Miriam Allred (00:01.036)
Welcome to the Home Care Strategy Lab. I'm your host, Miriam Allred. Today in the lab, we're shaking it up just a bit. I've got a panel of guests that each represent a form of consumer technology for the home, particularly useful for seniors aging at home and their families. As technology improves, AI is making new things possible. Seniors and families are seeking options and caregivers could use the added support.

I think this discussion is timely and relevant for home care companies to learn about what's out there and also what is coming. So today in the lab, I'm joined by three gentlemen. We've got Jim Conti, the VP of sales and marketing at HomeSight by Vantiva. We've got Dr. Shea Gregg, the president and founder at Fall Call, who's also a practicing trauma surgeon. And we've also got David Eby, the founder at Cooktop Safety, who's also a 4x CEO.

Gentlemen, thank you for being here.

Jim (01:00.877)
Thank you.

Shea Gregg, MD (01:01.815)
Thank you.

David Eby (01:02.157)
Thanks for having me.

Miriam Allred (01:03.458)
Let's go ahead and start with some introductions. Let's go with Jim and then David and then Shea Give us just a quick overview of your work history, what led you down this current path, and a little bit about the company and your role.

Jim (01:19.387)
No, absolutely. And thank you for having us today, Miriam. It's a pleasure to be here. My name is Jim Conti I've been in technology since paging was the way we communicated. that with my 8-track player was the way we did things back then. And as I progressed through the technology, it went from that to analog, cellular, right, and all the other things that have now come. And technology has always been one of those things. And I have really navigated and kind of

been attracted to the disruptive technologies, ones that are maybe building out new categories, maybe ones that didn't exist or that were greenfield. If it was on Amazon or it had a hundred other vendors, probably wasn't something that we would want to look at. And I think you've started to see technology come up through with the introductions now of smart home, faster speeds for internet, 5G, all these things kind of coming together into this smart home umbrella.

You've seen a lot of progression in the smart home residential. You've seen the migration into smart home, multi-family student housing. Those things have started to take off. We're now these property owners are installing technology to do various things, locked doors, unlocked doors, thermostats, et cetera. And when I had all that and you start to look at all these things coming together, then you looked at the senior living market and realized that it was still very disparate. mean, people are now going to have to

or want to now find ways where they want to live independently. How can we now support that roadmap? There's not going to be enough beds, there's not enough caregivers, and how are we going to start to utilize technology to support this silver tsunami, as they're utilizing some of the things we've done. And I think the home health care providers are the ones that are really starting to look at this as how do I amplify this care experience? So technology coming into

Our parent company, Vantiva, is a technology company. They were formerly Technicolor. So they have a technology background. Now we're bringing that same technology, but it's a little different application when you bring it into senior living than it might be in some of those other verticals. So I know we'll share a little bit that later, but technology into home care is becoming a very big focus.

Miriam Allred (03:28.44)
Fantastic. Thank you, Jim. David, over to you.

David Eby (03:32.161)
Great. Okay. So, I've been doing the sort of technology out T space for a few decades. We'll say a one decade, but, but in the last five or six years, I've spent it into sort of fire suppression and sort of residential fire suppression and was able to, buy into a company that, that, has a different strategy on fire suppression. and more about

and seen that there was a lot of attention to that. And also a lot of attention from the tech side of things. How do we deal with residential fires and wizard? So the strategies that were in place and still are in place are really after the fact. So smoke has to happen, fire has to happen. And then the devices like a smoke detector or a fire extinguisher or sprinklers, they come in always after the fact, after the fire or after the smoke sort of started.

