Amazon Echo: great tech present for your tech-averse parents!

Never let it be said that I get serious about my Christmas shopping until about this date!

This year, my major suggestion is about a product that it took me a full year to buy after my mother-in-law of a certain age sent last Christmas’s check: never let it be said that I rush into purchases of any kind (I should explain that I’m like the Beacon Hill Brahmin lady who explained to a New York counterpart asking where she bought her hat: “We don’t buy hats. We have hats.” Similarly, I try to avoid buying absolutely anything: I just have what I absolutely need. A strange and complex bird, I am …).

The item in question? An Amazon Echo, which, characteristically, I bought refurbished for $50 off!

Amazon Echo

Amazon Echo

That leads me to a last-minute suggestion for an unlikely use of said Echo: introducing your tech-averse parent to the benefits of smart home and Quantified Self technology (AKA my “SmartAging” paradigm to keep seniors healthy and in their own homes instead of an institution).

 As I wrote a year ago, I think the neatest thing about the Echo in that regard (and, to a lesser extent, other voice-controlled IoT devices, although they’re handicapped because they just don’t have Alexa’s quick response time and already huge and constantly growing list of “skills) is that you don’t need to know any technology to use it: you just say “Alexa:….” and she does it!

While I knew the Echo had gone far beyond its original use to stream music, I had no idea until I bought it how robust and rapidly-growing it’s “skills” have become, and that it’s really a full-fledged smart home hub (why buy a dedicated hub that just sits there and doesn’t provide any of the Echo’s other benefits? Got me..).  It’s hard to keep up, but a recent Turbo Future article, “Amazon Echo: 15 Best New Features,” gives a pretty good overview, and it seems to me that most of them involve various services that can make it a lot easier, and definitely more enjoyable, for aging parents to continue to live in and manage their homes (although some judicious Christmas morning set-up by adult children may be in order for those seniors who avoid technology like the plague), because all you have to do is talk and listen! They’ll appreciate Alexa even more if their hands are full, which is often the case in the kitchen.

Here are a few of my favorites:

  • shopping lists: my wife doesn’t share my love of gadgetry, but we both love this simple service.  Say “Alexa, add flour to my shopping list,” and it’s instantly on the Alexa app on your phone, to pull out at the supermarket. As someone who dutifully makes shopping lists and then always forgets them, that’s worth the service alone.  I won’t buy my household staples from Amazon because, despite the savings, I don’t like the ecological impact that specialized service causes, but if that’s not an issue for you, you can order products directly from Amazon using Alexa.
  • ordering services: you can hail an Uber or order a Domino’s Pizza. For a senior who doesn’t have a car, that can be great!
  • music: obviously the prime market for Amazon’s and other streaming music services such as Pandora is millennials, but, guess what, you can even get Guy Lombardo (the soundtrack of my earliest years because of my parents’ 78’s) simply by asking Alexa.  The ultimate time machine!
  • books: if you parent has vision problems, audible books may be a boon, and since Amazon now owns Audible, this is also possible.
  • news: I’ve been trying to wean myself from the news since Something Bad Happened Last Month, but I’m still drawn like a moth to the flame, so I can get NPR instantly. A growing variety of other sources are also available.
  • smart home: I just installed two Sensi thermostats as I get deeper into smart home technology on the home front. Even though they have a great app that lets me adjust the temp when I’m away from home, it’s neat to just say “Alexa, turn down the heat two degrees” and have her do the work, not me! Next up? Adding my WeMo lights.
  • cooking: even though you can now get Echo’s little brothers (Dot and Tap) for use elsewhere in the home — or even outdoors — most Echos are found in the kitchen, and nothing is worse than flour-covered hands on a cookbook.  Now you can even ask Alexa for a great recipe for a certain dish, use it to make your shopping list, and follow the steps for making the dish, all just by asking her. Neato.
  • calendar: they may not be working anymore, but seniors have got a lot of appointments — the doctor, or my wife’s 95-year old aunt’s tango lessons (I kid you not!), so if you link your Google Calendar, Alexa will make sure you’re not late.

