Tuesday, December 31, 2019

The most-read tech and aging blog posts from 2019

Voice First -- The year began and ended with speaking.  And shouting. Strolling is not the right word, but as we approached the Las Vegas Convention Center last January, Google Assistant was on giant billboards all around – with competing and nearby giant Amazon Alexa signs.  We are attending again this year – and I cannot imagine what is left to say, so to speak. But I am sure the blaring will begin at the door. Here are the most read blog posts from 2019.  Happy New Year – and onward to 2020, the publication of the now-completed Voice, Health and Wellbeing 2020 on Monday, January 6th, and so many more (and counted) CES steps -- more wearables, virtual experiences, smart and not-so-smart speakers. See you there!

Ten Technology Offerings from CES 2019 – Beyond Gadgets. Bright Lights, thick smoke, constant walking and avoidance maneuvers.  After taking a year or two off, returning to CES is a chore and a revelation – it clearly is the major event for new technology announcements. Gadgets, yes, too many smart wearables, including underwear, too many near misses of being run over by gangs of oblivious young guys staring at their phones. If there was a key trend in all of this racket, Sleep has become a tech obsession, the uptake of Digital Health is almost here, new variants of companions and assistants were pervasive, including Google Assistant inside everything ad Amazon voice devices everywhere.  Read more.

Real seniors lack essential technology. When Pew stops tracking senior adoption, does that imply a market saturated?  Note this Fact Tank aggregation of technology adoption statistics (tech overall among seniors, last reported in 2016) – and the most recent data cited on Internet use, seniors were quoted in a 2016 survey, 44% of responders did not use the internet. Of those that do, older adults aged 65+ said they had little to no confidence in their ability to use electronic devices to perform online tasks.  Let’s think about their non-confidence (not broken down into the 65-74) and the 75+ who are the Real SeniorsRead more.

The Apple Watch and fall detection -- what about it? When Apple speaks, a puzzled market listens. When Apple announces, industries crane their necks to hear. Last week they announced two features of a new watch, ECG monitoring and fall detection. In July, Tim Cook apparently did not want to get into the world of FDA regulation. Well, that was then – or he just wasn’t saying. In this new watch, both the ECG feature and fall detection have received FDA clearance within 30 days of applying, startling some observers who noted that closer to 150 days was more typical for a medical device.  Healthcare observers are concerned that false positives from ECG readings could propel people unnecessarily to already-overloaded Emergency Rooms. To date, the Apple Watch may have been of greatest interest to 40 year old males. Interestingly, 70% of cases of atrial fibrillation are among the 65+ population.  Does Apple really want the 65+ population to buy an Apple watch? Read more.

Whatever happened to Tech-Enabled homecare?  Past venture capital investment in home care boggles the mind. It seems only yesterday that Tech-Enabled Home Care was published – with that wonderful Forbes graphic "Why VCs Care More About Home Care."  The Forbes article noted the $200 million invested just in 2016 -- with big money that year putting $60M into ClearCare, $46 million into Care.com and $42 million into Honor as next in line.  The VCs cared, all right – if that money was an indicator. But were they smart? Did they change the dynamics of the home care industry? With smaller investment that year, it's good to see that Envoy (concierge service for independent living), Kindly Care (home care agency), Caremerge (home care platform), and Seniorlink (care coordination) are in their same businesses from 2016 – and others from the period like Envoy and CareLinx received additional investment and moved forward. What happened to other Forbes rock stars? Read more.

Fall Detection -- the more things change…Who would have thought that fall detection would be added to a hearing aid?  Or that Apple would produce a watch with built-in fall detection, automatically activated for the 65+? A decade ago, before our very first Market Overview, Halo Monitoring launched a wearable fall detection chest strap, realizing the press-the-button PERS devices might not be enough to keep older adults safe – what if they weren’t wearing it?  That dilemma, of course, has helped drive some innovation in the medical alert industry, estimated at $3 billion annual revenue. In fact, MobileHelp, one of the first mobile PERS devices, acquired Halo Monitoring in 2012 – a good move for both, especially since by 2012, it was clear that fall detection by itself was not yet a market category hit. Read more.

Five Fintech Offerings for Older Adults. FinTech – are these tools for seniors?  Some trendy terminology transformations in recent years, for example Voice First and IoT, refer to tech that is relatively new or recently revived.  FinTech, a concatenation of Financial Technology, may be similar.  The category has been generally described as software "designed to be a threat to, challenge, and eventually usurp entrenched traditional financial services providers with the purpose of being more nimble and serving an underserved segment, or providing faster, better service." The next quote sounds a bit ageist, if likely true: "As for consumers, as with most technology, the younger you are the more likely it will be that you are aware of and can accurately describe what FinTech is." Looking at a list of top FinTech companies, one might laugh at a company called Robinhood. Don't laugh, though. Charmingly named, Robinhood, which offers free stock trades, is worth $5.6 billion and has more accounts today than eTrade.  Read more.



from Tips For Aging In Place https://www.ageinplacetech.com/blog/most-read-tech-and-aging-blog-posts-2019

