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Home Monitoring - Beyond Personal Emergency Response

Mom is in Florida, adult children are far away. I see it all the time --  frail elders who want to stay where it's warm. and of course, they have adult children who can't or won't live near them. And technology vendors, as I saw at the AARP convention, and described in this well-written NY Times article, want to fill this nervewracking void. And the business model and pricing was examined in this Marketwatch overview.

Let's take a look at one I discovered at the AARP exhibit hall that combines monitoring and communication, generally offered from separate vendors -- and therefore not integrated:

GrandCare Systems.  Launched in 2006, this software-based offering is designed on an open system sensor network model ( According to Laura Mitchell of the Wisconsin-based firm, the unit looks something like a Tivo box that plugs into to an internet connection. The firm’s value-add is the software which augments sensor-based information a stored on the box with configurable rules. Says Laura: “GrandCare Systems Como explores a new frontier in technology using the internet, the senior’s television to communicate, & wireless sensors to monitor wellness.

GrandCare Como has two components: Communication and Monitoring. Friends and family can send pictures, messages, reminders and more to a dedicated channel on a resident's television. Meanwhile, small sensors (motion, temperature, door, blood pressure, caller-id, weight, etc.) collect information and can assure family/caregivers that all is well.” The configurable rules include, for example, "notify if  resident does not go through doorway.'"

According to Laura, “what makes this unique is the integration of sensors (non-proprietary) with communication, what we refer to as a “cognitive assistance communication station. This box can be plugged into a monitor or TV; the family can send pictures, calendar, or other cognitive assists.  The communication station retails at $1795 + $39/month,  when sensors are added -- caller ID, auto lights, cognitive reminder, door sensors, the retail price is $2500.” Dealer and facility discounts are available, and incentives are offered to dealers to offer the product  -- including in the concept of dealer -- home care workers or geriatric care managers. 

Unfortunately, no insurance reimbursement is available, so only it is targeted at those who can afford to purchase it (or even acquire it as part of an upscale independent or assisted living fee). I assume that if they knew about it, geriatric care managers would be logical advocates. (No insurance covers them either!).   The coompetitors for GrandCare Como (basides QuietCare)? Your thoughts welcome.


Laurie, I am really enjoying all of your articles.  Keep up the great work!  Your knowledge really got people talking on the GrandCare conference call last Thursday.  What a great discussion. 

My thoughts exactly as far as Geriatric Care Managers and Home-based care providers are concened.  GrandCare is a perfect complement to their services.  Home-Based providers can even promote the I can be there, without having to be there 24-7.  You are never home alone without virtual support!  If this truly can keep someone independent at home, the price should not be an issue - especially when you compare the alternatives.  GrandCare is roughly 2 weeks in an assisted living situation.  GrandCare can also easily transition with an individual and essentially move with them, if needbe.

Thanks for your wisdom and I am going to keep reading through this.  Fascinating!



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