You know, got to the software background with software pals that are, you know, thinking that software will solve all and, and decided to sort of investigate, you know, what could we do to predict and prevent a fire? So that's sort of what we've done. And we've really come up with over the last solid three years is really about cooking being the leading cause of all residential fires. And out of those two.

points is distracted and unattended are the main reasons for that. So how do we then take software and current AI to sort of manage those two points? And so that's what I've sort of been working on. And we're now shipping a product called the CTS Smart Kitchen Sensor. it mounts above your stove, it looks like this. And it detects an unsafe situation. So if you're present, unattended,

if you're about to head into a problem, and, and it will circumvent that problem and, or intervene and turn the stove off and if that you're not there or something like that. So it was really sort of a one year of collecting, cooking the data, creating a data set, building out our machine learning models and really sort of, you know, testing the software. So we've really come up with a revolutionary way to attack.

David Eby (05:55.229)
and really deliver this predict and prevent technology. So I'm happy to be here and the opportunity to discuss it. Yeah, thank you.

Miriam Allred (06:03.534)
Thanks, David. Interested and excited to hear more from you about what you're building and how things are going. Shea, why don't you introduce yourself?

Shea Gregg, MD (06:12.076)
Sure, so thank you for having me today. I'm actually honored to be surrounded by my partners here. My name is Dr. Shagreg and I am a practicing trauma surgeon. I've been in practice for approaching 18 years at this point. Held many roles, anywhere from like frontliner, which I'm still seeing patients of course in the emergency setting.

In addition, I'm a burn surgeon. So David's solution really speaks to me and I'm also a emergency general surgeon as well. And basically back if you go back to 2015, you know, I started to ask questions. I mean, as a academic surgeon, I always am wondering, you know, how can we do things better? And what I was noticing is that the number one call that we were responding to as trauma surgeons are people over the age of 65 who fall, strike their head on anticoagulation. In fact, that is the number one

trauma activation in the United States and worldwide. So one in four people over the age of 65 fall and we are seeing a lot of them in the trauma bay. And when I started to look around, you know, we've had medical alerts that have been around for 40, 50 years at this point. I noticed that some people wore them but didn't push the button or didn't wear them and I asked them, you know, especially if they were found six hours later.

You know, why, and they have muscle breakdown, kidney problems, the dehydrated, severely dehydrated. Why aren't you using your medical alert? And they said very similar things. They're stigmatizing, they're embarrassing, they make me feel old. And, you know, after you hear that enough, you suddenly get the inspiration to do something. You how can we be better? So enter Apple Watch at that time, and I said, this is the potential future of, you know, safe care on the

A lot of people didn't believe it, know, would people in the older adult age group actually adopt this? And we started to build on it. We built our own fall detection algorithm that could differentiate between, you know, sort of falls from sitting versus standing. And then, because not every fall needs a ambulance, you know, you might just want your caregivers to respond. And then we started to build an entire platform where we partnered with jewelry companies, we partnered with, you know, to make things less stigmatizing. We partnered with

Shea Gregg, MD (08:35.948)
law companies to eliminate the fear of forest entry. We partnered with with Ranex, which is a Korean company that has the ability to actually proactively let people know that their loved one is sitting on the side of the bed within a second so they their loved one can actually go into the room and prevent the fall.

And so what originally, and we were the first ones to bring crash detection to the third party monitor, we were the first ones to bring third party monitoring to Apple Watch. What's set out to be build a completely SaaS based half the cost medical alert system, which is really a life safety platform, has now turned into a quest to actually build a proactive platform that will prevent falls as opposed to just be the reactive standard

I fall in and I can't get that button in a box. And that's what fall call really is, the differentiator. And by working with these two partners through integrations and capabilities, I'm beyond excited to potentially integrate these technologies to prevent potentially horrible situations and also engage caregivers a lot more than traditional medical alerts can. So I'm excited to talk more about it. Thank you for having me.

Miriam Allred (09:53.998)
Mm.

