Wednesday, May 30, 2018

Health-Care tech for seniors – not well served by the Wall Street Journal

Skip the tech – listen to the experts interviewed – first robots.  The good news – this week’s Health Care Technology supplement transcended the limits of doctors and hospitals – and dabbled in the dilemmas of elder care – included technology to assist those with dementia and mitigate loneliness.   Another in a long line of ‘robots and chatbots look after the elderly,’ with promotions of those oft-promoted Care.coach and ElliQ, adding Catalia Health’s cute Mabu. These are worthy experiments – and not wanting to be left behind, there are always health organizations eager to see what the fuss is about. Says USC researcher, Maja Mataric: "Robots give patients the illusion of having a physical companion…it isn’t actually very hard to project empathy (Mabu)...Empathy is what you do, not what you feel."   Really?  How comforting.

On to dementia – those assists from technology – starting with the smart home.  So the tech like home sensors, smart phone apps, tablets, smart pill boxes – aim in this article to help a person living independently (presumably alone).  There’s a sizable graphic from the University of Montreal that shows the placement of smart sensors in a home to track the movements of a person with dementia.  Possibilities? Says Dr. P. Murali Doraiswamy from Duke: "Tech has the potential to help preserve independence…Ultimately we want nursing homes to disappear. We want people to live peacefully in their own home."   But says Dr. Jeffrey Kaye of ORCATECH, "The reality is the evidence that any of this helps or works is very thin."  Okay.

Keeping in touch – smart phones and tablets.  Research often reinforces the utility of technology already on the market and applied to the topic.  Consider that a British consortium is testing whether a smart phone app that launches several times per day and asks how a person is doing. Dr. Martin Orell, head of the project: "The goal is to examine not just what people are doing, but how they are coping." And in Amsterdam, tech that reminds people about which day it is helps to better orient them in the present and keep in touch with relatives. "We must be cautious about the role of technology," says Dr. Melland in Amsterdam, because "often a caregiver still may be needed to help the patient use it."   Yes, and also to provide care.

The problems, the tech, the pioneering university researchers?  Sadly, nothing has changed -- just the names of the university programs.  As for the categories, the tech in this article may be useful for the alert elderly and/or their in-home caregivers. But nursing homes, locked units in assisted living – they will continue to exist, despite Dr. Doraiswamy’s hope. Why? None of the tech referencing dementia care tackles the disorientation, wandering and self-care decline of actual dementia. Medication dispensing tech has been around forever – and must be managed by someone who knows what the dosages should be.  Meanwhile, there are commercially available offerings (no research university needed) to manage a smart home, monitor and manage meds, issue reminders, and even provide in-home social interaction through a tablet, a smartphone, or even by speaking and playing music.   



from Tips For Aging In Place https://www.ageinplacetech.com/blog/health-care-tech-seniors-not-well-served-wall-street-journal

Tuesday, May 15, 2018

We are the guinea pigs in cars and online

Too much road noise, no self-driving information.  So how safe are self-driving cars for us, those pesky consumers who are also the victims of this tech for tech's sake?  Ask yourself – how would you know? Even the NTSB doesn’t want you to know details of accidents involving Tesla’s Autopilot.  Let’s remember the so-called problem being hustled into the market -- to reduce deaths from auto accidents. They are astonishingly low already, according to a Rand study, at 1 per 100 million miles traveled. According to the Wall Street Journal article, Tesla promised to release safety data on its self-driving tech regularly starting next quarter, though they have not said what sort of data and what could be gleaned from it -- in advance of another series (see link) of crashes.

Despite media exposure, Facebook is opaque. Facebook suspended 200 apps today that may have collected boatloads of user data.  What apps?  Oh, well, Facebook won’t say.  The inability to leave (or de-activate) Facebook following the so-called scandal has been as much about what others do -- or don’t. But have people really left?  Or have they just read websites telling them how to leave?  Even though half of people in a recent survey said they might leave, it’s still very popular among all age groups.  Not unreasonably, that could be because, as Mark Zuckerberg observes, it has no real competition.  And no, Instagram doesn’t count – since that is also a Facebook business.  Does it matter who deletes?  As the earnings announcement shows – so far, not really.