Equally important (and I suspect this will become more of a feature in the near future) the Echo can even help you stay on top of the other part of my SmartAging vision: improving your health, because you can access your Fitbit data.  There’s already a skill to help parents with kiddies’ ailments, from our Children’s Hospital, so why not one for geriatrics as well??

That’s just for now, and independent developers are adding new “skills” for Alexa at a dizzying pace.  So, if you still don’t have a present for Grannie? Get her an Echo, and since it’s from Amazon, she’ll still get it by the 25th!

 

SmartAging Manifesto (draft): improve quality of aging & cut costs through IoT

What do you think constitutes “SmartAging?”

It’s been a while since I’ve posted anything about my IoT-based “SmartAging” concept, which combines:

  • Quantified Self health monitoring devices to make it easier to monitor your health conditions around the clock and help your caregivers better understand your health, and — hopefully — to motivate you to more activity and better eating.
  • smart home devices that make it easier to manage your home as you age and thereby avoid institutionalization.

However, I have been giving the concept a lot of thought, and have created a draft of a manifesto on the concept to guide my own work and hopefully provoke some discussion.  Here it is!

SmartAging Manifesto (draft)

  • Aging is a natural, lifelong process, so why fear and avoiding talking about it, especially how to make it more enjoyable and less costly?
  • We seniors aren’t all the same, so don’t treat us as if we were. Look beyond our wrinkles, and you’ll see some of us still work, some have just retired, and still others are long retired. When it comes to technology, some us us are afraid of it, some of us embrace it, and there are many others in the middle. Respect us for who we really are — and our choices.
  • We don’t want to have to work to master technology: we worked for 40 or 50 years, and now we want to enjoy ourselves. If you want to sell us technology, make it easy to learn and use. Maybe even fun…  Mark Weiser, credited as the IoT’s intellectual father, wrote that“The most profound technologies are those that disappear. They weave themselves into the fabric of everyday life until they are indistinguishable from it.” That sounds pretty good to us!
  • We want to shift gears and have more fun. That doesn’t mean shutting off our brains, but it does mean that we now have time to explore new hobbies, play games, spend time with our families (especially grandchildren), and travel. We’re particularly interested in technology that can help us do these things.
  • We’re also more concerned about our health. We want to be as healthy as possible, as long as possible, and we’re worried about debilitating illnesses and becoming dependent on others. We’ll be very interested in new devices to help us stay healthier longer — especially if it isn’t obvious we’re using them and they don’t make us look weird and pitiful.
  • We’re also concerned about independence (most of us do live independently, incidentally) and staying in our own homes instead of being carted off to some smelly, dehumanizing institution. We’re interested in technology that can make it easier to run our homes and stay in them.
  • We’re got something that kids don’t: wisdom and perspective, gathered from long lives and tough experience. Don’t just look at us as buyers of your stuff: ask us for our ideas. You may be surprised what you’ll learn.

That’s what I’ve got so far, but I wanted to circulate the draft ASAP, to gather others’ thoughts as well (I’ll credit you if you contribute any ideas!). e-mail me your ideas.

Alexa and Aging: more on voice as THE interface for “SmartAging”

 Amazon Alexa & services it can trigger!

Amazon Echo & services it can trigger!

I predict every elderly person will soon have a personal home assistant, ready to respond to their every command.

However, that home health aide may not be human, but sit on the kitchen counter, and look suspiciously like Amazon’s breakthough IoT device, The Echo.

The late Mark Weiser, “the father of the Internet of Things,” famously predicted that “the best computer is a quiet, invisible servant,” and that’s certainly the potential with Echo, or the just announced Google Assistant (how sexy is that name? I like the fact it’s so impersonal. Let’s you fire one voice “assistant” and hire another without becoming personally attached, LOL), or the much-rumored Apple version, which might also include a camera (disclaimer: while I work part-time at an Apple Store, I ain’t privy to any inside dope, no way, no how).

