The Intel-GE Alliance -- What's it mean? Not too much...

The GE-Intel alliance -- with an associated $250 million of joint investment over the next five years -- announced this past week could get everybody in the tech industry excited.  Even the business pundits that watch them are all aflutter about the possibilities for aging in place technology. I think some perspective is in order, though. Let's place this into a larger context.

Like many alliances in the tech world, and especially in this tech world, research efforts can disappoint and alliances of tech companies can underwhelm with results (see this Google-IBM analysis).  On the other hand, it's good that the firms noted the overlap between the need for home health monitoring and a projection of the US aging population, 71.5 million people by 2030. Oh well, they stopped just short of saying that the investment was about seniors and aging. But this is GE-Intel, great, right? Well, nothing is perfect.

Investment is tiny and nearly inconsequential. According to GE-Intel: The market for "telehealth" and home health monitoring is forecast to grow from $3 billion in 2009 to an estimated $7.7 billion by 2012, according to GE and Intel. But apparently, GE does not plan to dominate the market near term. The giant firm reported $183 billion in total revenue in 2008. $17 billion was in healthcare -- medical equipment including CT, PET, MRI, nuclear, and X-ray imaging systems, sold to hospitals and medical facilities. Home healthcare is mentioned nowhere in their guidance to investors about what they're doing. Of course on the plus side, QuietCare can now be located on their website. So that's good.

Intel -- lots of research, one product. Intel, with more than $40 billion in revenue, announced one health-related product, Intel Health Guide, in November, 2008, priced at around $1200, not reimbursed by insurance, after several years of research and numerous partnerships. Although the product is expected to be used by doctors to help remotely monitor patients, if other tech adoption by doctors is an indicator, uptake on this may be slow, significantly slower than the government-injected funding for electronic medical records, currently adopted in a small percentage of medical practices -- not necessarily saving money. And, as the Times article in February noted -- doctors are still skeptical, waiting for a study on home monitoring to confirm usefulness. 

Seniors -- today -- need more tech help - think about hospital readmissions. So this has been a bleak week for health-related news about seniors. Readmitted patients, or 20% of all Medicare beneficiaries, need to be readmitted to the hospital within 30 days of discharge, costing $17.4 billion in 2004. Oops, not only were they not monitored at home, but apparently more than half didn't leave the hospital with follow-up doctor appointments. 

Seniors -- today -- need more tech help - telephone monitoring is a failure. So how did it go in the demonstration program of telephone-based monitoring of Medicare (read senior) individuals with chronic diseases? Not so hot -- none of the programs reduced Medicare expenditure. Advice from those who studied these 'underwhelming' results? More in-person visits and coordination of care with the doctors. I would argue that contact does not mean 'in-person' and that coordination of care from the doctors' office does not mean that the doctor has to be on the phone with care coordinators or with the patient. Think differently and...

Pick up the pace -- GE, Intel, Microsoft, Cisco, IBM -- you can do more with more.  So let's imagine a scenario of all Medicare beneficiaries who lived in independent living apartments, assisted living, continuing care communities, retirement homes. Let's picture these homes with a wireless network in their broadband-capable apartments, where home monitoring sensors were a given -- passed through as Ecumen does in the WSJ article as part of the cost of the unit. Let's assume that home monitoring vendors -- like GE's QuietCare, but also vendors like Healthsense (eNeighbor sensors), Halo Monitoring (fall detection), GrandCare (home monitoring), Zume Life (chronic disease) or Philips (medication reminders) and low-cost PCs or and easy-to-use PC interfaces actually enabled the Internet -- and its self-help guidance to be available to boomers and seniors. Somehow, I imagine that readmissions would be fewer, that Medicare cost curves could flatten with enough determination and behavioral incentives.

