place Technology Watch 2010

A wave of technology to help Margaret and her family Microsoft Kinect Telikin Optelec 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 ProductsServices DevicesGuidance 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 BigScreenLive SoftwareBigScreenLive To GoComputers for SeniorsLarge MonitorsTouchscreen MonitorsEasy KeyboardsTrackballs and Mice Special Offers BigScreenLive Products & Accessories BigScreenLive is software you install on a Windows computer with a 17 inch or larger monitor. Learn more about the BigScreenLive product on our BigScreenLive Software page or select one of the images at the left, get started with a free no-obligation Trial Membership, or look at our Gift Ideas for Seniors. BigScreenLive SoftwareTrial MembershipGift Ideas for Seniors We don’t make a special computer for Seniors. However, the links on the left side of this page can help you to get a computer, touchscreen or large monitor, keyboard, or trackball/ mouse that works well for seniors.computertouchscreenlarge monitor keyboardtrackball/ mouse privacy policy copyright © 2009 BigScreenLive. all rights reserved. hom e view cart my account order status Hom e How it works Get started Supp ort User stories Prod ucts Sig n in Terms & Conditions Site Map BigScreenLive Blog about us contac t us Copyright Aging in Place Technology Watch 2010

Aging in place market silos have begun to overlap – in a down economy Healthcare Home Automation Home Services* Home Design Assistive Technology 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? 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 ???

Thank you! Laurie M. Orlov Aging in Place Technology Watch