Ageing (年老化), New Technology (新高科技), and Future Innovations (未來的創新)

in Chronic Disease Management (慢病管理)

and Home-Care (家庭護理)

Steven Yeo

25th November 2017

新

Where we were (之前)

2002Over Age 60, WW Average is 10%

0-9 %10-19 %20-24 %25-29 %30+ %

% of Populationover age 60

Where we will be (将来)

0-9 %10-19 %20-24 %25-29 %30+ %

Source: United Nations “Population Aging 2002”

2050Over Age 60, WW Average is 21%

% of Populationover age 60

Shift in demography correlate to:

• Increase in medical/health expenditure

• Social issues

• Disruptive Economy: Smaller workforce

The Foreseeable Horizon

Trend 1

• Independent Living of Seniors: Life of Active Retirement, especially when viewed as an opportunity for travel, further education etc. This is imminent.

Trend 2

• Disrupt Ageing with New Technologies and Care Models: Characterized by a fusion of technologies that is blurring the lines between physical, digital and biological spheres. This is at our doorstep

Trend 3

• Senior Living: From building institutions to ageing in place

Changing Lens on who is in “Independent Living”

Very independent- Self travel- Self feed- Self toileting

Able to contribute economic valueTotally need help

(A) Likely to be acute

condition, stay alone, with someone or has a helper/

caregiver

(B) Likely to be relatively

independent in a familiar

setting. May have a

caregiver

(C) Very independent.

Active lifestyle. caregiver is an

option

End Goal

It is possible to move each group up a notch with technology

Modern Aging Program in SingaporeSilver is the New “Gold”

Trend 1: Celebrate Ageing-Opportunities

Governments and development partners Philanthropists and impact investors

“ Action Plan for Successful Aging ”

“Hong Kong 2030+”

“ 9073” “Healthy China 2030”

“ Senior Citizen Welfare Fund”

“National Plans of Action on Aging”

“Hong Kong Founders’ Network on AgeingWell”

Trend 1 : Continue

Industry and Investors Innovators and Entrepreneurs

Developers

Insurers and financial institutions

Pharmaceuticals and health providers

Technology Companies

Investors

Growing communities of innovators for Modern Aging: 1,500+ in Singapore； +2000+ China

Products and services that improve thequality of life for aging population

Community partners:

Trend 1 – Elderly Independent Living

Living independently – the key factors

Dressing Bathing

Using the

toilet

EatingWalking

Transferring

Shopping for

groceries

Using the

telephone

Preparing

meals

Personal

grooming

Doing light

housework

Washing

clothes

Managing

medications

Managing

finances

Getting beyond

walking distanceLeisure

SecurityNews and

information

Relationships

Safety

Giving care

ComfortEducation

Company

Entertainment Activities of

daily living

Instrumental activities of daily

livingQuality of life

Person-centred care

Abilities

Interests

FamilyValues

Goals

is not…

Practitioner-based

Problem-based

Deficit focus

Professional dominance

Acute treatment

Cure/improvement

Facility based

Dependence

Episodic

Reactive

is…

Person-centred

Strengths-based

Skill acquisition

Collaboration

Community integration

Quality of life

Community-based

Empowerment/choices

Least restrictive

Preventive

Care is

personalised

Care is

coordinated

Care is

enabling

Person is treated with … dignity, compassion and respect

Trend 2: Technology Enabled Care

medical monitoring

and alarms

activity and well-being

monitoring and alerts

wearables/

quantified-self

home

security

smart home

applications

personal and

activity alarmsreminders, prompts,

planning and scheduling

safety confirmation/

proactive calling

tele-coaching

information and

entertainment

communication

e-services

medication

dispensing

navigation

A spectrum of technology enabled care

Human Interactive Robots

Humanoid Robot

Pet Robot

コミュニケーション用

掃除ロボット

セキュリティ管理

Welfare Robot

Medical Robot

セラピーロボット

Home Robot

アニマルロボット

管理支援用

機器管理

多目的用

アクアロボット

観賞用

健康管理

二足歩行ロボット

介護／介助用

盲導犬ロボット

Assistive Technologies, Robotics, AI , Chatbots

• Helpful in physical tasks

• Communication• People consider them as social entities.

Assistive Robotics

Care-O-bot® by Fraunhofer IPA: grasping items and bringing them to resident PARO by U Penn, 2011RIBA , Japan: Transferring patients, 2009

