DISRUPTIVE TRENDS IN AGED CARE
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<strong>DISRUPTIVE</strong> <strong>TRENDS</strong><br />
<strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
Using Technology to Get Ahead
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
01<br />
We’ve entered an era of low cost<br />
‘smart devices’ that can improve<br />
the standard of care and offer<br />
greater independence to our<br />
country’s ageing population.<br />
Growing old in Australia is changing. There is currently more information online<br />
to help families find the right services, and processes are increasingly<br />
automated to improve the safety, security and quality of aged care facilities.<br />
But is the system changing fast enough to cater to the 3 million people over the<br />
age of 65 in Australia? Are aged care providers staying on top of digital trends<br />
that could improve the health and welfare of their residents? And what about<br />
people who wish to avoid going into care? What about areas where there’s an<br />
overwhelming lack of vacancies?<br />
Companies are responding to the growing consumer demand for ‘connected<br />
independence technology’ - things like in-home monitoring and security devices<br />
- by creating a range of products designed to play an assistive role in allowing<br />
older people to live independently for longer.<br />
This technology can significantly improve the quality of life of older people,<br />
whether they reside in care or at home. Smart devices are now equipped with<br />
cameras, trackers, GPS, voice command, Bluetooth, mobile connectivity and<br />
sensors to monitor older people’s activity and ensure things like medication is<br />
correctly taken and accidents promptly addressed.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
02<br />
The Challenges Facing<br />
the Aged Care Sector<br />
Census data published by the<br />
Australian Bureau of Statistics<br />
shows that between 1994 and 2014<br />
the number of people aged 65 years<br />
and over increased from 11.8% of the<br />
total population to 14.7%. What’s<br />
more, the proportion of people aged<br />
85 years and over almost doubled<br />
from 1.0% in 1994 to 1.9% in 2014.<br />
As our life expectancy continues to<br />
increase, we’re seeing a greater<br />
demand for aged care - a demand<br />
that providers are struggling to<br />
meet. At the same time, a growing<br />
number of older people simply don’t<br />
want to enter a facility, and in many<br />
regions in Australia, a lack of<br />
vacancies means that this isn’t an<br />
option anyway.<br />
By 2028, we’ll see more people over<br />
the age of 60 than under the age of<br />
20. With a decreasing tax base and<br />
increasingly dependent ageing<br />
population, governments will have to<br />
look for ways to drive down the cost<br />
of care while enhancing its quality,<br />
convenience and efficiency.<br />
To do this, we must ensure<br />
widespread and sustained adoption<br />
of assistive technology.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
03<br />
How Technology is<br />
Changing the Face of<br />
Aged Care<br />
Assistive technology and smart devices offer better access to care services;<br />
they reduce the number of home visits by healthcare providers and offer the<br />
most up-to-date information to care staff.<br />
For people who wish to avoid going into aged care, technology gives their loved<br />
ones the emotional confidence to leave their parents or relatives at home for<br />
longer. It’s often very distressing to move family members into a facility, and<br />
these devices can extend their at-home comfort.<br />
But, well, how are old people<br />
supposed to actually use technology?<br />
We’re not exactly talking<br />
smartphones for teenagers here….<br />
Professor Jeffrey Soar holds a Personal Chair in Human-Centred Technologies<br />
in the School of Management and Enterprise at the University of Southern<br />
Queensland and believes that assistive technology need to be accessible and<br />
user friendly in order to see sustained adoption at the level at which we’ve<br />
experienced in other fields.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
04<br />
“It needs to be passive and unintrusive in order to succeed. Devices need<br />
to exist without much maintenance from older people who might not be<br />
comfortable with technology to begin with. Where people have to wear<br />
something or interact with a machine, they’re less likely to do that,” says<br />
Soar.<br />
And developers in this space have certainly listened.<br />
Consumer independence technology is<br />
currently a $2 billion industry that is<br />
expected to grow to around $30 billion by<br />
2020.<br />
Examples of devices already in existence<br />
today include mobile push-button<br />
emergency response systems, digital pill<br />
dispensers that unlock the correct dosage<br />
each day, daily activity trackers with<br />
biometrics monitoring, and even GPS<br />
insoles to keep an eye on wandering<br />
parents. All of these devices can be<br />
programmed remotely and require little<br />
interaction from their elderly users.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
05<br />
Key Trends Affecting<br />
Aged Care<br />
Assistive technology can be broken up into three broad categories. Each<br />
contributes to the quality of care and overall wellbeing of our ageing population in<br />
different ways.<br />
1<br />
Communication technology<br />
Smart devices aren’t just about monitoring the movements<br />
of frail Australians. They’re not all designed to take away<br />
the privacy (and dignity) of their subjects, even though<br />
such devices might give family members much needed<br />
peace of mind. Communication technology, such as Skype<br />
and FaceTime, links people with their loved ones in remote<br />
areas and provides affordable ways to keep in touch.<br />
For technology resistant older people, the Jitterbug Plus<br />
from Samsung offers large, easy-to-use buttons and a<br />
simple interface for basic communication needs.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
06<br />
2<br />
Tracking and monitoring technologies<br />
Lively is by far the most popular activity tracking<br />
system and gives family members insight with<br />
in-home activity sensors that share the daily routine<br />
of their loved ones. There’s also an optional smart<br />
watch that doubles as an emergency response button<br />
and offers intelligent reminders to eat or go for a<br />
walk. Lively ports can be attached to everyday things<br />
like the fridge and medicine cabinet, and the company<br />
can send healthcare professionals and loved ones<br />
alerts if there’s a break in daily routines or habits.<br />
Similar companies such as Dropcam or Piper use<br />
cameras throughout the home to monitor activity and<br />
sync with a smartphone to maximise convenience.<br />
Within this space there’s an emerging number of mood tracking devices<br />
that can be integrated with physical health information to provide a more<br />
detailed picture of a loved one’s wellbeing.<br />
3<br />
Assistive technology for around the<br />
home<br />
We might not be at the level of robot housekeepers<br />
and Jestons-esque automation, but help around the<br />
house in the form of robot vacuum cleaners and<br />
automated window cleaners are both affordable and<br />
extremely convenient for seniors. There’s also<br />
automowers, smart locks and even cooking systems<br />
that switch off if the stove appears to have been left<br />
on for too long.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
07<br />
Barriers to the Success<br />
of These Innovations<br />
Policy makers and healthcare professionals have been reluctant to adopt these<br />
technologies in any systematic way and, as a result, they have largely failed to<br />
reach a mass audience.<br />
According to Professor Soar, many interdisciplinary players are now moving<br />
into the healthcare sector from non-traditional areas such as consumer<br />
electronics, telecommunications and software development, and these new<br />
ways of doing things may be contributing to our reluctance.<br />
“There is a need for an even greater range of disciplines in the future, however<br />
this requires healthcare providers and policy makers to be open to new<br />
business models. There’s a disconnect between people designing and selling<br />
these technologies and the people running health and aged care<br />
organisations,” says Soar.<br />
Accessibility and unobtrusiveness are also key factors.<br />
“Most of us don’t welcome ageing and disability and we’re<br />
not happy to be reminded of our loss of capacity. So if<br />
there’s technology that can operate in the background that<br />
can track our actions and mood that will surely include<br />
increased adoption.”
