Aging well and independent living with the help of IT

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Aging well and independent living with the help
of IT Programs and Projects in the European
Union
Institute on Aging Seminar 22 January, Chapel Hill

Paul Timmers Visiting EU Fellow, UNC Chapel
Hill Head of Unit ICT for Inclusion, European
Commission paul.timmers_at_unc.edu paul.timmers_at_ec.e
uropa.eu
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European Union

• 27 countries, 500 million people, 15,000 billion
  GDP
• Economic union and political partnership
• European Parliament voice of the people
• Council of Ministers voice of the countries
• European Commission initiator of policy, laws,
  programs, managing day-to-day business, 150
  billion p.a., 24,000 civil servants

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ICT for social and economic inclusion
(e-inclusion)

• Concerns 30-40 of people many of the elderly,
  disabled persons, low-income / low-education,
  immigrants,
• EU policy for e-inclusion stresses social
  necessity and economic opportunity
• Policy can combine actions in awareness,
  cooperation, research, standards and legislation
• Linked to broader social/economic policy (e.g.
  demographic change, health without borders)
• ICT for aging well is a prominent area in
  e-inclusion policy

Information and Communication Technologies
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Aging the necessity sustainability of care
Gary Bridge, Cisco Nobel event, Dec 2005
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Aging the opportunity growing market
Gary Bridge, Cisco Nobel event, Dec 2005
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Is IT an answer to the challenge of demographic
aging?
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Is IT an answer to the challenge of demographic
aging?
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Summarizing demographic aging

• Social necessity
• EU 80 population doubles by 2050
• Today 4 working for 1 retired, in 2050 only 2
  working for 1 retired
• Cost of pensions/health/long-term care go up by
  4-8 of GDP by 2025
• Shortfall of care staff
• Economic opportunity
• Wealth and revenues in Europe of persons over 65
  is over 4000 billion
• Interest in healthy aging, e.g. smart home market
  to triple by 2020
• Market for innovative services bringing large
  cost savings

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ICT can support older people

• At work
• Staying active and productive for longer
• Better quality of work and work-life balance
• In the community
• Overcoming isolation loneliness
• Keeping up social networks
• Accessing public and private services
• At home
• Better quality of life for longer
• Independence, autonomy and dignity

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Barriers to IT for aging well

• Older people dont use the technology
• In Europe only 10 of people over 65 use the
  Internet
• Aging needs not yet in mainstream products
• Insufficient awareness of users' needs, lack of
  age-friendly design
• Legal and technological barriers
• Legal and ethical issues not yet well addressed
• Lack of interoperability and standards
• Fragmented and immature markets
• Variety of public policies and reimbursement
  schemes
• Complex value chains and unclear business models
  (who pays?)
• Lack of acceptance of IT amongst professionals
  and providers

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Illustrating the barriers complex value chains
in telecare
IT service operation / response
organisation
Response
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Illustrating the barriers immature markets
no / little activity at all trial / pilot activities some mainstreaming fully mainstreamed
Telecare 1st generation (social alarm) BG PL, SI DK, DE, ES, FI, FR, HU, IE, IT, NL, SE, UK, US, JP
Telecare 2nd generation (social alarm home/health sensors) BG HU Leading UK, FI, US. Others ES, IE, SI, DE, DK, NL, SE, JP, IT, FR, PL
Telecare 3rd generation (extensive activity monitoring) All countries except US,JP US, JP (trials beginning in some EU countries)
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Illustrating the barriers fragmented and
immature markets

• 1st generation telecare (social alarms)
• Variability in perceptions of the value of ITs
• Limited and fragmented public provision / funding
  / cost subsidies
• Often no obvious barriers
• ? has saturation been reached, at different
  penetration levels, in countries?
• More advanced solutions (e.g. smart telecare)
• Main policy focus still on human service
  provision
• Issues of infrastructural / organisational
  readiness
• Lack of incentives in established reimbursement
  systems
• Lack of demonstrated business case
• Medico-legal uncertainties
• ? limited deployment, mostly trials/pilots
• (from ICT Aging market study www.ict-ageing.eu)

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EU policy Action plan Aging Well in the
Information Society

• A combined set of actions to accelerate the
  delivery of the benefits of IT for aging well
• in work, community and home
• Raising awareness, shared understanding,
  cooperation
• Best practice exchange, awards
• Ministerial conference, 2008 in Vienna
• Reducing barriers
• Studies
• Standardisation
• If needed proposing legislation
• Stimulating investment in innovation
• Deployment and validation pilot projects
• Innovative public procurement
• Preparing for the future
• Long-term research support (7th Framework
  Programme)
• Shorter-term applied research (Ambient Assisted
  Living)