That’s particularly the case when it comes to seniors, and my SmartAging vision of an IoT-based future for them combining Quantified Self health monitoring devices that can motivate seniors to improve their fitness levels, and smart home devices that can make it easier to manage their homes as they age, to avoid costly and soul-deadening institutionalization (or, even better, combining the two, as with one of my favorite IFTTT “recipes,”  programming your Jawbone to wake you gently at the best time in your sleep cycle, AND gradually turn on your Hue lights. How better for a senior — or anyone — to start their day on a positive note (OK, I know what you’re thinking: better turn on the coffee maker automatically!).

      KidsMD for Amazon Alexa

What really got me thinking about the advantages of a voice-activated future for seniors was a recent story about a similar app for the other end of the age spectrum, developed by our Children’s Hospital, for Alexa: KidsMD. What better for a harried mom or dad, with his or her hands full, AND a sick child to boot, than to simply ask for advice on temperature, fever and the like? That got me thinking that the same would apply to seniors as well, needing advice with some of the unwanted aspects of aging (I could mention here an example from a senior I care for, but that would be most unpleasant…). As I’ve said before, this would be helpful under any circumstances, but when the person needing help is a frail, tech-averse senior, it would be superb if s/he only had to speak a simple command or request to get needed help, or advice on something such as the proper amount of an over-the-counter drug to take.

There are tons of other life-improving reasons for such an approach for seniors, including:

Of course, and I can’t emphasize this enough, especially since seniors are already victims of so many scamming tricks, because these counter-top devices are always on, listening to you,  and because much of their possible use could be for reporting confidential health or financial data, privacy and security MUST be THE top priority in designing any kind of voice-activated app or device for seniors. Think of them as the canaries in the coal mine in this regard: protecting vulnerable seniors’ privacy and security should be the acid test of all voice-activated apps and devices for people of all ages.

Having said all that, as I noted in a piece last week about what a stunning combination of services Amazon has put together to become the dominant player in the retail IoT sector, one of those offerings is the $100 million Alexa fund to fuel advances in the voice-activated arena.  I’m ready to put their money where my mouth is  (LOL) in this regard, to design voice-activated devices and services for seniors.  If you’d like to partner, E-mail me!!

I’ll Speak Twice at Internet of Things Global Summit Next Week

I always love the Internet of Things Global Summit in DC because it’s the only IoT conference I know of that places equal emphasis on both IoT technology and public policy, especially on issues such as security and privacy.

At this year’s conference, on the  26th and 27th, I’ll speak twice, on “Smart Aging” and on the IoT in retailing.

2015_IoT_SummitIn the past, the event was used to launch major IoT regulatory initiatives by the FTC, the only branch of the federal government that seems to really take the IoT seriously, and understand the need to protect personal privacy and security. My other fav component of last year’s summit was Camgian’s introduction of its Egburt, which combines “fog computing,” to analyze IoT data at “the edge,” and low power consumption. Camgian’s Gary Butler will be on the retail panel with me and with Rob van Kranenburg, one of the IoT’s real thought leaders.

This year’s program again combines a heady mix of IoT innovations and regulatory concerns. Some of the topics are:

  • The Internet of Things in Financial Services and the Insurance sector (panel includes my buddy Chris Rezendes of INEX).
  • Monetizing the Internet of Things and a look at what the new business models will be
  • The Connected Car
  • Connected living – at home and in the city
  • IoT as an enabler for industrial growth and competition
  • Privacy in a Connected World – a continuing balancing act

The speakers are a great cross-section of technology and policy leaders.

There’s still time to register.  Hope to see you there!

 

 

AliveCor Mobile ECG: the IoT Can Save Your Life!

Got your attention? I find there’s nothing like the fear of death to focus one’s attention.

AiiveCor

AliveCor

Somehow I managed to forget blogging about one of the real highlights of last Spring’s RE-WORK Connect Summit here in Boston: the AliveCor Mobile ECG.*

Perhaps the most important thing about the Mobile ECG is that it is not just a helpful Quantified Self fitness device, but has past the rigors of the FDA licensing process, building both users’ and docs’ confidence in its reliability as a diagnostic tool, and also underscoring that  IoT devices can be significant parts of mobile health strategies. As Dr. Albert said to Forbes, ““No one cares whether their Fitbit is accurate or not …. A point of here or there. With ECGs, that’s different.”  In 2015 the FDA also approved an algorithm instantly letting you know if your reading was normal.