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
08<br />
Disruptors in the Sector<br />
Careseekers is an online platform that<br />
connects people looking for in-home<br />
carers with the right provider. The<br />
service, which was established in 2014,<br />
was founded on the premise that baby<br />
boomers, who make up the largest<br />
demographic in Australia today, are<br />
getting older and will use aged care<br />
services differently to previous<br />
generations.<br />
“They [the boomers] will expect more<br />
consumer choice; they are comfortable<br />
outsourcing and they want to age in<br />
place (at home) and maintain a good<br />
quality of life,” says Careseekers<br />
co-founder Lauren Sandler. “These<br />
factors will lead to disruption and<br />
innovation in the aged care industry as<br />
they are not the values that have<br />
underpinned the delivery of aged care<br />
services in the past.<br />
“Baby boomer families have fewer<br />
children and are often dispersed<br />
interstate and overseas, which means<br />
loved ones are not able to help their<br />
ageing parents and innovative<br />
solutions need to be found.”<br />
Sandler believes that the biggest<br />
disruption to the industry over the next<br />
3-5 years will be a move towards<br />
consumer directed care and the<br />
privatisation of government services<br />
(as we have already seen with<br />
Australian Unity and Home Care).<br />
Careseekers aims to offer quality<br />
carers at affordable prices, with a<br />
range of online profiles and reviews<br />
that help consumers find the right<br />
helpers for their loved ones.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
09<br />
Similarly, Aged Care Reviews is a<br />
consumer review website for the aged<br />
care industry, pushing transparency<br />
and educating the industry of the<br />
importance of moving towards a<br />
consumer focused model.<br />
Kenneth Ray is the co-founder and<br />
chief executive officer of Aged Care<br />
Reviews and believes that there is no<br />
other industry that involves such stress<br />
and family strain as aged care. At the<br />
same time, there is often very little<br />
time and comparison material from<br />
which to make an informed decision<br />
about the right provider for your loved<br />
one.<br />
“Aged care operators have existed with<br />
long waiting lists for a long time. Their<br />
main focus hasn’t been the consumer,<br />
but has been regulatory – making sure<br />
they meet government accreditation<br />
standards. This has bred a philosophy<br />
more concerned with paperwork than<br />
customer service.<br />
“In this backdrop the ordinary<br />
consumer is being asked to sell their<br />
family home to enter a nursing home.<br />
We calculate the average Residential<br />
Accommodation Deposit (bond) is<br />
approaching $500,000 in Victoria. Most<br />
aged care entry decisions are made in<br />
weeks, off the back of a medical event<br />
that renders a family member unable<br />
to move back home,” says Ray.<br />
Both business leaders firmly believe<br />
that the pace of change in aged care<br />
will only increase as the industry<br />
becomes more ‘market based’.<br />
“It will be an amazing time for<br />
innovation and digital disruption,” says<br />
Ray.“As more senior managers come<br />
into the industry from outside<br />
traditional care sectors, we think many<br />
more of them will bring strategies and<br />
philosophies that will only enhance the<br />
consumer experience.”
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
10<br />
Conclusion<br />
Digital technology is now widely accessible. If we ignore its benefits and fail to<br />
exploit assistive devices we will only disadvantage our aged care system and the<br />
people within it.<br />
Despite its benefits, there remains a low level of adoption for smart devices and<br />
assistive technology. Some chalk this down to a widespread perception that<br />
smart home projects have rarely moved into sustainable mainstream use,<br />
while others feel that is a more systemic failure.<br />
There’s no reason that technology shouldn’t play a big role in improving the<br />
ageing process, just as it has done in almost all other areas where it offers<br />
consumer convenience, greater transparency and control, improved productivity<br />
and efficiency.<br />
There’s no reason that technology shouldn’t play a big role in improving the<br />
ageing process, just as it has done in almost all other areas where it offers<br />
consumer convenience, greater transparency and control, improved productivity<br />
and efficiency.
<strong>DISRUPTIVE</strong> <strong>TRENDS</strong> <strong>IN</strong> <strong>AGED</strong> <strong>CARE</strong><br />
11<br />
Appendices<br />
Assistive Health Technologies for Independent Living report prepared by the<br />
Australian Academy of Technological Sciences<br />
Living Longer, Living Better report prepared by the Australian Government<br />
Talk by Professor Marcus Wigan at the Graduate House Monthly Luncheon -<br />
https://www.youtube.com/watch?v=mzMQivxvaxY<br />
Constructing Age and Technology as Augmentation, not Degradation report<br />
prepared by Marcus Wigan.<br />
Websites :<br />
www.lifetec.org.au<br />
http://www.aarp.org<br />
http://www.lifehack.org/316105/3-newtechnologies-care-for-aging-parent<br />
http://www.careseekers.com.au/<br />
http://agedcarereviews.com.au/<br />
http://integratedliving.org.au/<br />
http://www.australianageingagenda.co<br />
m.au/2015/02/06/debate-arent-ahead-a<br />
ssistive-technology/