Absolutely. Thank you, Shea. I just feel this like excitement inside of me right now. I don't know about you guys, but just to be sitting here with you talking about something that you are all so passionate about, but also just looking into the future, like just hearing you guys talk about these projects, these companies, these tools that you're working on, just gets me excited. What does the next five to 10 years have in store for us and for seniors and for families? Like there's just

we're at the brink of I think so much greatness with this technology. And it just really gets me excited because oftentimes in the headlines and in the news, it feels a little bit doom and gloom, know, the, the rise of the, the aging population and the lack of workforce and how is that train wreck like gonna collide in so many years? When I hear you all talk about this technology, I just feel the opposite. It's like, we have so many opportunities ahead of us and technology really is thriving. And how do we just

put all of our best foot forward to solve some of these really complex challenges. And that's what I feel and that's what I hear right now. So this gets me really excited. So today we're going to talk about a couple of things. We're going to talk about where the smart home is going for aging adults. We're going to talk about the gaps that exist today and then the opportunities for home care businesses specifically. We're going to talk about some of the ethical and practical challenges when it comes to this technology, because there are barriers, there are challenges that we're up against.

And then I also want to hear from each of you the future of this technology. You what is possible today, but what are you excited about and where is this headed and why do home care leaders need to be thinking about this technology and what's coming? So let's start with where the smart home is and is going for aging adults. Jim, let's go ahead and start with you around what are the most adopted or requested smart home tools out there today? What is currently being used most commonly?

Miriam Allred (11:53.186)
Oops, you're muted.

Jim (11:56.755)
In the smart home space, and these gentlemen can chime in, right now I think you're seeing things like smart locks and thermostats, some of these basic things that are now coming in. The 55 and older communities are starting to add these as staples in new development. So you're internet connection, you're getting a thermostat, you might get a couple of switches.

as well as maybe a smart lock on the front door, which is great because now they're starting to introduce these technologies at that level and at the construction phase. But it's very disparate, right? It's very broken across, you're talking to a hundred people, you'll get a hundred different answers of what their aptitude is. I mean, there's still flip phones and services of flip phones, right? Not everybody is still yet smartphone enabled.

I have 82 different devices in my house for smart home monitoring everything because I'm just that type of technology oriented, right? Being in this space, but not everybody has that same affinity. And I think what we try to do is keep that technology right down to that core, which was that TV, which is the center right now of most people's homes. And TVs are getting bigger. They're not getting smaller, right? Now you can get a hundred inch and 80 inch TVs. And you start to look at that TV as the source of information.

especially now when you're looking at the senior market where they're watching TV for several hours a day, what's the best medium to get the information to them? And where do they get their information? So we decided to focus on the TV as the central core and we created a wellness hub that now will utilize that TV. And then all those things I just talked about, including things like fall call and cooktop safety, drive all that information through the TV till you get that single pane of glass.

from that experience in the smart home for somebody that is, we're not even using aging in place, use the word thrive. And that's the word we're using now is that, you're not aging in place, you're thriving in place because now you can live independently utilizing these smart home tools that are available. And what we're trying to do is bring them all together.

Jim (14:01.233)
and make a single pane of glass for the caregivers who now have more data than ever before, but make it so they don't have to find it in 12 different places and give them the tools they need to do the job to take care of our loved ones in their home.

Miriam Allred (14:14.4)
And I think the TV really is key. We see a lot of technology players coming on the scene that are introducing a net new device in the home. And that's where some of the friction is, is, put this new screen, this new monitor, this new sensor. It's you all are leaning into the TV, which like you said, is the center of the home. They're already comfortable with it. They know how to work the remote. They're used to the setup.

Jim (14:33.427)
Yeah.

Miriam Allred (14:37.632)
and just leaning into the existing technology. Same could maybe be said David with the stove. That's another kind of central point in the home that gets used on a daily basis. Talk about just kind of the thinking of building around the stove.

David Eby (14:52.122)
Well, I mean the stove to us is the central hub of the apartment, the condo, the home, the house. And so it's also a very, it's a big activity point. So we do presence detection through the sensors. So we can see mom or dad going to the kitchen 20, 20 or 30 times, which isn't very uncommon. So we can see that there's activity. We can see sort of what they're doing is cooking sessions. And I think that the idea, you know, to talk.

more about what Jim and what you're saying is, is, is we're another sensor within the home that works in conjunction with other things. And so the idea is that how do we take sort of an older platform technology being used in sort of multifamily and how do we create this new, new vertical with aging in place seniors, which are a different customer than somebody that, you know, that's a, you know, 35 year old looking for an apartment.

you know, are looking for a condo and what's the smart home sort of, you know, it's a different, different feature set. So the idea is that, you know, we, and for us partnering with, with HomeSight is that, is that now we've become that central source. And because I think that's one of the challenges in smart home in the past is that there's just, have too many apps, you know, you've got the ring doorbell, you've got the thermostat. I mean, you just, you could create this big folder on your phone and

you're clicking apps all day long. And so the idea of the consolidation, I think is a must for senior and aging in place to make, simplify the product. They don't want to hear about my technology, how it works. They just want to hear what it does, how it's going to better my life. And so that's what we've spent a lot of time with as well is that, you know, making sure the button's big, it has LED, that as a speaker, talks to you, it tells you what's happening so that, you know, whether you're

You know, so it's, adding extra features where in that 35 year old condo kind of person would say, well, I don't really need all that. Right. And so I think that, you know, speaking to this, this, this new customer in an emerging market. And I think that's where we talked about earlier is we see these bigger companies that are coming into this space and recognizing or having 10,000 seniors coming into people that are coming into the senior aging place every single day and how.

David Eby (17:14.91)
you know, and will supersede a lot of a lot of others sort of, you know, age, age, aging. So I think the, the idea is that, how do we work as technology partners in this space to make, make it easy, make it affordable, make it accessible. And I think that's what that's, what's going to differentiate, you know, our technology, the same thing was with Shea's technology and Jim's tech platform.

is these companies that are coming into this space are really looking at how do we connect to that customer. And that's where we've had to stop and spend a lot of time on who is that customer. Because it's not a Best Buy or a Walmart customer. You're not walking in and buying a webcam for $49.95. So it's a different customer and feature set. So certainly super excited about what

AI is going to bring as learning and looking at different technologies and behaviors to help assist and keep people in their homes. I just saw a study that 85 % of these people were surveyed want to stay in their homes and not just want to. You also have a financial situation as well where people can't or don't want to afford these aging senior living places. They're very expensive. So it's how do we

give them the tools to feel comfortable and have a successful aging in place.

Miriam Allred (18:48.494)
That's great. Shea, I have a specific follow-up question for you. Where is the demand for this technology truly coming from? Is it from the clients, from the seniors? Is it from the families? Is it from healthcare or technology? Where is the demand for this really coming from in your opinion?

Shea Gregg, MD (19:07.668)
Sure. So I think that's a great question. has evolved tremendously. So Fall Call has been in business for about 10 years now, where we have developed a variety of products and we're now international and integrated into different countries. When we started out, AARP puts out this tech survey just about every year. And they will survey people who are 50 and above.

and they will ask the question is just like, know, you and Pew used to do it. You know, the Pew survey was always also very popular, but AARP has done it and they have a large end when they evaluate people. And, you know, they ask the question, do you have a smartphone?

You know, it's a technology survey. And do you have, you know, wearable devices, et cetera? And the uptake of those devices has been tremendous over the years to where we are now to the point where 70 % excuse me, over 80 % of people over the age of 70 have a smartphone.

All right. And so we that's as of, you know, 2025, the exact number is probably eighty two, eighty three percent. And then you go down to 60, then, you know, it's even a higher percentage. So so the uptake of tech and actually wearable uptake, interestingly, is just just as high amongst those over the age of 60 as it is in teenagers. Interestingly, and that's various wearables. You know, you can name your wearable. But Apple Watch being the most popular watch in the world, that

is definitely taking up a significant market share. So the tradition where I play is life safety in the sense of medical.

