Modern Engineering & Technology Seminar 2014 SILVER ECONOMY FOR ELDERLY CARE (CHALLENGES, CHALLENGES, OPPORTUNITIES AND GOVERNMENT INITIATIVES) INITIATIVES) (健康、喜悅、輕鬆、自在) Tsong-HoWu, Ph.D. November 10, 2014 Outline Silver Economy based on WHO Active Ageing Model ICT-Assistive Technology and Opportunities for Active Ageing Challenges of ICT-Assistive Service Adoption EU Policy & Initiatives for Silver Economy Sustainable Business Models Current Progress on ICT-Assistive Service Adoption Summary 2014 Tsong-HoWu 2 Elderly Care – A Global Socio-Economic Challenge Taiwan Ageing Distribution (09/2014) Fast growing ageing population creates significant socio-economic challenges for governments and citizens in the globe In Taiwan ̶ Becoming an ageing society by 2018 ̶ Working-age population (15-64) will drop from 74% in 2014 to 51% by 2061 (NDC) ̶ Elderly (60+) healthcare costs 44% (NT$360B) of total healthcare reimbursement in 2012 2014 Tsong-HoWu 歲以上 65 歲女性男性 15-64 歲 0-14 10 8 6 4 2 0 2 4 6 8 10 百萬人 3 Silver Economy An opportunity to transform elderly care socio-economic burdens to a potential economic growth engine with better life quality of ageing society A relatively rich group with spending willingness for health and life quality ̶ Large new public and consumer markets for ICT products and services for ageing well ̶ Emerging industry development acts on various business acting for personal services and technology developments supporting ageing well 2014 Tsong-HoWu 4 Successful Ageing Means Independence 1. Being in good health 2. Having the ability to do things for myself 3. Having friends and family there for me 4. Feeling safe and secure Healthcare Independent Living Source: AARP Healthy@Home 2008 survey ranking by 907 65+ individuals 2014 Tsong-HoWu 5 Active Ageing (WHO): Ageing Society Vision In 2002, WHO proposed an “Active Ageing” policy framework to address C 2014 Tsong-Ho Wu 2014 Tsong-Ho Wu Independent Living Healthcare socio-economic challenges of incoming ageing society with focus on ̶ Development of Social Participation channels ̶ Formation of Physical & Mental Health environment ̶ Assurance of Social, Economic and Life Security 6 Challenges for Active Ageing Healthcare ̶ Continuum care between hospitals (acute care), community/clinics and home (prevention care) ̶ Lack of sufficient qualified caregivers ̶ Limited preventative care for life style behavior changes against chronic diseases Independent Living ̶ Tailored to elderly needs of assisted living, health management from anywhere when needed ̶ Personalized social networking platform ̶ Safe and secure environment ̶ Service sustainability 2014 Tsong-HoWu 7 Approaches for Active Ageing Active ageing from a service perspective Caregiver is an integrated part of elderly care Continuum care integrates acute care in hospitals with preventive care in community & home ICT technology assistance ̶ ̶ ̶ ̶ Complement caregiver shortage Extend care coverage areas beyond hospitals Provide a communication and collaboration platform for continuum care from hospital to community to home Enable new types of services which are expensive or not possible by today’s care environment 2014 Tsong-Ho Wu 8 ICT-Assistive Technology for Active Ageing eHealth/mHealth for Healthcare and Independent Living Ambient Assisted Living (AAL) for Environment-aware Independent Living Active Ageing Service Domains Living Environment ICT-enabled Services (IoT Services) Independent Living Healthcare Home Connected Home for AAL ICT Technology Community Hospital Mobile Health (mHealth) eHealth Technology-enabled Business Models 2014 Tsong-Ho Wu • IoT/M2M Wearable Devices/ Sensors • User Experience • Gamification • Social Engineering • Cloud Monitoring • 4G-LTE • Big Data Analytics • … 9 Challenges of ICT-Assistive Service Adoption Adoption from locomotive service providers and availability of global service enable platforms Economic scale for sustainable business models ̶ Large customer base, global brand, deep pocket investment, corporate strategy (NEXT BIG THING) and creditability for ecosystem development Need evidences of impact on health behaviors or outcomes ̶ ̶ Security & privacy Payment mechanisms for business models ̶ Healthcare insurance reimbursement beyond hospital settings for health management ̶ New groups of consumer payers via Service Enabler Platforms Unclear government regulation (e.g., FDA regulation) 2014 Tsong-Ho Wu 10 EU Policy & Initiatives for Silver Economy Policy: EC eHealth Action Plan (2012-2020) Position eHealth as one of six growth engines in EU Public-private partnership with special focus on mHealth ̶ ̶ EU initiatives for silver economy European Innovation Partnership on Active and Healthy Ageing policy (EIPAHA) (20122020) ̶ Elderly disease prevention and health management, healthcare and disease treatment, and ambient assisted living Active and Assisted Living Joint Program (AALJP) (http://www.aal-europe.eu/) ̶ Innovative solutions and business model sustainability for elderly assisted living ICT-assistive technology and business infrastructure development through EU FP7 Program (2007-2014) and Horizon 2020 (2014-2020) ̶ Horizon2020 Societal Challenge 1 on Health, Wellness and Active Ageing A Triple Win ̶ ̶ ̶ A better quality of life for European citizens, including elderly Innovation and growth for a competitive EU industry More sustainable healthcare systems for ageing society 2014 Tsong-Ho Wu 11 Mobile Health (mHealth) Applications Major application examples ̶ ̶ ̶ ̶ ̶ ̶ Communications and collaboration for continuum care Consumer diagnostics and monitoring Data analytics for personalized recommendations & alerts Lifestyle behavior change coaching Medical adherence Fall alert and emergence response for elderly Tailored services with global service enabler platform is key to success of service sustainability 2014 Tsong-Ho Wu 12 APPLE HealthKit + Watch as mHealth Service Enabler Platform APPLE Health (6/2014) iCloud 2014 Tsong-Ho Wu • APPLE Watch (early 2015) Health & Fitness • Locomotive to bring up prospects of medical and consumer wearable health devices & services Niki, Alibaba, Healthcare 13 CIO Group,.. Google/Microsoft mHealth Platform+ Wearables Google ̶ Google Fit: Health management platform for health and fitness (10/2014) ̶ Android Wear (2014) ̶ Smart contact lens of non-invasive blood glucose measures Microsoft ̶ Microsoft Health: Cloud-based Health Management Platform for Health & Fitness (10/2014) ̶ Microsoft Band (2014 end): Health & fitness tracker 2014 Tsong-Ho Wu 14 Some End-User Scenarios of AAL • ICT for intelligent living environments that react to the needs of their inhabitants by providing relevant assistance Intuitive handling of devices Media Interaction Emergency Monitoring of sleep Sport and Social Interaction 2014 Tsong-Ho Wu Source: EU/FP7 uAAL Project (The images are from Fraunhofer’s AAL lab in Darmstadt) 15 Connected Home Service for AAL (AT&T Digital Life Service) • An IoT/M2M platform-based Home Security and Automation Service with digital-life experiences • Mobile applications-driven with download from APPLE App Store or Google Play • Service launched in April 2013 with 75 markets in US in April 2014 2014 Tsong-Ho Wu Digital Life Service Solutions (2013+) Smart Security Advanced home security – enables Automation Solutions + • Energy Management • Water Leak Control NEXT Living/Aging in Place (2015) • In-home monitoring service to seamlessly connect caregivers to elderly at home • Real time monitoring and alerts related to elderly’s fall, personal care, medication schedule, etc Page 2 16 Connected Living Room Exercise Service (ITRI EU/FP7 UniverseAAL Service Pilot-2013) ASUS Xtion Home Automation Fan AALBased Controller Ambient Assisted Devices Lighting Heart rate monitor AAL-Based STB 2014 Tsong-Ho Wu 17 mHealth/AAL Ecosystem Stakeholders for Business Models IT Industry System Providers Application Software Providers UI/UX Providers Provide services Payment/Profit Sharing Payment Model Solution Providers Value-Added Services Private Insurance Companies Service Enabler Platform Providers (e.g., App Store) 系統營運商 Policy Plan & Services Hospitals 醫院 Profit Sharing Call Center Support 2014 Tsong-Ho Wu Insurance Reimbursement Health Insurance, Policy Compensation 18 Why Stand a Chance NOW (1/2) Usage of mobile applications being widespread penetrated to users’ daily living with health care application rising quickly By 2018, expected 50% of 3.4B+ smart mobile device users download mobile health apps* ̶ Recent adoption from locomotive global service enablers and service operators with open service enabler platforms available ̶ APPLE Health (+Watch) (2014), Google Fit (+Wear) (2014), Microsoft Health (+Band) (2014), AT&T Digital Life (2013+),…. ̶ Global service enabler platforms for elderly care under public-private partnership EU universeAAL open platform with uStore (2013) 2014 Tsong-Ho Wu Global Service Enablers Large Customer Base Global Brand Deep Pocket Investment Corporate Strategy (NEXT BIG THING) • Business Creditability for Ecosystem Development • • • • * http://www.research2guidance.com/500m-people-will -be-using-healthcare-mobile-applications-in-2015/ 19 Why Stand a Chance NOW (2/2) ICT technology advancement 4G/LTE, Wearable Devices/Sensors, Gamification, User Experience Design, Social Engineering, Cloud Monitoring, Big Data Analytics, etc ̶ Health insurance reimbursement trend shifting Accountable Care Organization (AC): from pay for service to pay for performance ̶ US/FDA and EU are issuing guidelines for mobile apps regulation guidance with enforcement discretion exercise (2013+) ̶ Mobile apps vs Mobile medical apps 2014 Tsong-Ho Wu 20 Summary ICT-assistive technology and service infrastructure for Active Ageing are being pursued by western governments and private sectors as a new potential socio-economic growth engine of ageing society Caregiver should be factored into elderly care service model Recent mHealth adoption by locomotive global service enablers (e.g., APPLE, Google, Microsoft, AT&T) and service providers (e.g., AT&T, Verizon) with health insurance reforms MIGHT transform mHealth/AAL market from a niche market to the main street Service solution globalization via global service enabler platforms with local customization will help facilitate silver economy development with better life quality globally and locally Public-private partnership and associated policy design are critical for success of sustainable elderly care 2014 Tsong-Ho Wu 21 References WHO, Active Ageing: A Policy Framework, 2002 FDA, Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff, September 25, 2013 FDA & EU Regulation of Mobile Health (2nd Edition) (http://mobihealthnews.com/wpcontent/pdf/FDA_Regulation_of_Mobile_Health_2013.pdf) EU/FP7 AAL Studio is available from an Eclipse Update site at: http://depot.universaal.org/eclipse-update/ 2014 Tsong-Ho Wu 22