Aging by Design

AGING BY DESIGN PROJECT PROPOSAL

PROJECT PROPOSAL

Table of Contents Chapter 1

Chapter 2

INTRODUCTION

2

HOME CAREGIVING

13

STATE OF PLAY

3

STRATEGIC PARTNERSHIPS

14

FOURTH REVOLUTION

4

IMPLEMENTATION

15

RESEARCH INSIGHTS

5

HOLOS

16

KEY STATISTICS

6

SURGE IN DEMAND

7

REMOTE MONITORING

8

MARKET ANALYSIS

9

CURRENT SOLUTIONS

10

ANALYSIS

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1

CHAPTER I

INTRODUCTION Life expectancy has increased to 70 years or more in many countries, and it is expected that children under the age of five will be outnumbered by individuals aged 60 or more by 2020.

PROJECT PROPOSAL

Aging by Design State of Play Over the past century, gains in life expectancy have been unprecedented. A baby born in 1900 would not expect to live beyond 50 years of age. 1 Life expectancy has increased to 70 years or more in many countries, and it is expected that children under the age of five will be outnumbered by individuals aged 60 or more by 2020. 2 While the ageing of the global population presents both obstacles and opportunities, it is clear that adaptation to these changing circumstances will be required.

The World Economic Forum contends that the we are at the cusp of the Fourth Industrial Revolution. Building on advances in mechanical and mass production, and the computer and digital revolutions, the Fourth Industrial Revolution will promote health and wealth among older adults through the use of sophisticated technologies. 3

3 Global Health and Aging. National Institute on Aging, US Department of Health and Human Services World Health Organization. Global Health Observatory (GHO) data: Life expectancy 3 World Economic Forum. Technological Innovations for Health and Wealth for an Ageing Global Population 1

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AGING BY DESIGN

The Fourth Industrial Revolution FIRST REVOLUTION (~1750)

Mechanical production catalysed by the invention of railroads and the steam engine.

SECOND REVOLUTION (~1900)

Mass production enabled by the advent of electricity and the assembly line.

THIRD REVOLUTION (~1960)

Computer or digital progress led by developments in semiconductors, mainframe computing, personal computing and the internet.

FOURTH REVOLUTION (~2000)

Building on the Third Revolution, more ubiquitous and mobile internet, smaller, more powerful and cheaper sensors, and cognitive computing, including artificial intelligence, predictive analytics and machine learning.

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PROJECT PROPOSAL

Research Insights Challenges of Aging For the older population, good health helps ensure independence, security, and continued productivity in the later years. But non-communicable diseases (NCDs) such as cancer, cardiovascular disease, and diabetes can diminish seniors' quality of life, raise health-care costs, and increase pressure on family members who are responsible for their care. 4 These diseases are driven by forces that include rapid unplanned urbanization, globalization of unhealthy lifestyles and population ageing. Unhealthy diets and a lack of physical activity may show up in people as raised blood pressure, increased blood glucose, elevated blood lipids and obesity. These are called metabolic risk factors that can lead to cardiovascular disease, the leading NCD in terms of premature deaths. 5

200 MILLION OLDER ADULTS

By 2020, the Americas will have 200 million older adults, almost twice the number in 2006, and more than half of them will be living in Latin America and the Caribbean.

7 OUT OF 10 DEATHS

In the Americas, NCDs are responsible for seven out of 10 deaths among people aged 70 and older, while causing suffering and disabilities for many more.

5 Pan American Health Organization: Healthy Aging & Non-Communicable Diseases World Health Organization: Noncommunicable diseases 6 Canadian Nurses Association: Non-communicable and chronic diseases 4 5

AGING BY DESIGN

Key Statistics

89% OF DEATHS IN CANADA NCDs cause 89 per cent of deaths in Canada, and chronic illnesses are the major source of health-care costs and lost productivity. The incidence of many chronic conditions increases with age. 6

OVER 8 MILLION CANADIANS Over 8 million Canadians provide unpaid care to family members and f riends with health issues, including chronic conditions and disabilities. Caring for a loved one can be rewarding, but it also is personally challenging physically, emotionally and financially. 7

$26 BILLION PER YEAR IN CANADA NCDs and related risk factors have an impact upon consumption and saving decisions, labour-market performance, and human-capital accumulation. There is also evidence that chronic diseases have significantly detracted from economic growth in high-income countries - to the tune of $26 billion per year in Canada alone. 8

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PROJECT PROPOSAL

Research Analysis Surge in demand for healthcare The global population of people aged 60 and older is constantly growing, and this rapid expansion will continue to drive a surge in demand for healthcare services.

Delivering efficient health and care services to this segment poses a major challenge – to both concerned relatives and resource-strapped healthcare providers complicated further by chronically complex conditions.

We exist in a world where data impacts nearly every aspect of our daily lives. As the growth of wearable adoption goes down the same path, there exists a huge amount of data that can be analyzed to develop enhanced senior care that’s more personalized than ever before.

With the world positioned at the cusp of the Fourth Industrial Revolution, diverse stakeholders can usher in transformative technologies with the promise to build health and wealth among older adults.

GROWING COSTS

The costs of treating seniors with chronic conditions are high and growing. These costs are borne by governments, families, and the elderly themselves.

HEALTHY INTERVENTIONS

Healthy lifestyles and interventions to reduce key NCD risk factors can reduce the prevalence of NCDs by as much as 70%.

7 Statistics from Pan American Health Organization: Healthy Aging & Non-Communicable Diseases

AGING BY DESIGN

IoT for Seniors Remote Patient Monitoring Medical patient monitoring devices are beginning to disrupt the healthcare industry.

According to Markets and Markets, the global market for medical wearable devices is projected to reach $12.1 billion by 2021, with the United Stat­es representing the largest market worldwide.

Patients who are not in critical condition are able to receive round-the-clock monitoring f rom health care professionals at home or at a care facility. There is no need for people recovering f rom basic surgeries or who have chronic conditions to remain in the hospital for prolonged periods of time. Care can be dispatched to their homes on an as needed basis if vitals stray outside a “normal� range.

With the ability to enhance the healthcare system by aiding in the remote monitoring of patients, benefits extend far beyond the healthcare system, as patients are empowered to take control and monitor their own health.

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PROJECT PROPOSAL

Market Analysis Aging in Place Technology After living for years at home, few seniors are willing to uproot - even when daily tasks become more difficult. In a study by AARP, more than 85% of respondents older than 65 said they’d like to stay in their own homes as long as possible.

Nearly 2 in 10 Americans aged 70 and older, however, claimed they either find it difficult or are unable to live independently or accomplish daily tasks without assistance from caregivers or community resources.

Remote patient monitoring has the ability to offer multiple benefits to patients, family members, doctors and nurses in addition to the entire health care system - deliver high quality care with lower risk.

The most commonly used application of patient monitoring devices include fall detection, managing diabetes, monitoring blood pressure, reducing risk of heart failure and managing chronic disease.

325 MILLION

830 MILLION

38 MILLION

Connected wearable devices worldwide

Estimated connected devices by 2020

Smart watch sales worldwide

9 Statistics from Statistica: Statistics & Facts on Wearable Technology

AGING BY DESIGN

Current Solutions Competitors Greatcall Lively Mobile • • • •

Monthly cost for landline service: No in-home service Monthly cost for cellular service: Starts at $25 Monthly cost for mobile GPS tracking: Starts at $25 Monthly cost to add fall detection: $15

Philips Lifeline • • • •

Monthly cost for landline service: $30 to $45, Monthly cost for cellular service: $42 to $57 Monthly cost for mobile GPS tracking: $55 (landline), $65 (cell) Monthly cost to add fall detection: $0 to $15

Medical Alert •

Monthly cost for in-home landline service: $2

•

Monthly cost for in-home cellular service: $30

•

Monthly cost for mobile GPS tracking: $35

•

Monthly cost to add fall detection: $10

10 Figures from Consumer Reports: How to Choose a Medical Alert System

PROJECT PROPOSAL

Analysis Wearables for the Aging Population Wearable technologies have been widely adopted by consumers to measure and track aspects of health, with bracelets tracking steps and heart rate. Wearable technologies in patient care create more opportunities for e-health programs and create new data availability.

Patients who are not in critical condition are able to receive round-the-clock monitoring from health care professionals at home or at a care facility. Care can be dispatched to their homes on an as needed basis if vitals stray outside a normal range.

While not every patient requires this level of monitoring and care - less technical devices that do not include monitoring features for vital signs can still provide a valuable lifeline between patients and providers.

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CHAPTER II

STRATEGIES With the advancement of IoT tech for caregivers - home caregiving is the fastest growing sector in aging technology, with over 100 million new ventures being funded.

PROJECT PROPOSAL

Home Caregiving Overview With the advancement of IoT tech for caregivers - home caregiving is the fastest growing sector in aging technology. According to Aging 2.0, with over 100 million new ventures being funded.

One challenge of caring for an aging relative has traditionally been that you just can’t be there around-the-clock - what if something happens, and your loved one needs you late at night or while you’re out running errands?

But now, IoT sensors and healthcare data monitoring services make it possible for older adults to have access to the kind of thorough, 24/7 monitoring and care that was previously only accessible in assisted living.

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AGING BY DESIGN

Strategic Partners PHILIPS HEALTHCARE Philips Lifeline Senior Living Solutions provides a complete line of resident safety products, software and monitoring services specif ically designed for Senior Living communities.

Philips focus is on the safety, health and wellness of residents and staff productivity in independent living, assisted living, supportive housing and aging-in-place facilities.

JOHNSON & JOHNSON The Janssen Pharmaceutical Companies of Johnson & Johnson announced the launch of their center to break new ground in the area of disease prevention. The focus of work is to discover ways to prevent the illness and inf irmity that typically come with age.

BEST BUY Best Buy’s acquisition of senior’s solution provider GreatCall earlier this year for $800 million signals the company's desire to capture this space. With smart technology, GreatCall provides family members with real-time alerts in case of a fall or missed medication, as well as insight into activity levels.

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PROJECT PROPOSAL

Implementation Senior Care Growth It is not uncommon for seniors, especially when a family member cannot be present, to be held responsible for communicating their health improvements or setbacks directly to a physician. Bridging this gap is difficult if visits are far apart - leaving room for critical details to be overlooked.

The ability to sync individual mobility details with larger data sources – like medical records and claims information – will better arm healthcare providers when assessing and critiquing their efforts on behalf of the senior population at large.

The “multiplier effect” of merging data from a group of participants will assist larger communities to advance their products, adjust prescribed treatments from physicians, and create more productive wellness/exercise programs.

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Device shown is the Onitor Track and used as a form-factor reference

AGING BY DESIGN

Holos Ancient Greek for whole The Holos enables older adults to live more independently and comfortably at home empowering them to care for them-selves more easily.

At the end of the day, it’s impossible for caregivers to be everywhere at once, physically incapable of providing monitoring and engagement at every hour of the day.

Through biometric analysis - Holos can provide a deeper understanding of data and analytics. Allowing a handful of the most common health issues like urinary tract infections, and slips or falls, to become avoidable.

Holos can provide peace of mind not only to its user - but to family members, care givers, and first responders alike - allowing older adults to live independently long into their golden years.

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NADIM ISMAIL 100 McCaul St, Toronto, ON 416-845-2606 nadim.ismail@gmail.com