Shea Gregg, MD (20:50.378)
personal emergency response. For years, you have traditionally had this scenario. Okay, mom or dad falls down, the caregiver's very concerned, they may or may not be injured, they get the injury fixed or they go home and the caregiver's scared to death and they're going to go look for a standard medical alert, which is a button in a box or a mini cell phone around their neck, even though they may own a cell phone. That has been the model for years.

Interestingly with Fall Call, which again is a purely downloadable end-to-end medical alert system that connects to central monitoring, which connects to a variety of accessories, jewelry, etc., as mentioned previously, about 80 to 85 percent of the first downloads that happen are people that are the older adult. They register as the elder. So and then they invite people in as caregivers.

So what amazed me, and actually this has been the case for years now, where caregivers would reach out and ask questions initially when we went to market circa 2018. We had another app before that. But right now, I actually have the older adult calling me and saying, Dr. Greg, we are buying the Apple Watch to use your app. How do we do this? How do we set this up?

and we are getting on boards usually that are elder first on boards is what I call about 80 to 85 % of the time. So when you ask, know, to get back to the core question here, I mean, think about that. It's just, it's the personal emergency response world is used to the caregivers. They'd market to the caregivers.

We actually have found a lot more success marketing to the people who want to live independently. And as a result, our downloads are actually reflective of it. And then they can invite their care group. They feel empowered by it. And it is basically on a device they already own. So I never quite understood why you're going to pay a second subscription on a device where you have the top antennas and everything in mobile device that you already own in your home. So we try to make things accessible.

Shea Gregg, MD (23:04.264)
Access is huge in the medical world. We constantly are thinking about the best ways that we can enhance access. And I think we're doing it. I think we are actually finding some success as based on the thousands of people who are downloading and using Fall Call.

Miriam Allred (23:19.906)
Fantastic. think this is so interesting and so good for providers to hear actually, because oftentimes in home care, we talk about marketing to that adult child, particularly that adult daughter. And it's interesting to hear you say you all are having success going directly out to the consumer, to the senior, to the 70 plus year old that wants to be independent. They're seeking this technology out. They're capable of downloading the app and getting stood up and onboarded on their own. think

That's interesting to hear. It's 2025 in five or 10 more years, everybody 75 plus is going to have a smartphone because look at just the demographic. Everyone will have smartphones. That number will be a hundred percent in just a matter of years. But I I'm a little bit surprised to hear it's so high at this point in time, but I think it's a good reminder that these people are capable of navigating the internet, are capable of navigating and downloading apps. And I think

there's just ripe opportunities to get this technology, these tools directly in front of them. And then like you said, they bring the family in, they bring the agency in, they bring the caregiver in, it becomes this ecosystem around them, but they themselves are capable of maneuvering within this technology and within these tools, which I think is fantastic. Let's talk about the, well, let's go to trends a little bit. Obviously you all are here and you have picked your

lane of technology for a reason, but you all are familiar with this landscape more holistically. What are some of just the other emerging technologies that stand out to all of you? Other sensors, other screens, other wearables, like what are some of the technologies that you all don't provide, but that are interesting and on the, on the horizon for each of you? Jim, why don't you start.

Jim (25:05.446)
Yeah, it's an amazingly fast growing space. Technology is as it always has been, right? We can go back to the days of analog cell phones, how most recent that was, and see where the evolution of the iPhone has come and the market position that it has. I think with AI coming on board, right? I think you're gonna see a huge market shift. With us, we were looking at this as, look, we don't wanna be a single one-off solution, right? There's a lot of...

telehealth video calling that emerged during the COVID, that was necessary during COVID to be able to open up, you know, a session, whether it be on a FaceTime or it was whatever that camera experience might be. So we started looking at this and look, this is going, we can't make our platform proprietary. We have to go out and look for best in class partners in order to allow us to grow with the market demand and the shift.

