Alexa made me write about voice. We signed up early for this Amazon Echo home control/music library accessed through a Pringle can looking box. True, it needs to be connected to broadband and yes, it needs to be plugged into a wall outlet. But it has no keyboard, only voice input through a lighted-ring of seven microphones listening, continuously learning speech patterns. What to ask this smart-aleck Alexa? Well, it turns out, it can play an amazing ‘shuffle’ of music you may have purchased through Amazon, but if you are an Amazon Prime member ($99/year), it can also play any of a million songs. And it has the ability to set up logic scripts (If This, Then That) – links between wake-up alarms and turning on the lights. Oh, and did you know that to encourage voice-tech adoption, Amazon is also launching a $100 million Alexa Fund?
Technology improvements do not always…improve. Rant on. You remember that experience in your life of turning a key and a long-ago new car just started? We expect that with technology but we virtually never get it. And we don’t complain. Much. Wireless networks in the home need a geek-or-two to get running. Smart phones require training, app downloads take time. Then slog through customization of menus, opting out of stupid defaults, and quite frightening disclosures. “Anonymous location data will occasionally be sent to Google, even when no apps are running. Agree?” Oh sure. Because it doesn’t matter whether I agree or not.
Digital tools for diabetes prevention and management. Population health statistics about diabetes are alarming health professionals, particularly concerning today with 26% of older adults having diagnosed (16% of baby boomers and 27% of seniors) and even undiagnosed diabetes. So there's no surprise – innovation is wanted and much needed. New technology startups are popping up all around to help prospective patients prevent the onset of diabetes – and/or manage it more effectively. While some research casts doubt on the sustainability of these tech interventions, that doesn’t stop new entrants from jumping into the fray. Here are six of the tools available – with descriptions from news articles, smartphone-ish vendor sites or far more informative press reports. Would seniors use these?
Does anyone remember Y2K? It happened just 15 years ago. The $100 billion in the US -- $350 billion worldwide -- that was spent to convert information systems to move from a 2-digit year to a 4-digit year, well, it seems so last century. The belief at that time: The move from the YYMM format of dates in all systems everywhere (all military, government, and commercial) in the year 2000 would create a "0001" January 1, 2000 date format that would result in disaster. Checks couldn’t be issued, military systems would fail, hospitals and power plants would shut down or off. This was preceded by sky-is-falling anxiety, particularly among IT people who bore the brunt of redirecting work to code this change.
The passion of innovation for seniors. Rant on. It’s the most I have seen in the past five years: the halo that surrounds finding new companies that could, perhaps, help older adults, even if they were designed for some other purpose. Many assess them, invite them to networking events, cultivate and encourage their expectations about future opportunity and even award them prizes. The criteria for selection/participation of these entrants are not always disclosed, but phrases about criteria are on the sponsoring entities' websites. New entrants will "have an already developed, scalable and financially sustainable product/service" or they will be "capable of scaling" or they will judge "how easy is it to get the product?" Or the product/service will have "sustainable competitive advantages, positioning or efficiencies." So you might be persuaded that the companies that enter, apply, win, or gain investment must actually exhibit these characteristics.
The more innovation there is, the more some things don’t change. Stroll through this Aging 2.0 Summit link – and you will see pages of logos of new, newer, and newest companies trying to make a technology or product that could be used to serve seniors – or perhaps help those who serve them. Or the AARP Health50 Live Pitch, or the Stanford Longevity Design Challenge or the Quintiles competition at Wake Forest in North Carolina. Yet again and again, the question bubbles up – can firms make money creating and selling technology or other innovations specifically designed for seniors?
Everybody off the bus -- the last convention for AARP. Last week’s Life@50+ National Event in Miami was reportedly the last time AARP will produce one of these national entertainment-filled conventions with speakers and tracks for all interests and crowds of boomer-and-beyond women (mostly, based on observation) -- volunteering to pack lunches, climbing onto buses, and basking in the Florida sunshine. The health-focused startup Live Pitch event on Thursday heard 4 minutes from the 10 finalists, 2 minutes from five Florida-based startups, and short 1-minute pitches from alternates from each of those. Judges selected Splitsecnd, a portable device-plus-service for automatic vehicle crash tracking (similar to GM's profitable OnStar, but currently vehicle brand-independent). The audience voted for Audicus (for buying lower-priced hearing aids online) and Constant Therapy (a mobile solution to help patients improve brain function after stroke or brain injury.)
In tackling aging with tech -- interesting few weeks. Sometimes odd things happen in sequences that beg a backward search for meaning. So let’s recap: within the past three weeks, Silicon Valley VCs invested in a presumably tech-enabled home care agency, Apple and IBM coughed up 5 million iPads for Japanese seniors (to “tackle aging”), and the US Senate held a hearing on the benefits of technology for those aging at home. Some might see these three disparate events, when viewed together, as a trend that shows how tech, big companies, and public policy are all coming together in an age-related trifecta of tech transformation. Whew!
Are ‘drop-in chefs’ an alternative to assisted living? Some headline writers saw an opportunity – and some ran with the title even though the original NPR story stepped back a bit and said ‘help seniors stay in their own homes.’ You probably have heard that cost-sharing is an alternative to assisted living. Or sharing your home with roommates through Room2Care, with the founder wisely observing “Not everyone needs to be in assisted living.” Or let’s take Granny Pods – are they an alternative to assisted living? Remember these – prefab back yard cottages fit up with computers to provide medication reminders? Or maybe Information Week’s Eight Technologies provide an alternative to assisted living -- the article said ‘changing home health care,’ but web designers know SEO and threw in 'assisted living.'
Competitions abound – all need groundwork. Just a few years ago you might have noticed that there were few business plan competitions for products and services targeting the older adult market (the Silicon Valley Boomer Venture Summit begun by Mary Furlong in 2004 was a rare exception.) When its Letter of Intent page appeared at the end of 2011, CMS innovation grant applications included technology submissions behind the scenes, in partnership with non-profits and healthcare delivery organizations. Then came the $1 billion round two announced in December 2014 – and with that, multiple other tech solutions were included to help deliver significant changes, including health information exchanges, patient engagement, the emerging field of population health, and today’s CMS reimbursement for telehealth. With these approvals, CMS effectively laid the groundwork for many of the firms that compete today in health segments.