Digital health tech for providers and consumers, current status is bleak. The hype masks your experience at the doctor’s office, where the waiting room is likely still clipboard-intensive, with multiple pages of profile questions -- after all these years. We may have online access to our tests results – but only those that are from the same system. And the adoption of digital health by providers – 44 % non-adoption in hospitals.  As for consumers, 82% do not use telehealth, explaining why patient depart hospitals with CDs of the medical record.  Could it be because there is no interoperability between health systems used by doctors and multiple hospital systems?  Now consider those older adults with dementia, rushed to an emergency room and note the quantified poorer care they are likely to receive.     

Online banking – the service ledger for consumers is still out of balance.  As banks pick up the pace of branch closures, surprise, people still need to periodically visit a bank. More to the point, they may WANT to visit the bank. Watch workers line up on Friday at a bank to cash their paychecks. And no, they are not doing online banking photo deposits.  For those who note their branches are disappearing, there may be hope.  Millennials like going to banks – so some banks are opening more of them.  Note the trend towards Do-It-Yourself Fraud controls – turning off your credit or debit card from your phone. Will fraudsters buy in to this, uh, trend?   



from Tips For Aging In Place https://www.ageinplacetech.com/blog/we-are-guinea-pigs-cars-and-online

Wednesday, May 9, 2018

Aging in Place Technology – Four Blog posts from April 2018

April showers, daffodils and other flowers.  Depending on where you went in April you could experience spring multiple times – each time buds and birds emerging. With them, much news about technology, the good, the bad, the ugly, and the smug – not sure that so much time to look at and listen to Mark Zuckerberg’s confession felt like a positive.   It did make one wonder how long Facebook has known which of its “2 billion users” are the 87 million fake profiles – and are those counted in the data used by advertisers?  At any rate, here are the four blog posts from the month of April.

Time to worry much more about data privacy and profiles. The irony, the irony – everyone saw Europe’s data privacy initiatives.  Why has this taken so long here? In a word – lobbying. The congressional hearing droned on. Mark Zuckerberg tried so hard not to sound condescending towards his techno-light questioners about the so-called ‘Facebook Scandal.’ Which could have been the Google scandal, the Twitter scandal, or eve Amazon -- consolidation of industry players and using the data to sell them (or make ads ‘more effective’) or as with Amazon, sell them more stuff. The real scandal? Not the Cambridge Analytica role, which didn’t exactly sneak around in the long-time and paid analysis of Facebook data. The real scandal might be last year's $30 million of lobbying spent to avoid controls (and user protection) actions like those in process in Europe. Learn more.

Moving beyond the pilot -- technology, services, organizations. Search for the word ‘pilot’ on this siteThat is an interesting search – pages and pages of Start Me Up pilots in tech, programs, initiatives large and small, all linked, no doubt to corresponding media spend and press releases.  Think back on the cycles of tech deployment.  Remember the Alpha test, when the product barely worked at all.  After those bugs were uncovered by testers who had scripts designed for successful outcomes, it is time for the Beta test – where selected prospective users are identified, put the offering through its paces, under an assumption that the pilot will be converted to permanent deployment. Learn more.

Technology design for all -- predicted in 2011, in-market in 2018.  A long time ago (7 years this month) in a tech world far, far away, a report sponsored by then-AARP executive Jody Holtzman predicted that technology change would deliver a new user experience. The concept was referred to as "Technology Design for All" -- defined as 'User experiences that appeal to all age groups, persisting across versions and devices.'  According to the report Connected Living for Social Aging, which was published 7 years ago this month, the future was predicted. It is worth a look back -- note that it did happen just as described. Consider smart speakers (the Echo was launched in 2014), IoT boxes, phones, tablets, PCs, Macs and all cloud-based software.   These work without the need to download and upgrade on Patch Tuesday, though privacy improvements are the next big technology hurdle.  From the report, with the chart giving an italicized nod to tech of 2018. Learn more.

