Laurie Orlov's blog

Executives see the possibilities for AI in home care. Home care and home health care are labor intensive industries. Hands-on work is historically preceded and followed by paper-based documents and tracking tools. However, it is increasingly likely that home care companies will move quickly past ‘Year One’ of AI as the labor-saving benefits are seen and realized. Interviewees, including agencies and tech firms, note the changes underway. Some are engaged in various pilot projects of AI-enabled tools, others are doing implementations, still others are already deployed. For example, report discussions surfaced the following:

An AI tech agent on our behalf – predicted long ago. Consider the definition: “An AI agent is a system that perceives its environment, makes decisions, and takes actions to achieve specific goals, often autonomously.” At first look, that seems quite scary and is reminiscent of two quite predictive fictions:  HAL 9000 in 2001 (“Sorry, Dave, I can’t do that”) or the robot in the Robot and Frank (2012) that takes care of every need of a lonely man with dementia, then assists him in committing crimes.  

Moving in later can mean greater care needs, but same staffing levels.  This article caught my eye – ‘Significantly more difficult’ to care for today’s assisted living residents. The gist of the story is that people are moving in later, now in their mid-80’s and often because living at home is untenable. Which means they need more help and care than the organizations used to expect.  According to AHCA/NCAL: ”Four in 10 are living with Alzheimer’s disease or other dementias. After a median stay around 22 months, roughly 60% of residents will move out of assisted living to transition to a skilled nursing center.​” 

Conversation is becoming more interesting with ChatGPT 4.0.  For one thing, with its memory feature enabled, it easily inhales everything the conversationalist has ever said online, or even excludes the speaker’s previous remarks upon request. How can this be helpful to older adults? A tool that learns from multiple sources, aggregates if desired into a summary, incorporates links to sources, and then remembers the whole interchange – maybe that moves it into another tier of utility. The conversation could have been about travel possibilities, about transportation options, about more comfortable walking shoes – or brainstorming places to go on a future trip. Next interaction – do you want to hear what’s new in locations you viewed previously?

Some have said the concept of ‘AgeTech’ can be a bit depressing.  It is especially bleak when you look at the startup portfolio which aggregates a variety of tech categories to help older adults in their later years, Making Aging Easier for Everyone, and includes offerings that tackle deficits like issues with mobility, fall detection/prevention, caregiving, Alzheimer’s, vision, and many aspects of health. AgeTech tools include a few for the heavily-invested category of Digital Health ($3 Billion in Q1 2025).  All these products, all very useful, fill gaps in the general consumer market.  Consumer product designers tend not to start the day thinking about the older adult as a market segment. Instead, older adults are segmented into their roles -- older adults are the care recipients (B2B healthcare and senior living), as well as individuals with disabilities and needs for greater accessibility and/or services.  All useful.

Strength-related tech for stronger women?  With all of the digital health startups and corresponding $10 billion in investment, I was curious as to why none are helping women gain strength, which is known to be a direct link to maintaining balance and improving bone health, not to mention helping to prevent falls. I remember a book published years ago called Strong Women Stay Young, specifically focused on older women. The author, Miriam Nelson,  noted the importance of strength training and bone health – and in particular, avoiding osteoporosis, suffered by one in five women aged 50+.  It turns out, none of the 2024 digital health investments that are focused on women ($1.1 billion) tackled this dimension of women’s health.

IEEE wants to drive creation of a standard for AgeTech.  The global organization, long a player in the creation of standards across the spectrum of technology and engineering, has launched an ‘Activity’ called Technology Standards for the Aging (or AgeTech).The scope includes “terminology, human factors, usability, metrics, test methods, and interoperability for AgeTech products and services.” One possible output of this initiative is a certification of products or services that are in compliance with the standard.  Many already associated with the AgeTech topic are participating in this initiative, which is comprised of meetings and online discussion over a two-year period.

Some subjects are perennials – like robots for older adults.  Here we go again. This must be in some Fast Company editor’s standing list of topics – nothing else to write about so let’s do the robot-for-older-adults article again, this time written by futurists, comparing AI tech to physical robots – and asking real older adults what they think. You have to hand it to the interviewees – they know this is not a ‘robots’ topic. And they recognize ‘Advisor’ capability that already exists in Siri and Alexa – and that it is improving, though not (yet?) helping with human connections and isolation. 

The more things change – some trends dominate.   As the demographics change, couples age at different rates, life expectancy grows among the 65+ --averaging 20 more years, the oldest population growth rate outpaces younger demographic segments.  As the oldest baby boomer crosses 80 in the next few months several trends will drive technology adoption in distinctly new ways. As a result, the market for tech will need to accommodate a series of changes, sales methodologies and market opportunities.  A worsening labor shortage will continue to plague the senior care sectors, including senior living, nursing homes, and in-home care. What are the drivers that should attract innovators in the older adult tech industry?

An impressive process was launched in 2013 at an AARP convention in Atlanta. Groups of older adults were shown how to use tablets. A presenter demonstrated and 4H volunteers sat at tables with the attendees to show them how to use them.  The program was called Mentor Up – and the idea was that young people could/should volunteer to help older adults with a device that was unfamiliar and baffling. At that time, the iPad was just three years old. The older adults in the room almost certainly did not own one -- at that time, 26 million older adults were NOT online. So their surprise and delight at what it could do made an impression. The role of young people was equally impressive -- and should be a role model for today.