Because of the FDA approval, I put the Alive ECG in that special category of IoT devices and services that are important both in their own right and because of their symbolic role, especially when they meet my test of the IoT allowing “what can you do that you couldn’t do before,” in this case, a self-administered device that isn’t just generally informative about your fitness level, but also gives reliable medical documentation (especially since this allows that documentation to come as part of your activities of daily living, not requiring you to be in the artificial setting of a doctor’s office or hospital). 

I see it as a critical tool in my “Smart Aging” paradigm.

Atrial fibrillation (a common abnormal heart rhythm), the condition the ECG documents, is a huge, and growing, problem. The latest figures I could find, from four years ago, show that people who suffer from it are hospitalized twice as frequently as those who don’t have it, and the annual costs in the US alone are $26 billion.

I found the price on Froogle as low as $86 for one to fit a 5s. Sweeeet!

Here’s how it works.  The AliveCor is always available when you suspect you may have a heart problem, because it’s your smart-phone’s case! How brilliant is that?  You just rest the two metal pads on your fingers or chest to record an ECG in 30 seconds.

AliveCor ap reading

AliveCor ap reading

AliveCor has recently beefed up its app by adding the “Heart Journal.” After each reading, you just tap on a Symptom, Activity or Diet tag to add it to your recording, or, like a lot of Quantified Self apps, you can also add in notes between readings about possible indicators such as what you’re eating or your activities. The Beat Fluctuation feature lets you see how your heartbeat changes from beat to beat.

I couldn’t help but think how the AliveCor would have helped me last Winter, when Boston endured the 1-in-26,315-years-Winter-From-Hell (nope: no typo!) .  Like everyone else, I was perilously perched on my ladder, 20′ high, sticking my left hand through the ladder to pound away at an ice dam to my right with a REALLY heavy sledge hammer.  Unlike many others doing the same thing, I’m old enough (ahem..) that this counted as Risky Business.  After several hours, I started to feel chest pain.  Two days and many heart tests later, I emerged from the hospital with my own diagnosis confirmed: just a muscle strain caused by the weird position of my hammering. Couldn’t help thinking that if I’d had an AliveCor on my phone, I could have just whipped it out, taken a reading while on the ladder, and, as the web site sez,” AliveCor’s FDA-cleared Normal Detector will determine right away when your ECG is normal,” and gone back to chipping away!

Loved this quote about the AliveCor’s significance:

“Just as the introduction of thermometers and blood pressure cuffs in the past century helped patients to monitor their health, now the ability to record one’s own electrocardiogram – and get an interpretation instantly – empowers the 21st century patient to take charge of their heart health.” –Ronald Karlsberg, MD Clinical Professor of Medicine, Cedars-Sinai Heart Institute


 

*in my defense, I was mesmerized by AliveCor founder  Dr. David Albert’s colorful bowties….

 

Criteria to evaluate IoT “SmartAging” devices

Posted on 25th July 2015 in aging, design, health, home automation, m-health

I haven’t been able to put a lot of time into fleshing out my “SmartAging” paradigm, which combines Quantified Self devices to change seniors’ relationship to their doctors into a partnership and give them incentives to improve their fitness, with smart home devices that make it easier to manage their homes through automation.

So here’s an attempt to move that along, a draft of (hopefully) objective criteria.  I’d love to hear your comments on additional criteria or changes to these, and hope to soon set up a formal system where seniors will evaluate devices in their homes using these criteria.

Smart Aging device evaluation criteria:

Ease of Use

  1. Does it give you a choice of ways to interact, such as voice, text or email?
  2. Is it easy for you to program, or allow someone else to do it remotely?
  3. Does it have a large display and controls?
  4. Is it intuitive?
  5. Does it require professional installation?
  6. Is it flexible: can it be adjusted? Is it single purpose, or does it allow other devices to plug in and create synergies?
  7. Does it complicate your life, or simplify it?
  8. Do any components require regular charging, or battery replacement.

Privacy, Security, and Control

  1. Is storage local vs. cloud or company’s servers? Is data encrypted? Anomized?
  2. Do you feel creepy using it?
  3. Is it password-protected?
  4. Is security “baked in” or an afterthought?
  5. Can you control how, when, and where information is shared?
  6. Will it work when the power goes out?

Affordability

  1. Are there monthly fees? If so, low or high? Long term contract required?
  2. Is there major upfront cost?
  3. Does full functioning require accessories?
  4. Minimum cost/maximum cost

Design/UX

  1. Is it stylish, or does the design” shout” that it’s for seniors? “Medical” looking?
  2. Is the operation or design babyish?
  3. Would younger people use it?
  4. Is it sturdy?
  5. Does it have “loveability” (i.e., connect with the user emotionally)? (This term was coined by David Rose in Enchanted Objects, and refers to products that are adorable or otherwise bond with the user.)

Architecture

  1. Inbound
    1. Protocols supported (eg. Bluetooth, BluetoothLE, WiFi, etc)
    2. Open or closed architecture
  2. Outbound
    1. Protocols supported (eg. WiFi, Ethernet, CDMA, GSM, etc)
    2. Data path (cloud, direct, etc)
  3. Remote configuration capability (i.e., by adult child)

Features and Functions

  1. Reminders
    1. Passive, acknowledge only
    2. Active dispensing (of meds)
  2. Home Monitoring
    1. Motion/Passive Activity Monitoring
    2. Environmental Alarms (Smoke, CO, Water, Temp)
    3. Intrusion Alarms (Window etc)
    4. Facilities/Infrastructure (Thermostat)
  3. Health Monitoring
    1. Vitals Collection
    2. Wearables Activity Monitoring
    3. Behavioral/Status Polling (How are you feeling today?)
    4. Behavioral Self-improvement
  4. Communications Monitoring
    1. Landline/Caller ID
      1. Identify scammers
    2. eMail and computer use
      1. Identify scammers
    3. Mobile phone use
  5. Fixed Personal Emergency Response System (PERS)
  6. Mobile Personal Emergency Response System (PERS)
  7. Fixed Fall Detection/Prediction
  8. Mobile Fall Detection/Prediction
  9. Telehealth (Video)
  10. New and Innovative Features

Apple & IBM partnership in Japan to serve seniors a major step toward “Smart Aging”

As Bob Seger and I prepare to turn 70 (alas, no typo) on Wednesday (as long as he’s still singing “Against the Wind” I know I’m still rockin’) my thoughts turn to my “Smart Aging” paradigm, which combines Quantified Self devices that can change our relationships with doctors into a partnership and give us encouragement to do more fitness activities and smart home devices that make it easier for seniors to run their homes and avoid institutionalization.

That’s why I was delighted to read this week about Apple (obligatory disclaimer: I work part-time at The Apple Store, especially with “those of a certain age,” but am not privy to any of their strategy, and my opinions are solely my own) and IBM teaming with Japan Post (hmm: that’s one postal service that seems to think creatively. Suspect that if one B. Franklin still ran ours, as he did in colonial days, we’d be more creative as well…) to provide iPads to Japan’s seniors as part of Japan Post’s “integrated lifestyle support group” (the agency will actually go public later this year, and the health services will be a key part of its services).

Apple and IBM announced, as part of their “enterprise mobility” partnership that will also increase iPads’ adoption by businesses, that they will provide 5 million iPads with senior-friendly apps to Japanese seniors by 2020.  IBM’s role will be to develop app analytics and cloud services and “apps that IBM built specifically for elderly people .. for medication adherence … exercise and diet, and … that provide users with access to community activities and supporting services, including grocery shopping and job matching.”

The overall goal is to use the iPads and apps to connect seniors with healthcare services and their families.  I can imagine that FaceTime and the iPads’ accessibility options will play a critical role, and that current apps such as Lumosity that help us geezers stay mentally sharp will also be a model.