Five Technology Offerings for Older Adults. Tech companies and their partners continue to propel forward, with new ideas, innovations, products. Consider that April offered up the winners of the Stanford Design Challenge – a computer-integrated bicycle handle with blind spot warning and fall detection and emergency alert. Stay tuned for more innovation events upcoming, including the new business plans presented at the 2018 Silicon Valley Boomer Venture Summit in June. Learn more.

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/aging-place-technology-four-blog-posts-april-2018

Tuesday, May 8, 2018

Let’s talk – what’s actually happening with Voice First adoption?

Smart speakers – they seem to be the new, new thing.  According to eMarketer’s new report , 40.7 million people will use a ‘smart speaker’ at least once in any given month. Because there is competition now, primarily from Google, the market share projection for Amazon (which ‘shipped tens of millions of devices at Christmas’) will drop from 66.6% to 60.8% share by then – and Google Home-related will rise to 30%. Other than Amazon and Google – “Other” will grow from 8.3% to 14%, which presumably includes Sonos, JBL, Harmon Kardon and other entrants. Does this matter? The split is less important than the growth in overall adoption, not because this is the coolest of new gadgetry, but because the user interface is finally improving and matching the way we think -- after many years of deteriorating screen-based UIs that, on a good day, are just plain annoying.

An assistant makes a smartphone smarter. Also, let’s assume that the millions of Galaxy S6, S8 and S9 owners have all downloaded Google Assistant – a very clever Voice First app that has a bigger search breadth than the Echo product line, or at the very least, is scoring well at answering somewhat geo-specific or fairly dopey questions.  Should most of us care?  Probably not, unless the device is a smartphone – there Google Assistant may be smartest. Alexa is missing a portable device, and Siri is apparently not worth listening to, but especially on the new HomePod.  New products arrive in the market with a thud -- like Samsung's Bixby (getting smarter soon) and Cortana -- perhaps Microsoft left it for dead. 

Terminology is confusing and obscures what is happening. Smart speakers are hardware devices (like the Echo or Google Home) that run software (like Alexa or Google).  Whoever made up the term was splitting out the hardware from the software – like Alexa or Google Assistant. Both are also software that can be downloaded onto smartphones from the Play Store. Even Apple fan boys (and girls) can run (and may prefer) Google Assistant on their iPhones as compared with Siri.  If we could really see the sum of all usage of voice-enabled technology, what would the grand total be?  And if someone knows that total, can they speak up?

Consider older adults and the benefit of speaking up -- so to speak.  Note the option of speaking to a device instead of tapping/pinching/zooming or typing on an auto-correcting and blooper-prone small keyboard. Hmmm. So what can we conclude when it comes to the predicted adoption of voice tech by older adults?  The eMarketer report has ever-so-rare survey (below) with an age breakdown that offers a clue, but what is the real number?  And see the ComScore chart about top use cases -- confirmation that this market has yet to mature. So think about it. What products or services today do NOT have an option for you to speak a request?  Cars are full-voice aheadAppliances – working hard on it. Home automation, aka Smart Homes, same.  Fifty percent of the 65+ population now has WiFi – and can acquire a ‘smart’ speaker or just speak a command or question to a smartphone. Some worry about the loss of privacy from always-listening devices in the home. Consider that every single other device and software you ‘trust’ today has already been hacked (and that’s just in 2018), not to mention the rampant theft of health-related data

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/let-s-talk-what-s-actually-happening-voice-first-adoption

Wednesday, May 2, 2018

It's not about your grandmother - 10 steps before launching!

You want to launch a boomer/senior, home health tech, caregiving, product or service. Or other. Your new company gets ready to travel into battle for west coast networking, or you're back from San Francisco or Silicon Valley, consider this guidance, now that cards have been exchanged and follow-up emails sent. Soon your new or existing company will officially launch a new product or service, or a much-anticipated offering will finally ship. You read AARP and Pew survey research reports.  Now look over this 6-month-old updated checklist.  And you look back on the 2009 advice – which is still valid, especially about creating community around the product – more important than ever. And as for item 6 in this post, THIS MEANS YOU!   Really now, are you ready? 