18

• Reducing the need for movement

Example ADL Assistive Robots

Topio Dio by TosyCare-O-bot® by Fraunhofer IPA: grasping

items and bringing them to resident

Dusty II by GA Tech: Retrieving objects from floor

19

Example IADL Assistive Robots

PERMMA by U Penn, 2011uBot-5 by UMAss, 2011

Roomba by iRobot, 2011

20

Example EADL Assistive Robots

PARO, Japan, 1993 Pearl by CMU, 2002 iCat by Philips, 2006

21

Assistive technology (AT) groups

slow to provide

quick to provide

mainly mechanical

mainly electronic

Fixed AT Portable AT

Electronic AT Connected AT

ApplicationsCognitive Orthotics

• Reminders ● Navigation and stray prevention

• Planners

Health Monitoring

• Continuous Monitoring of Vital Signs ● Sleep Monitoring

• ADL

Therapy & Rehabilitation

• Tele-Health

Emergency Detection

• Fall Detection

• Medical emergency

Emotional Wellbeing

• Social Connectedness

• Facilitating Communication

23

Trend 3 : Senior LivingHome Care & Monitoring

Personal Health Eco-System

The Continuum of Care

AmateurAthlete

Diet/FitnessFocused

WorriedWell

Elderly LivingIndependently

ChronicPatient

AcuteRecovery

Infant

CONTINUUM of LIFE

CONTINUUM of CARE GIVERS

Doctor/NP/Nurse

HomeNursingProfessional

The Family

FitnessWellnessCoachNew Parents

Enable a personal health eco-system that empowers individuals & families

to better manage their own health and wellness across the continuum of life

and care methods.

Shift Left Strategy

$1 $10 $100 $1,000 $10,0000%

100% Healthy, Independent Living

Chronic Disease Management

Doctor’s Office

CommunityClinic

RESIDENTIAL CARE

ACUTE CARE

COST of CARE/DAY

QUALITY

of LIFE

Specialty Clinic

Community Hospital

ICU

Assisted Daily Living

Skilled Nursing Facility

HOME CARE

Trend 3 Senior living: from building institutions to enabling agingin place (China Case Study)

Aging Industry in China

Aging Population

Shift in the Concept of

Aging

4-2-1Increase elders to

young ratio

Societal Outlook Shift in Aging

Policy shift in Elder

care

Large Demand

and Supply Gap

• Huge population base

• Increased rate of aging population

• One Child policy and the ‘4-2-1’ family

structure

• Baby-boomer generation

Aging Population in China

The “9073” eldercare policy

3%：Institutional

care

90% Home care

7%: Community

care

Connecting the Homecare Ecosystems

PatientProfile

Diabetes Mellitus

Hypertension

Cardio Vascular Diseases

Chronic Obstructive Pulmonary Disease (COPD)

Post Cerebrovascular Accident/Diseases (CVA)

IoT Gateway

Tele-Monitoring

Tele-Alerts

Tele-Consultation

Integrated Tele-Health

Portal

Cloud Services

Physician / SpecialistHealthcare

Professional

Eldercare Monitoring Station

Next-of-Kin /Caregiver

Internet

VirtualHealthcare Provider

Disease Management860 million chronic disease patients world wide

TV

Internet

Familycaregivers

ElderlymonitoringService

Diseasemanagementservice, Clinic /PersonalHealth Record

Aging Independently

• An adult child helping their

elderly parents age gracefully

in their own home.

• Basic life monitoring as

appropriate (ADL):

• Motion sensors (Fall)

• Emergency sensor

• Vital sign monitoring (RPM)

• Hypertension

• Diabetic

• Cardiovascular

• Personal Health Record

• Medication reminders and

compliance

• Trend analysis and alerts

• Appointment scheduling

• Email, chat, video

• Independentliving

• Chronic disease

HomeAutomation& Control

Pedometer

Blood-

pressure

Cuff

Medication

Tracking

Pulse

Ox

Weight

Cell

Phone

Robot

Implant

Elderly Monitoring600 million elderly individuals world wide

Bed

Internet

Familycaregivers

Hospital CareTeam

Health Plan

• Post Ops Recovery

• Chronic disease

Pedometer

Blood-

pressure

Cuff

Medication

Tracking

Pulse

Ox

Weight

Cell

Phone

Robot

ElectronicHealthRecord

Post Ops Recovery &

Disease

Management

• Bed exit sensor

• Motion sensor

• Vital sign monitoring

(RPM)

• Medication reminders and

compliance

• Trend analysis and alerts

• Email, chat, video

• Tele-Rehabilitation

• Tele-Monitoring

• Tele-Consulting

Center of Excellence for Elderly Care

Living Room and Bedroom setup

Control Center demonstrating Care Models

Dashboard and Analytics

Integrated Sensors and Devices

Laptop

Objectives and Roles of COE

• Most of such technology solutions are innovative and designed for future care models.

• Challenges that COE will address:• Paradigm shift on care models.

• Generate awareness and incept the acceptance on the availability of such solutions.

• Bridging the social and knowledge gap between the tech sector and the clinical, medical and care industry.

• Standards and interoperability of Medical devices.

• Safety of wearables.

• Data Analytics and Security.

Participating Companies and Supporters

Key Takeaway

“Technology is at its best when it is invisible”*

Unobtrusive

Passive

Respects their privacy

Elderly prefers technology that is

Delivering holistic, elderly-centric personalized care…

Elderly

Technology providers

Healthcare professionals

Social workers &

Befrienders

VWOs & Private care

providers

Gov’t agencies

…

Critical Success Factors (for now)

• There is a need to contextualize the application of various technology solutions for:

• Policy makers

• Healthcare providers

• Caregivers

• End users

• There is a need to collect data through pilot and trials to care/usage usage for Hong Kong and Asia market

• Innovating Care• Care Models (Policy, Regulations, Insurance)

• Collaborate and drive for integrated solutions

• Ease of use and interoperable

mailto:Steven.yeo@talentgridventures.com