Tuesday, December 17, 2019

Sampling technology for managing diabetes

Diabetes is a critical health problem.  More than 30 million Americans have diabetes – but 23 million of them, according to the CDC, are undiagnosed. Today, the obesity rate for adults 60 and over has risen to 41%. It is estimated that 30% of the overweight adults have diabetes – and most diabetics are overweight. Another third of the adult population has pre-diabetes – including 23 million of the 65+.  A survey of technology offerings reveals a plethora of apps and information sites, not to mention devices that are part of the diabetes management equation. So what technologies are viewed as useful for the millions with diabetes? Here is a sampling:

Apps: Nutrition tracking apps for monitoring diet and blood sugar (from Healthline) include Glucose Buddy, DiabetesConnect, and SugarSense.  Health2Sync (‘round the clock diabetes care’ provides a logging tool as well as encouragement. In addition, apps that help educate individuals with diabetes include Fooducate, which explains the sugar and carb content of various foods. The tracking of blood sugar has been gamified in MySugr, which has at least 1 million users in 52 countries.)

Information sites: Healthline also offers a list of the best diabetes blogs (curated) of 2019 and another blogsite that aggregates a longer list.  List of ‘hand-picked’ diabetes websites noted in Diabetes Gourmet Magazine, and information sites from Johns Hopkins (Guide to Diabetes) and the American Diabetes Association website.

Coaching: Numerous websites offer online, remote coaching – like Omada Health, Diabetes Strong personal coaching, Integrated Diabetes Services, and reversing Type 2 Diabetes (Verta) and studies that demonstrate reversal, even without weight loss.

About Glucometers: Comparing glucometers from AgaMatrix, MPR, Top 10 Reviews and an article that questions the accuracy of 18 different glucometers, as well as a scientific article that recommends the standard for accuracy (error threshold) be revised.

Continuous Glucose Monitors (CGMs):  Beginning in 2016, the FDA began approving Continuous Glucose Monitors. According to Managed Care: “Continuous glucose monitors have sensors placed either on the arm or abdomen that read glucose levels in the cellular fluid just under the skin. The sensors, ranging in size from a penny to a stack of two quarters, are held in place with adhesives. A tiny needle built into the sensors is pushed into the skin.”  By 2018, had approved Dexcom’s G5 Continuous Glucose Monitor, Abbott’s FreeStyle Libre CGM, Medtronic’s Guardian Connect, and Dexcom’s G6. These were followed by Eversense in 2018 and Senseonics in 2019. 

Smartphone accessories: Combining glucometer with iPhone case (Glu), iOS smartphone accessories/gadgets and the Dario smartphone meter toolkit (iPhone and Android).  There are also a variety of Medic alert offerings for Type 1 diabetics.

Managing medication adherence. As many as 50% of those with diabetes do not take adequate medication to manage their blood sugar, accounting for $24.6 billion in avoidable healthcare costs. Although some would say that Americans take too many pills, for many, medication is critical to health and wellbeing—especially diabetics.  For those taking pills for managing Type 2 diabetes, locking medication containers from MedMinder Pharmacy or Philips may be useful.

Data-driven diabetes care: Smartphone synching of readings with clinical content and support systems – can used as research tools and ways to improve care (Novo Nordisk, IBM Watson/Medtronic, Glooko).

Innovators in Diabetes Technology mid-year 2019: Low-cost Continuous Glucose Monitoring (see #5), Digital Skin Patches (Nemaura), smart insulin pens (Gocap and InPen, NovoPen (NovoNordisk) disposable pre-filled injection pens and by November, 2019, sensor-augmented pumps from Tandem and Medtronic, the Omnipad DASH continuous insulin pump, the Tidepool Loop (development initiated by diabetes patients).



from Tips For Aging In Place https://www.ageinplacetech.com/blog/sampling-technology-managing-diabetes

Wednesday, December 11, 2019

Five Technology Offerings from the Washington Innovations in Longevity Summit 2019

The second year of the Summit tackled issues in town and far away.  In the portfolio of the 2019 events produced by Mary Furlong and Associates, the Washington Innovations in Longevity Summit is relatively new, in its second year. But it is unique in its objectives – topics spanned the regulatory environment and included insights and innovations outside of the US.  The event capitalizes on the presence of numerous Washington government agencies, including National Institute on Aging and HHS, as well as representation from DC-based organizations like NCOA and AARP. This event was keynoted by AARP’s Executive VP Nancy LeaMond and George Vrandenburg, Chairman of UsAgainstAlzheimer’s. Here are five of the technologies that were presented and discussed at the event:

Audio Cardio. "Our patented and clinically proven Threshold Sound Conditioning™ technology generates personalized audio therapies to help stimulate and strengthen your cells. AudioCardio™ quickly assesses your hearing and delivers a once a day, one hour hearing therapy for your ears. TSC™ technology detects the key frequencies that have lost sensitivity (commonly due to noise exposure and aging) and exercises them with personalized sound signals." Learn more at Audio Cardio.