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We need a comprehensive approach to research and
innovation
Aging Well Action Plan
Technology Risk

• large scale trials with current technology
• service and organizational innovation
• business case development
• 50 M

• longer-term RD
• open platforms and interoperability
• 400 M

• market oriented RD
• cost-efficiency
• adaptation to specific demands,
• 600 M

Time to Market
5-10 years
2-3 years
deployment
1.3 billion investment during 6 years
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Selected longer-term research projects
Project Topic
PERSONA SOPRANO OASIS Companiable MON-AMI Open Platforms and tools for aging applications/services Advanced integrated care service platforms Ontology based interoperability for aging applications Intelligent robotic companion for safety and social support Ambient Intelligence for independent living
HERMES VITAL MIND ELDER GAMES I2HOME EASY-LINE SMILING SHARE-IT CONFIDENCE MPOWER Cognitive care and guidance for active aging Advanced interactive mental training for elderly people Improving cognitive skills of elderly people through gaming Innovative interaction with home appliances Intelligent white goods for an aging population Support for mobility of an aging population Enhanced navigation with smart wheelchairs and walkers Fall detection and protection for independent living Service oriented architectures for independent living
eSANGATHAN AALIANCE CAPSIL SENIOR Study into inclusion of aging workers European coordination platform for RD in aging well International cooperation in RD with US and Japan Study into IT and Ethics in aging domain
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Ethics - aging - IT activities

• Ageing well action plan towards ethical guidance
  by/for stakeholders, on privacy, dignity,
  autonomy, choice,
• SENIOR research project expert workshops
  (socio-anthropological, ubiquitous computing,
  adaptive software, robotics, )
• High-level ethics workshops consensus building,
  outlining guidance

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Future IT aging research

• Service robotics for elderly people
• Open platforms for integrated independent living
  personal health energy management
• Virtual environments / virtual user for
  accessibility
• Direct brain/neuro IT interfacing

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Larger scale innovative validation projects
Project Topic
DTV4All Broadcasting standards for accessible DTV services
T-SENIORITY Independent living, combining social/health care and digital services
CommonWell Independent living, personalised health/social care services
epSOS Electronic health records, interoperability across 12 countries
CLEAR Chronic Disease, system for personalised healthcare and chronic disease management of elderly people
NEXES Chronic Disease, integrated care programs for chronic disorders and aging
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Crossing the chasm from pilots to deployment
Danish labour saving technology initiative

• Labour saving technology fund (2009-2015)
• gt 500 million in total
• 100 per inhabitant in Denmark!
• Focus on implementation of welfare technology,
  telemedicine and administrative technology
• Rebate incentive scheme for public authorities

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Crossing the chasm from pilots to
deploymentWest-Lothian Initiative UK (1)

• Carer statistics
• 6m carers in UK, doubling over 40 years
• 1 in 8 people is a carer (formal / informal)
• Carers save UK 87 billion per year
• More than NHS budget and more than 4 times the
  amount spent on social care for adults/children
• Over a quarter of carers are over 65
• Every day 6,000 people become a carer
• 3m juggle caring with their job
• 1.25 million are offering up to 50 hours a week
  of care their health is at risk

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Crossing the chasm from pilots to deployment
West-Lothian Initiative UK (2)
Demonstrated cost benefits of telecare - UK
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My interest how is innovation influenced by
citizen-interest legislation
Legislation Regulation
Political legal
Information asymmetries
Investment-benefits gap
Interoperability
Accessibility
Intrinsic diversity
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Interplay of citizen-interest legislation and IT
innovation

• Citizen interests e.g. access to care,
  disability rights, freedom of information
• Innovation in products, processes, partnerships,
  business models
• Comparing EU and US examples, using business
  models theory, innovation theory, regulatory
  analysis
• Examples
• Total conversation / accessible emergency
  services
• Assistive devices
• Electronic health records
• IT-based solutions for healthy aging
• Relevance
• citizen-interest based economic legislation that
  is (e.g. EU Single Market)
• Innovation-stimulating social legislation (e.g.
  social support)

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Contacts

• ec.europa.eu/einclusion
• www.aal-europe.eu
• paul.timmers_at_unc.edu
• paul.timmers_at_ec.europa.eu