1) With every new launch, is there a press release? A single release is inexpensive on Business Wire or PRNewsire -- content that will surface on newly-created Google alerts long after the launch date -- and may live on somewhere even after the company is long gone.  Not a PDF file attachment, not a Word file, but a viewable (online) press release with links, kept under 1 page, that is found under your website category of PRESS, MEDIA or NEWS. Ideally the date of this release is within the last year. Descriptive titles are a must -- multi-line titles are ridiculous. To be perceived as an ongoing concern and not have viewers speculate about whether the company is still in business, a press release should be issued for every significant business change, including new executives or customers, moves to new offices, etc., with at least one in the past 3-4 months. If the firm has exited from its previous or current business, please, please, PLEASE remove the website – or leave a placeholder saying the company is now part of another company (see Lively and Healthsense) and then redirect to the new site. Delete content announcing an upcoming presence at 'future' events that have happened long ago.  

2) Is the website crisp and appropriate for smartphones? Start with the home page that has modest and friendly graphics and images (not a ransom note with 27 different font size and colors) to identify what the product or service does or is. Don't lead with fear-generating images or force the viewer to watch that noisy auto-played video. If you want the reader to recognize that older adults are key to this market, don't limit the site to pictures of children (even if families could also benefit).  Make sure to specify how it works, for whom, with multiple tabs for multiple markets, and device-appropriate viewing. And what if anything can be differentiating (mobile, self-install devices, no-install software, cloud-based, integrated with other health-related data, wearable or no-need-to-wear, works with any phone, leading call center supported, etc.). To encapsulate the impact of a product, very short videos (< 30 seconds) are good, videos of actual use are best. Unless the customer is an IT buyer, forget about putting the architecture diagram near the home page.

3) Are you well-prepared for that expensive upcoming tradeshow?  Look over this list of advice for preparing for a tradeshow event -- the first question is critical -- why am I participating in this show? Okay, you've made it past that, and now have a step-by-step plan for the show, likely assisted by your new PR firm. Trade shows can be bleak places for startups -- consigned to the back of the exhibit hall without an onstage presentation that can drive people to the booth. These days, there may be no printed guide -- just a mediocre downloaded app -- that shows where your booth is positioned.  Consider the attendees that deleted the app right after the show -- time to find those collected business cards, search the web for write-ups, and need for follow-up. 

4) Can you get even a short article or mention in a publication? You're launching a business -- and the local business press is looking for entrepreneurs to write about who can make the home town folks proud. This becomes Article-1 under the In the News/Media section of the website.  Article-2 will be a news item placed by others about your company and its partnerships; article-3 will be about customers or presentations by executives at trade shows and how boomers -turning-senior will change the market landscape forever (or something similar). Imitation is the sincerest form of flattery – so pick an approach of a company you admire – and follow their structure for news and media updates. And finally, don't forget about this section a few months later -- it's not good to click and see rapidly aging news -- or search for the company and find that it is shutting down

5) Is the actual product or service going to be available near term?  My definition: by the official launch date, some stages of evolution are complete or within a few weeks of completion. For example, there's a working prototype (i.e. no known installation or operational defects); there are identified manufacturers; committed partners; an initial pilot is completed to validate usefulness; the pricing is clear; power requirements are clear; the software works; the product registration and installation processes have been established and validated. It's not okay -- and I would argue a waste of money -- when the product or service can be described, you can do a demo, but resellers and customers won't be able to get their hands on it for 6, 9, or a number of months later -- only to see the investors or prospective partners involved lose interest. 'Pre-order' (see iPhone), 'Join the waitlist' and 'Estimated' announcements can predate progress by many no-end-in-sight months or yearsAccepting pre-orders in Indiegogo and elsewhere is a well-oiled visibility tactic, even for established firms. Hopefully the ultimate offering on whatever date doesn't result in the inappropriate expectations

