Laurie Orlov's blog

For a Chief Medical Officer, what role does technology play? Recently there was an opportunity to query executives in senior care, including Dr. Arif Nazir, Chief Medical Officer, Signature HealthCARE, who was asked about the technology impact on long-term care jobs.   The insights quoted here could be generalized, not just to Skilled Nursing Facilities, but to all types of care delivery – and are particularly notable in the context of last week’s New York Times article: "How Tech Can Turn Doctors into Clerical Workers.” As Dr. Nazir notes, it’s not just doctors who can be frustrated by over-emphasis on technology. Here are the questions and few observations about the work and the workers:

Too much road noise, no self-driving information.  So how safe are self-driving cars for us, those pesky consumers who are also the victims of this tech for tech's sake?  Ask yourself – how would you know? Even the NTSB doesn’t want you to know details of accidents involving Tesla’s Autopilot.  Let’s remember the so-called problem being hustled into the market -- to reduce the most recently cited number (40,000) of deaths from auto accidents. They are astonishingly low already, according to a Rand study, at 1 per 100 million miles traveled. According to the Wall Street Journal article, Tesla promised to release safety data on its self-driving tech regularly starting next quarter, though they have not said what sort of data and what could be gleaned from it -- perhaps in advance of another series (see link) of crashes.

April showers, daffodils and other flowers.  Depending on where you went in April you could experience spring multiple times – each time buds and birds emerging. With them, much news about technology, the good, the bad, the ugly, and the smug – not sure that so much time to look at and listen to Mark Zuckerberg’s confession felt like a positive.   It did make one wonder how long Facebook has known which of its “2 billion users” are the 87 million fake profiles – and are those counted in the data used by advertisers?  At any rate, here are the four blog posts from the month of April.

Smart speakers – they seem to be the new, new thing.  According to eMarketer’s new report , 40.7 million people will use a ‘smart speaker’ at least once in any given month. Because there is competition now, primarily from Google, the market share projection for Amazon (which ‘shipped tens of millions of devices at Christmas’) will drop from 66.6% to 60.8% share by then – and Google Home-related will rise to 30%. Other than Amazon and Google – “Other” will grow from 8.3% to 14%, which presumably includes Sonos, JBL, Harmon Kardon and other entrants. Does this matter? The split is less important than the growth in overall adoption, not because this is the coolest of new gadgetry, but because the user interface is finally improving and matching the way we think -- after many years of deteriorating screen-based UIs that, on a good day, are just plain annoying.

You want to launch a boomer/senior, home health tech, caregiving, product or service. Or other. Your new company gets ready to travel into battle for west coast networking, or you're back from San Francisco or Silicon Valley, consider this guidance, now that cards have been exchanged and follow-up emails sent. Soon your new or existing company will officially launch a new product or service, or a much-anticipated offering will finally ship. You read AARP and Pew survey research reports. Now look over this 6-month-old updated checklist.  And you look back on the 2009 advice – which is still valid, especially about creating community around the product – more important than ever. And as for item 6 in this post, THIS MEANS YOU!   Really now, are you ready? 

April Showers, Innovation and Spring flowers.  Tech companies and their partners continue to propel forward, with new ideas, innovations, products. Consider that April offered up the winners of the Stanford Design Challenge – a computer-integrated bicycle handle with blind spot warning and fall detection and emergency alert. Stay tuned for more innovation events upcoming, including the upcoming 2018 Silicon Valley Boomer Venture Summit in June. Here are the five offerings from April with all material drawn directly from the company's websites:

A long time ago (7 years this month) in a tech world far, far away, a report sponsored by then-AARP executive Jody Holtzman predicted that technology change would deliver a new user experience. The concept was referred to as "Technology Design for All" --  defined as 'User experiences that appeal to all age groups, persisting across versions and devices.'  According to the report Connected Living for Social Aging, which was published 7 years ago this month, the future was predicted. It is worth a look back -- note that it did happen just as described. Consider smart speakers (the Echo was launched in 2014), IoT boxes, phones, tablets, PCs, Macs and all cloud-based software.   These work without the need to download and upgrade on Patch Tuesday, though privacy improvements are the next big technology hurdle.  From the report, with the chart giving an italicized nod to tech of 2018:  

Search for the word ‘pilot’ on this site. That is an interesting search – pages and pages of Start Me Up pilots in tech, programs, initiatives large and small, all linked, no doubt to corresponding media spend and press releases.  Think back on the cycles of tech deployment.  Remember the Alpha test, when the product barely worked at all.  After those bugs were uncovered by testers who had scripts designed for successful outcomes, it is time for the Beta test – where selected prospective users are identified, put the offering through its paces, under an assumption that the pilot will be converted to permanent deployment. 

The irony, the irony – everyone saw Europe’s data privacy initiatives.  Why has this taken so long here? In a word – lobbying. The congressional hearing droned on, and Mark Zuckerberg tried so hard not to sound condescending towards his techno-light questioners about the so-called ‘Facebook Scandal.’ Which could have been the Google scandal, the Twitter scandal, or eve Amazon -- consolidation of industry players and using the data to sell them (or make ads ‘more effective’) or as with Amazon, sell them more stuff. The real scandal? Not the Cambridge Analytica role, which didn’t exactly sneak around in the long-time and paid analysis of Facebook data. The real scandal might be last year's $30 million of lobbying spent to avoid controls (and user protection) actions like those considered and in process in Europe.

The tech ideas of March -- change incremental or disruptive.   March marked the annual American Society on Aging conference in San Francisco – where Continuing Education Credits (CEUs) are obtained for multiple social and service roles that serve older adults.  The purpose was unchanged – and the limited representation of tech in the exhibit hall  may hint at the peripheral role that technology use continues to play in these senior-focused jobs, despite the tech disruption this past year of voice first technology, or the availability of cheaper/smaller wearables and offerings for the smart home.  The four blog posts from March are: