Home Care

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. 

 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.]

The perfect storm has arrived to drive tech adoption in the home and care services. So many factors converge now that were highlighted during the pandemic – consider the need for telehealth services as an alternative to in-person visits. The lack of broadband access for older adults limited vaccine sign-up or even communication with families or friends. The slow rollout of Wi-Fi in senior living was, to say the least, a miscalculation about the future. And last, but not least, the worsening staffing shortage, noted for years throughout the older adult service industry, is now a full-blown crisis. And the shortages in home care, home healthcare, skilled nursing facilities and senior living are juxtaposed with an overall labor shortage, just as the oldest baby boomer has turned 76 and has significant remaining life expectancy. Consider that older adults remain in hospitals and rehab facilities because there are no workers to help them with care at home. And that's just today.