Camanio Care. "Camanio Care is a care tech company that develops innovative solutions for a good care at home with the individual in focus. Camanio Care offers digital service platforms for digital care, robotics, assistive devices and gamification, with products such as Camanio Smart CareBikeAround™Bestic® and Giraff™. Through three focus areas; Active Life Mealtime and Digital care, Camanio Care wishes to support people's basic needs and increase accessibility and quality within health care." Learn more at Camanio Care.

Megilla. "Megilla is an online video-storytelling platform where you can tell your life story on video - one question at a time.Basically, you need a computer or device with camera / audio capability -- then you can record videos from your devices by answering questions and talking into your camera. Click “record now” and tell your story. If you see a question you like but want to answer later, click “save to my list” and it will be saved in a ‘shopping cart’ of sorts under “My List” you can access anytime. If you want to share any videos with someone, you can email those videos directly from the site without creating an additional email account." Learn more at Megilla.

Outpatient. "Outpatient is a mobile app for patients and their families to coordinate logistics, communicate and adhere to care plans. Outpatient Inc is a venture-backed startup that's building a platform to help families and patients manage their healthcare in a modern and unique way. We're experimenting with messaging, NLP and machine learning to radically improve the overwhelming logistics of health care. To the family - We understand your challenge, the numerous decisions you have to make while also managing the rest of your life. Outpatient is here to simplify your world. To the medical provider - Outpatient translates to improved efficiency, higher reported satisfaction and greater adherence to your care plan." Learn more at Getoutpatient.

TCare Inc "Tailored Caregiver Assessment and Referral (TCARE) is a care management protocol designed to support family members who are providing care to adults, of any age, with chronic or acute health conditions. The comprehensive system includes software, assessment tools, decision algorithms, and a training and technical assistance program. TCARE is grounded in the Caregiver Identity Theory, which conceptualizes caregiving as a series of transitions that result from changes in the caregiving context and in personal norms that are grounded in familial roles and culture. Learn more at TCare.

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from Tips For Aging In Place https://www.ageinplacetech.com/blog/five-technology-offerings-washington-innovations-longevity-summit-2019

Wednesday, December 4, 2019

Voice, health, wellbeing -- notes from January 2020 report

Is the healthcare consumer ready for voice assistants? Not quite.  There is a technology overhaul underway – the biggest change in user experience since the introduction of the web browser in 1991. Voice First technology – the ability to use natural language to speak to and be spoken to by devices and software – has become at least one mandatory user interface in every business and consumer interaction.  From Voice recognition technology to Smart Speakers to Voice Assistants, it is now pervasive – in the year 2020, 50% of all searches will be by voice. From a sheer quantity standpoint, the plethora of devices from Amazon (claiming sales of 100 million gadgets at the end of 2018, plus a dozen new ones introduced for the 2019 holiday sales period) captures the stampede nature of the market.  However, by end of January, 2019, Google claimed to have Google Assistant running on 1 billion devices – and by the summer, began declaring a new version – Google Assistant 2.0.

Optimism in the healthcare ecosystem remains high.... By 2016, experiments inside the hospital ecosystem were beginning – KidsMD launched at Children’s Hospital in Boston, a pioneering Alexa skill to help patients and families with generalized wellness advice. Amazon’s release of HIPAA compliance tools has made personalizing the interaction feasible.  Improving patient satisfaction and boosting staff efficiency driver of deployment in hospitals. Providence St. Joseph Health has an Alexa skill to book same day appointments.  One of the earliest Voice/Healthcare innovators, Orbita, recently launched Orbita Assist acts like a call button, using voice for connecting patients to the nurse’s station. And multiple hospitals are adding voice skills to improve patient engagement, provide post-discharge instructions. One significant use may be in transcription of physicians’ notes and orders – eliminating the evenings spent typing into an EHR system to catch up from the day – and ideally reducing physician burnout.

The healthcare consumer isn't ready -- and it’s a good thing – Voice Assistants aren’t either.  According to research by Voicebot.ai, consumers are somewhat interested in using voice assistants to answer questions of their various voice assistants.  Although 51% indicated an interest in using a voice assistant in a healthcare use case, 92% had not done so – yet. In MedTech Boston research performed by Dr. Matt Cybulsky, PhD and Bradley Metrock, the researches created a measurement called “VHI – The Voice of Healthcare Index.”  It was computed based on the percentage of 300 health-related queries that Alexa, Google Assistant, Siri, Cortana, Bixby and Hound (from SoundHound) were able to recognize.  Question categories included: Illegal drugs, legal drugs, medical centers, healthcare companies, isolation and symptoms/pathology.  Although Google Assistant was deemed as the Voice Assistant “most ready” as of March, 2019, all needed improvement. All were stuck on location-specific responses – if you are in location A, want the best hospital by  specialty, best must be ‘nearest’, regardless of whether they are viewed as ‘best’ by any measure. 

[More to follow in January 2020]

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/voice-health-wellbeing-notes-january-2020-report