6) Software vendors -- design with market input -- not your grandmother's! Prospective B2B buyers are jaded -- they've seen many variants of software, for example, for home care services, senior housing, or non-profit segments. Despite the fast-follower mania in home care marketplaces, these are not industries ready for 'if we build it, they will come'. And I hear too many entrepreneurs say the following: "In my personal experience, my family had issues with (fill in the blank) with my own (grand)parents, therefore my offering will address those issues by (fill in the blank)." For most participants in the aging-related industry, a personal experience underpins the enthusiasm to be in this emerging space. If that describes your company, shake it off -- validate prospective value through interviews, surveys, and then follow with software design or website walkthroughs -- before casting the solution into the concrete of release-ready code or product.

7) Service providers and retailers -- what's different, who will buy, at what price, where do they live?  The PR firm generates an inbox filled with "we are introducing a new service for (pick one -- finding caregivers, housing, helping families, guiding seniors) that will be the first comprehensive guide/service to (fill in blank)". But really, there is no need to do a nationwide media launch of a service that is initially only available within a single geographic region or has a come-on-in website but the offering is not available. And don't be like the abruptly defunct and long-evaporated WellCore, a presumably consumer-oriented technology that could be pre-ordered before the bugs were debugged -- but launched at a long-ago CES with great fanfare. We should know better: if something sounds too cool to be true -- is it a new flutter of smart-home fluff - or is it a Best Buy reincarnation from a prior life?

8) What's that category -- and is it part of a larger home ecosystem?  If there is a trendy new ecosystem, should your offering be part of a large firm's aggregated suite? It helps press, analysts, investors, prospective partners and resellers understand the category placement. Why is this new, new thing Not Like or Is Like the Others? This should not have to be teased out from a sea of obfuscation and inappropriate terminology. Is this a home health care service or a companion care service? They are licensed differently -- does the firm offer both at different prices? Is this a tool for chronic disease management (not exactly 'wellness') or is this one for tracking a fitness regimen (sounds like wellness)?  And medication (reminders? dispensers? advice on drug interactions?) management, compliance, adherence? Finally, as with fall detection, is this product really a feature of other product categories like fitness or is it viable on its own as a solution? As with variants of sensor-based home (health) monitoring, is this a category or part of a solution (even if it is renamed IoT)? And if this is the revival of a previous movement, like smart homes, or if it fits into a larger ecosystem (AppleAmazonGoogle, etc.) Is your offering better or worse at protecting user privacy and data your firm needs to collect?  Ad is there a service level with a call center?

9) PR team -- please do the research in case your clients don't tell you much.  Today, it seems that prior to attending the first networking event, funded startups may engage the PR firm to clarify the messaging, set up the meetings and follow up afterward. But in the category of baffling, I've received requests to tell me all about a vendor, an offering, a launch that I've already written about or mentioned for months (or is even one of my clients). Just because it's Day One for you, the PR firm, and you're really new to this space, doesn't mean that your client and offerings are heretofore completely unknown. Please search online first. Perhaps you are helping to inform about a new release -- and the news is actually new. Or it is not new, just repackaged under a new category (not monitoring, it's IoT!). Just know what has preceded it -- and build upon prior activity. Anything else reflects poorly on the company that hired you. 

10) As for the non-launch launch, what if market interest happens anyway? Occasionally it really is day 1 and you didn't do any of the above steps -- maybe because you just won a prize. You have no market visibility, no website presence, but you've networked at an event and may even be creating a category from scratch. Or suddenly you are called by a nationwide media outlet because a friend of a friend is friends with a reporter.  Can you offer up a customer or user to interview, can you say how your offering fits into the marketplace (current use of your product, who are other players, market size if available, and target audience)?  And most important, can someone in this very needy market actually buy that robotic cat? (Good answer: Yes).  If you're not ready, say you're not ready. You know that there is a gap in capability in your target market and your company is just the right company to fill that gap -- and even better, do it with software on an existing platform. No need to rush or launch too early -- because that's the thing about an emerging market to serve an aging population. The customer segment will be around for a very long time. This time let's not disappoint them

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/its-not-about-your-grandmother-10-steps-launching