Laurie Orlov's blog

There is a labor shortage everywhere -- ditto in senior care. We know that one of the biggest issues in senior living (and home care, nursing homes, home health care) today is a shortage of labor. This roll-up of statistics shows more than 400,000 employees lost between 2020 and 2022, with long-term care facilities (aka nursing homes) being the most impacted. There is quite a bit of chatter in long-term care publications about the need for more technology use, and providers are asked to offer best examples of tech use to win an award (separate categories for senior living, home care, and skilled nursing) at the upcoming Leading Age event in October. Remember that memory care is a sub-category within both senior living (aka assisted living) and skilled nursing facilities (aka SNFs).

Design still needs to include older adults. One might say that there’s nothing left to say about this topic – it’s been said in multiple and sometimes overlapping and confusing ways. You can read about inclusive design, sometimes called design-for-all, accessible design, and universal design.  None of these concepts are specific to designing for inclusion of aging adults. And we know that older adults, some not online, are an afterthought when new emergency processes are created.  At a recent event, recommendations from design experts were discussed and considered in the context of aging adults.  But is the distinction between approaches, in fact, based on history and legal compliance? What should (really, this time!) change?

The 3G sunset has had plenty of warning, but will that matter to older adults? Many people do not remember much about January 1, 2000, the day all systems that stored 2-digit years would become useless calculators. But there was much preparation and so life went on, mostly normal. Will that be the case with the 3G-to-5G network transition?  The big three carriers (Verizon, AT&T, T-Mobile) are motoring ahead with this switchover to enable them to free up, as they say, faster and more reliable bandwidth.  But there are worries that they may leave some users with a phone that is nothing more than a useless brick.  Experts in the industry (perhaps consultants to the carriers) say "that there will be a mere few hundred thousand customers impacted at each carrier, totaling fewer than 1 million people." Really? With 300 million cell phones in use in the US (there are only 332 million people!) and AT&T acknowledging that 196 million of them use its network!

Are you starting to notice a pattern, so to speak?  There seems to be a growing number of tech offerings that can see, sense, detect, and learn about behavioral patterns as part of new tools for older adults and their caregivers. Changes like these and others in this space will be addressed in a new report launching this month: "The Future of Sensors and Predictive Analytics for Older Adults."  In the meantime, here are eight new offerings in the market that are designed to improve wellbeing and care.  All text is drawn from the websites of the companies -- they are presented here in alphabetical order. 

The Meta Pixel problem – who would have thought? Never a dull moment in tech world. Meta (how tiresome, we know it is Facebook) has been sending patient data from hospital systems back to Facebook (appointments, doctor, and a host of other patient-specific data) through the use of a tracking pixel.   Results from a study identifying the problem are now published, and the first of possibly multiple lawsuits are being file for mishandling personal patient data. The point of the pixel was to help in tracking consumer responses to advertising. Like many privacy violations and data misuse on the Internet, consumers are usually powerless other than voting with our feet. With this lawsuit, coupled with government attempts to crack down on big tech, is the tide is turning? 

Is there a search problem to solve? Or are we just lazy searchers? The Atlantic tried to assess the Decline of Google as a search tool, citing a variety of fairly technical arguments as to why, sourcing commentary from bloggers and ‘experts’ who track and analyze search engines. The major complaint over time seems to have been the growing presence of ads and perception of selective ranking in favor of Google’s own products (like showing YouTube videos) and/or business alliances. And certainly there are multiple blogs out there that condemn Google as a search tool, suggesting one of many other search tools out there, including Microsoft Bing, Yahoo and (mostly) non-tracking DuckDuckGo. The conclusion of the Atlantic article would seem to be facetious – ‘Google is still useful for many’, considering that 91% of searches are done with it. 

Voice assistants made device hardware actually seem smart. By 2018, more technology (and associated improvements) could be found in the Cloud. Besides these invisible upgrades, the voice assistant technology has been continually improving – and if the user could be made aware of those improvements (a BIG IF), they might find them to be very useful. Consider voice-enabled smart plugs, thermostats, audio books, traffic directions, weather, and news updates – and answers to questions that might matter about health, social connection, and personal safety. Today 95 million million US adults have smart speakers and 85% of US adults own a smartphone. Both platforms are now in position to deliver value and benefit to older users -- and thus the opportunity to speak and be heard.

 A well-known consulting firm assesses the growing care gap. Boston Consulting Group analyzed the care crisis recently asserts that the lack of paid or unpaid care workers to provide care of children or aging parents may prevent them from filling unfilled jobs, noting the 99 million people today who are not in the workforce. y do an interesting analysis built around the premise that some people who could work do not because of care responsibilities. The conclusion -- the one hand, quality affordable care could be subsidized so that more would want to do the work, filling the unfilled care jobs (day care, elder care). And family members could thus remain in jobs that they would otherwise abandon to provide care. Okay, hard to argue with this macro view, but there are some key points missing. Take a look at Exhibit One in the document which asserts that nearly 50 million people, aged 18-64, could become part of the care labor force, particularly those that have children and remain at home to care for them.

This was conceived by Andrea Cohen, Founder and Vice-Chair of HouseWorks, a home care company started in Boston.  Andrea noted, "When employed to its fullest, remote care technology improves every aspect of how care is delivered in the home.  Imagine what's possible when every stakeholder wins."  The vision:  Change the work process to produce Engaged Caregivers, a Connected Care Team, and Informed Families.  Why does this matter now? The home care industry is enormously challenged today --  soaring demand, labor shortages and worker (and client) retention challenges.   At the same time, a vulnerable older adult population lacks adequate care in many parts of the country, sometimes due to wage issues, but more often due to the overall fierce competition for workers across industries. Yet the home care industry can attract those who care about older adults and provide them with improved working conditions that underpin their tasks with technology that improves efficiency and care effectiveness. [See report The Future of Remote Care Technology and Older Adults, where this graphic first appeared.]

PERS Insider helpfully listed the most common PERS Google searches. The result was bleak and informative. Their website identifies the top item (16,000 searches, results with ads) as a 'medical alert bracelet'. Except for the deep-pocketed Medical Guardian which bought ads everywhere, these were all bracelets to help emergency workers determine a health issue. The next one, Medical alert systems (14K searches) turned up ads for multi-vendor sales sites with names like 10 best, 5 best in Florida, and look, there's Medical Guardian! The US News site was not an ad itself, but the article was filled with ads for devices. Ditto for ConsumerAffairs.com.' Best and worst companies – more ads -- and Medical Guardian. Even 'I’ve Fallen and I Can’t Get Up' is one of top four search terms (4800), no doubt from those miserable LifeAlert ads.