According to Mobile Health News, the partnership will offer some pretty robust services from the get-go:

“If seniors or their caregivers choose, they can take advantage of one of Japan Post Groups’ post office services, called Watch Over where, for a fee, the mail carriers will check in on elderly customers and then provide the elderly person’s family with an update. 

“In the second half of this year, customers can upgrade the service to include iPad monitoring as well.After Japan Post Group pilots the iPads and software with 1,000 seniors for six months, the company will expand the service in stages.”

Lest we forget, Japan is THE harbinger of what lies ahead for all nations as their populations age. 20% of the population was already over 65 in 2006,  38% will be in 2055.  As I’ve said before in speeches, the current status quo in aging is simply unsustainable: we must find ways for seniors to remain healthy and cut the governmental costs of caring for them as they grow as a percentage of the population.  As Japan Post CEO Taizo Nishimuro (who looks as if he’s a candidate for the new services — y0u go, guy!) said, the issue is “most acute in Japan — we need real solutions.”

IBM CEO Ginni Rometty said her company will take on a 3-part mission:

“First, they’ll be working on ‘quality of life apps,’ both by building some themselves and by integrating others, all of which will be aimed at accessibility first. The key target will be iOS, since it’s a mobile-first strategy in keeping with our changed computing habits. Second, they’re working on developing additional accessibility features not yet available, and third they’re helping Japan Post with the service layer required to deliver this to the elderly.”

Sweet! — and it reminds me of the other recently announced IBM/Apple announcement, in that case with J & J, to build a robust support structure for Apple’s new open-source ResearchKit and HealthKit platform to democratize medical research.  The IoT ain’t nothin’ without collaboration, after all.

Cook, according to TechCrunch, put the initiative in a global context (not unlike his environmental initiatives, where, IMHO, he’s become THE leading corporate change agent regarding global warming):

“Tim Cook called the initiative ‘groundbreaking,’ saying that it is ‘not only important for Japan, but [also] has global implications. Together, the three of us and all the teams that work so diligently behind us will dramatically improve the lives of millions of people.’

“…. The Apple CEO talked about how the company aims to ‘help people that are marginalized in some way, and empower them to do the things everyone else can do.” He cited a UC Irvine study which details how remote monitoring and connection with loved ones via iPad help instill a sense of confidence and independence in seniors. He added that he believes what the companies are doing in Japan is also scalable around the world.”

It will be interesting to see exactly how the partnership addresses the challenge of creating those senior-friendly “quality of life” apps: as someone who’s on the front-lines of explaining even Apple’s intuitive devices to older customers, I can tell you that many seniors begin are really frightened by these technologies, and it will take a combination of great apps and calm, patient hand-holding to put them at ease.

As I enter my 7th decade, I’m pumped!

Ivee: helping seniors “age in place” through Internet of Things

Posted on 28th May 2014 in aging, home automation, Internet of Things, seniors, SmartAging

I’m still not certain I buy the oft-expressed view that seniors are inherently anti-tech (I’ve seen too many of them at various Apple Stores buying iPads so they can do FaceTime with the grandchildren…), but it’s true that, as you get older, you’re less likely to want to squint at tiny displays, or tap tiny virtual keys, etc. And, truth to tell, if you can simply give a voice command to do something you’d otherwise have to do manually, who wouldn’t choose the easy way out (hey, I know I’m late to the game, but I’m just starting to use Siri to dictate texts).

iveecover iveeThat’s why I think the voice-activated assistant ivee can be a wonderful tool to help seniors age in place, by serving as the easy-to-use access point for a growing array of smart home devices, including hubs, thermostats, and, soon, locks and lights (including the Phillips Hue — why shouldn’t seniors be able to pick from 6 million different combinations of light colors???) from a variety of vendors that can control various home functions — and, BTW, some of those devices can also let nervous adult children know you’re OK.

ivee will work with both open and proprietary communications standards.

ivee meets one of my acid tests for IoT devices for seniors, in that “she” doesn’t give off any kind of sterile home nursing vibe that would stigmatize users — when she isn’t following your every wish and command she serves as an attractive clock. But speak to her from 10-15′ away, and she’ll:

  • adjust the temperature
  • turn on the lights
  • tell you stock prices
  • tune your radio
  • tell you the weather.

Interestingly, Interactive Voice, ivee’s parent company, doesn’t mention the senior market anywhere on its site, but I think it could be the killer device for seniors who want to stay in their home.

Whether or not your Mom and Dad are tech averse, why not get an ivee to control your own smart home devices, and then let them ask you how the heck that thing works — it won’t be long until they’ll ask for one of their own, and you’ll have launched them on the road toward safely and easily controlling their home — and aging safely in place.

 

Seniors and the Internet of Things: Empowerment and Security Through Smart Aging

I was quoted extensively in a Sunday Boston Globe feature on the IoT. It was in a special section aimed at seniors, and I’d been really passionate with the reporter about the IoT’s potential to transform seniors’ lives through new products such as bedroom slippers with sensors that can detect minute variations in a senior’s gait and alert a caregiver by app in time to avoid a fall, or a gorgeous necklace that can detect the onset of congestive heart failure). However, the article just ended up as a general introduction to the IoT.

Too bad.

necklace that monitors for possible congestive heart failure

While I was doing the interview, it dawned on me that this might really be a wonderful niche in the Internet of Things.  You see, I spend part of my time caring for two seniors who have faced serious health challenges, and it has really opened my eyes to the potential benefits of ambitious IoT programs for seniors.

We don’t have any time to lose: I’ve heard that a third of all doctors in the US will retire in the next decade, while they and about 10,000 others will turn 65 each day. There is simply no way that we can sustain this loss of medical professionals just when they are needed more than ever without fundamental change in the health care system!

To me, what the IoT represents is an opportunity for a fundamental change in the doctor-patient relationship, with empowered patients becoming full partners in their care through self-monitoring.  It will end the historic pattern, driven by necessity, of placing most emphasis on encounters in the doctor’s office, where the patient is forced to recall his or her symptoms, perhaps from several weeks ago, with no objective way of measuring them (not to mention factors such as “white-coat hypertension,” that may be induced by the very setting of the encounter. My blood pressure always goes up in my doctor’s office because she’s on the third floor, and I go up the stairs quickly rather than taking the elevator). Instead, the patient will generate a constant stream of data, and, over time, we will evolve efficient ways of reporting the spikes in readings to the doctor in a way that might actually trigger preventive care to avoid an incident, or at least provide an objective means of judging its severity to improve the quality of care.

Let’s also not forget about the benefits to seniors living alone and their families living miles away, of smart home devices.

I’m going to make this a major focus of my future IoT work, in large part because my personal experience working with seniors’ health needs has sensitized me to the wide range of issues that successful IoT solutions for senior must address:

  • ease-0f-use, especially for those who aren’t comfortable with technology or who face issues such as diminished vision or arthritis
  • non-stigmatizing: hey, grey hair is enough of an identifier: seniors don’t need other things that would further identify and isolate them
  • privacy and security: seniors are already targets of enough scams and efforts to exploit them: they don’t need to become even more vulnerable, especially regarding something as critical as their health
  • affordability: especially with devices that they might be expected to pay for entirely or in part. That can be difficult on a fixed income
  • can they encourage mutual support? I’ve seen first-hand how mutual support from an exercise group can encourage frail elders to keep exercising. Done right, I suspect apps that let you voluntarily share data might be very effective motivators
  • fostering independence: smart home apps that might help seniors manage household functions easily, as well as ones that could be monitored remotely by their adult children, might increase the chance they could stay in their homes independently for longer, an important factor in both reducing hospitalization costs and fostering self-worth.

What other factors do you think might be relevant to creating effective IoT devices for seniors?  Let me know.

The other day I had an e-mail exchange with one of my fav IoT pioneers, Dulcie Madden of Rest Devices, maker of the PEEKO “onesie” for babies, which (among other things) can reduce the possibility of SIDS among babies. Years ago, I was a day-care teacher, and now that I help care for seniors, I’ve noticed how similar their needs can be. IMHO, infant care and senior care are two of the most promising areas for life-improving IoT solutions. For both social and economic reasons, they should be a priority.

Let’s go!