If you build something in a silo that's a one-off product, it's got to whatever that shelf life might be. If we can build a platform that's flexible and integratable and we're open to partnerships like we have with fall call and cooktop safety, we can go and find best of class. Leak detection, right? We now need that for integration. Smart locks, that continues to evolve.

There's a sensor now that we can do everything from toilet flush sensors to as Shea mentioned, there's mattress sensors, seat sensors. We can start to deploy various devices to customize the platform for what the application might be. And it's very different and it's very different in the health continuum, right? As you said, right? In the beginning, it might just be, hey, I just want connection to family. And then it follows that continuum all the way up through hospice. And we need to be able to be flexible in that care continuum.

and then bring in the various technologies that, as I said, we're starting to see these other sensors that were never available before. I David's sensor is, there's nothing like it. So immediately you find those things that are best in class that give you that differentiation. Caregivers can now have tools they've never had before. So taking all that data and bringing it up through the cloud, making it easily digestible and translatable both to the caregiver and or the family.

Jim (27:19.451)
is our mission, right? We're trying to now take what, I mean, imagine having 12 different sensors and all that data.

Now, how is that caregiver utilizing that data to make the right decisions for the folks that they're responsible for their care? And they can add a sensor, take it out. They can go in and say, hey, I want to add two sensors in this room and that room because I want to see if they're moving. There's a refrigerator sensor to make sure they're eating and opening the refrigerator door on a regular basis. We have motion sensors that say, yeah, they got up every morning at eight o'clock. Well, today they didn't. So maybe we should make a call to ensure that everything's OK. But now we're looking this thing

more proactively as Shea mentioned. It's not reactive anymore. The data is now showing trends. And I think going back full circle, AI will now be able to say, here's all this data. Here's some suggestive things. And here's some predictive behaviors that we're seeing. We might want to get in front of that curve.

Miriam Allred (28:13.742)
And HomeSight is the hub. I love that you all are connecting all of these technologies because that's where a lot of the issue lies. David said it before, you you open up a folder of apps and you're trying to navigate all of them. But HomeSight is consolidating all of this into one easy to use platform on the television. But I'll ask the same question to you, David and Shea, any other tools or technologies that you all are just keeping your own eyes on? You know, you're building in your lane, but are there other technologies that are that you're keeping an eye on?

Jim (28:18.568)
Yes.

Shea Gregg, MD (28:19.955)
Yes.

Jim (28:23.623)
Yep. Yep.

Yep. Absolutely.

David Eby (28:43.432)
I've seen a lot of technology, a lot at the medical side, a lot of AI. I've seen and shake and speak more to that. But what I see is I see now this insurgence from bigger companies now wanting to participate. So we did a Verizon podcast this week talking about, you know, what is it for their customers in Verizon Health, right?

This was not around three to four years ago. So, you you've got all these different companies, Best Buy Health, you've got all sorts of companies that are now, you know, funding some of these innovations that are gonna, that we're gonna see, not just in an IOT device, but, or a sensor, but also in the different platforms and the connectivity piece. And how do we, how does the, does it all these pieces sort of come together to really deliver a great product?

and an overall experience for a person that's senior or wants to age in place. So, or an active senior. you know, nobody wants to be monitored continuously. So I think that what I'm most excited about is now the sort of the herd is coming and they're spending some money. They're working with companies like ourselves and other companies that have some great ideas, you know, great.

innovation labs with these different companies and allocating time and resources. So I really feel that it's a huge emerging market that's going to happen over the next 10 to 15 years. And then we're going to see all sorts of things, things that I never even thought about. So that's what I'm sort of interesting. That'll be interesting to see.