If everyone waits for the baby boom, boomers are doomed.  Hidden in the other bad news this week was the not-so-pleasant article about the risk of hospitalization-incurred blood clots. So it turns out that these clots are fatal 30% of the time, that risk is highest between age 41 and 60 (gee, that sounds like boomer to me), and that risk is greater if you have a hospital procedure that lasts more than 45 minutes. And let's not get me started on the risk of MRSA or C-DIFF infections while you're in there.   Now call me gloomy, but the pace of investment in technology for remote monitoring of seniors, including those discharged from a hospital, of course, seems to be paced for the baby boom to have fully boomed into old age. But seniors are in trouble now, and as we near a hospital, we're all in trouble.

 

 

HealthVault and home medical devices

Microsoft HealthVault already enables online tracking with a wide range of home medical devices, from glucose monitors to blood pressure cuffs. More are being added all the time, and it's easy to transfer information with doctors.

Intel - GE Alliance

Lorie I hear your frustration but I disagree with your review - I think this news is a big deal.

Up until now the state of technology for consumer home-health has been dismal. I have seen lots of good research projects die because of lack of interest, lack of funding to bring useful products to market. Finally technology companies are coming together in a big way through consortia like Continua and CAST to develop standards and collaborate to develp home-healthcare solutions for use by the aging consumer and by the caregivers.

For years the majority of the investment $$$ has been applied to acute problems/diseases that effect a small percent of the overall population -- almost no investments are applied to chronic disease management, or issues affecting aging/elderly adults. GE and Intel announced an impressive $250 Million collaboration to get the ball rolling.

What has been the barrier to applying technology to consumer healthcare is the slow moving paper-centric bloated healthcare system, frought with error and silos of self interest. This trickles down to consumers who are at the mercy of dealing with this miserable system when they do get ill. Our past government administrations/Congress have failed to incentizize this system to modernize or apply technology to the consumer.

Today we have the nexus of several factors -- a Stimulus aimed at electronic health record and modernizing the healthcare system, plus technologies that make home and health devices small, cheap, wireless, portable and connectable, and an aging population willing to make lifestyle changes to stay healthy at all costs and demanding a change of how healthcare is administered. From this we will see more companies, not just GE and Intel getting in the game to provide solutions the majority of our aging society will use and benefit from.

Will this announcement help today's elderly? Perhaps not in time... However, will the announcement plant good seeds of technology development for the future to benefit everyone of all ages -- you bet.

That is why this is big deal -- GE and Intel are betting that the time is right to get started and are leading the way for others to follow.

Agreed, but...

All of your points are well-taken.  But I stand by the point that the investment is minimal in the context of companies who could do more - especially given the multiple ways that home monitoring could help seniors who are victims of another current factor -- inability to sell a home and move to assisted living.  In terms of today's elderly, GE's investment in QuietCare, therefore, is significant today.

Here is a well-done video (and endorsement, of course) about QuietCare.  I am reminded again that videos showing actual use of technology are equal to 1000 words.

And here is a report on the VA results from 2003-2007 about success of the telehealth tech that are already using.

http://www.viterion.com/web_docs/VA%20CCS%20Outcomes%20Dec_2008_Darkins.pdf

 

agreed

Thanks Laurie for keeping me on your list. I think you are spot on here...it is not pretty. But we think the herd is starting to move. Some of the organizations (insurance companies, investment corporations, etc) have started to take interest in this industry and that is promising...

Adoption of Innovation.

Aloha,

I suspect that you're very familiar with various diffusion of innovations theories. Can they help us understand and engender adoption of new AIP technologies? ("AIPT")

We're laying the groundwork for a very simple startup ( see: www.thesilversurfersclub.blogspot.com ) dedicated to serving baby boomers including AIPT education and helping them to assess, buy, install, and actually learn to use AIPT.

We'll see if we can attract enough busy baby boomer caregivers to join our membership and validate our value proposition.

Any thoughts you might have on new product introduction and adoption of innovation would be appreciated!

Thank you,

Peter Durkson

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