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ETECH INSIGHT—ALEXA TOGETHER CONTINUES TO ADVANCE HOME CARE FUNCTIONALITY
1 Aug 22 by Mike Davis
Keeping Family Members in the Loop of Elderly Care
The boomer generation will test the capacity and flexibility of the existing US
healthcare system over the next two decades. By 2030, Medicare is expected to
cost approximately $259.8 billion. One way to reduce this cost is to use
emerging digital technologies to help treat boomers more effectively in homecare
settings. Digital technologies have proven to be an effective foundation for
virtual care services during the pandemic. Telehealth and telemedicine, remote
patient monitoring, and patient engagement solutions have created virtual-care
environments that can compete with direct-care environments for many low-acuity
care and episodic or chronic health monitoring programs.
Another key area for supporting boomers’ virtual care comes from the emerging
digital smart home-assistant solutions from Amazon, Google, and Apple. These
solutions are supported by leading speech recognition technologies that can
interact with older patients in their homes to provide reminders about care
appointments and medication refills as well as access to medical information
relative to their healthcare conditions.
An emerging capability of smart home assistants is the expansion of their
services to allow caregivers and families to use the devices to better track and
evaluate the conditions of the elderly patients in their care. When remote
caregivers or family members have the ability to check in with an elderly person
and review that person’s compliance with scheduled appointments and medications,
it reduces the stress of not knowing how that person is really doing. One
example of this digital service is Alexa Together.
Grouping Alexa’s Digital Services to Fit Care Needs
Recently, Amazon updated their Alexa Together subscription service that connects
aging users, called subscribers, to their caregivers and loved ones through
Alexa. Subscribers can use the new Circle of Support feature to share updates
with family members and caregivers. The Remote Assist control of the device can
be shared with up to 10 designated caregivers. That function will let primary
caregivers create and enable Alexa Routines for subscribers to use without the
subscribers having to set up the Routines on their own. That improves the
system’s adoption and use.
Circle of Support members can be added or removed by the subscriber or the
original, primary caregiver. This ability strengthens support interactions with
all caregivers. Amazon reports that more than a quarter of Alexa Together
subscribers are in different states than their designated primary caregivers and
nearly two-thirds are in different cities. This increases the value of Alexa
Together for subscribers.
The Remote Assist tool allows the primary caregiver to set reminders (e.g.,
clinic appointments, medication refills), make lists, and otherwise interact
with the device for standard information. Alexa Together can make Alexa Routines
as well, allowing the primary caregiver to streamline tasks, such as turning off
an alarm, turning on a light, and activating the subscriber’s coffeemaker, into
a single command embedded in the older person’s smart device. Amazon will send
the subscriber an email every time a Routine is set up on their device to keep
them informed of their new routines.
Better Homecare Support Results in Better Care Outcomes
The ability to better support elderly care in home environments reduces
healthcare costs while improving outcomes. Per a Cigna report, seeing a
specialist averages $120 less for a virtual visit than an in-person visit, while
a virtual urgent-care visit averages $141 less than being seen in an urgent care
clinic. The same report concluded that many patients—including more than 75% of
Cigna customers who had a virtual wellness screening in 2020—lacked a primary
care physician (PCP). Two-thirds of those patients without a PCP learned they
had a health condition because of their virtual screening. That enabled the
patients to seek additional care before their conditions progressed, maximizing
their health benefits while avoiding costs down the road.
Smart Home Assistants Advance Home Care for the Elderly
Smart home devices provided by Amazon, Google, and Apple continue to advance
their functions to provide valuable support for healthcare services. Amazon and
Google are the current leaders.
* Alexa Together: A caregiving service that connects a user’s Alexa app to
their Echo devices.
* Google Home: A device that creates a routine of tasks that are activated to
support healthcare.
* Apple HomeKit: A system that currently has limited healthcare abilities.
Success Factors
1. Healthcare organizations should evaluate their patient populations to find
patients who can afford and use smart home devices to support their
healthcare.
2. Healthcare providers should target populations of patients who are high risk
or have chronic conditions to create a prototype for using smart devices to
reduce care costs and improve care quality.
3. Successful prototypes can be used to extend the smart-home-device services
to all high-risk and chronically-ill patients who can effectively use the
devices.
Summary
The boomer generation of the US will require healthcare organizations to deliver
more convenient and affordable healthcare as this population has tremendous
economic and political power. The COVID-19 pandemic exposed both caregivers and
patients to digital technologies and solutions that demonstrated the ability to
provide high-quality remote care services. The expectation of continued
extensions and capabilities for remote care services has been established in the
market. Payers and providers understand the need to incorporate remote patient
care into their service portfolios.
Amazon, Google, and Apple are providing smart home assistant devices that will
continue to extend and improve their current healthcare offerings. Fitness
devices or watches can exchange information with these smart devices to gather
remote patient monitoring information that can be shared with caregivers and
improve outcomes and care quality. One of the key emerging features of these
devices is the ability to allow other people to access and operate smart home
device functions and communications for elderly people so that those elderly
people can have peace of mind about their healthcare statuses.
Photo Credit: Enrique, Adobe Stock
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