Miriam Allred (30:32.426)
One comment for me, Shea, then over to you. It's interesting to hear you just even dial through some of the names. I think we've all heard of like Amazon Health, but you say Best Buy Health and Verizon Health. Everyone is coming on the scene and that it's, I think a couple of years ago it was, you know, they're just in the headlines, but they're not actually going to like impact and touch home care per se. You know, my audience listening to this of home care leaders, they may think, it's kind of abstract. It's bigger than us. You know, it's a long ways out, but

It's here, it's now, it's coming. These people are on our doorstep and rather than, you know, shy away or think like, we're fine. It's, like you all, how do we partner with these people? How do we leverage this technology? How do we build a joint solution with the caregivers doing the daily in-home care with the technology that's for after hours or in case of emergencies or to supplement the family? Like how do we, we bundle all of this together to make sure we're all relevant.

and working together. So Shea over to you, any technology that you're keeping an eye on.

Shea Gregg, MD (31:36.53)
Sure, and I'll sort of put the healthcare, you know, bend on this. You know, I think there's, I'll sort of start with themes. You know, what are the themes that I think I'm most excited about? And how I approach, you know, how I approach fall call is, I call it evidence-based technology, right? You've heard of evidence-based research, evidence-based modeling. It's what we try to teach our residents when we're in the middle of rounds. But, you know, evidence-based technology

is really where we have to go. What question are we trying to really, or what problem are we trying to solve? What question are we trying to answer? And I think it comes down, I think the three things that I'm excited about is one, engagement.

First of all, that's engagement with the older adult and the caregiver. But when it comes to the older adult, we know that loneliness kills. We know that it actually, if you suffer from loneliness, it speeds up dementia, it speeds up cardiovascular risk, it speeds up a lot of other things. So we really have to engage people and try to address the loneliness epidemic that exists throughout the United States. And with a reduction in caregivers that is all predicted around the world, Japan being a

especially one problem area where they predict significant decreases in caregivers. We really have to address that. So engagement's a major issue.

Bringing healthcare to the consumer is another theme. And so when you have these, you know, various types of applications where you can get in touch with someone who has access to your medical record and can give you that prescription for, you know, let's say the symptoms you described for urinary tract infection, which has been associated with falls. I was fortunate to participate in some of the early research on that.

Shea Gregg, MD (33:29.82)
then that's again to bring healthcare into your living room or when you're feeling sick in bed, I think that that's very important. So I think that is exciting to bring healthcare to the consumer as opposed to have them go to a brick and mortar area. And then finally, safety. If you look at many surveys when people are asked about what they look for in technology, safety is a major component of it. And so the personal emergency response world, people are still

looking for that both on the older adult side and the caregiver side. We are seeing a significant increase in hip fractures. We are seeing significant increases in older adult mortality over the age of 65. I mean the incidence of that has actually surpassed homicide all ages. Gun related homicide or any sort of penetrating trauma and homicide.

It is a real problem that we have to deal with and we have to deal with it from the proactive standpoint. So when we talk about engagement from the safety standpoint, you know, things like silver sneakers or Tai Chi, these are all proven exercise programs that can reduce falls, learn how to fall. I mean, that's another program out there. Technology that could actually pick up someone who's exiting the bed, the bed departure monitor, as I say, that we just integrated that is really one of the most cost effective solutions that can potentially save a

10 % of falls happen in the hospital, 30 % outside the home, 60 % inside the home. But such a device could potentially prevent a fall, which is exciting with a good intervention. those are the things that, and then ultimately, the fall detection buttons, et cetera, that we have. If we sort of focus on those themes, engagement, bringing healthcare to the consumer,

when they need it, where they need it. And then, you know, safety platforms that are seamless and fit into their lifestyles that are non embarrassing. You know, many surveys will back that up, especially when it comes, and then our job, think, as technologists, as company owners, as people who actually are, you know, meeting both the older adult and the caregiver on the front lines, I think we have to really focus on the empathetic design aspects of things, you know.

Shea Gregg, MD (35:47.89)
think about things like, okay, what are the vision related impairments that are associated with certain age groups, et cetera. We have to build around that. We have to build around the ability to actually service a Parkinson's patient just as much as a non-Parkinson's patient. So empathetic design has to fit into all of this, but I think if we focus on those themes, we will really make an impact on this upcoming generation and future generations.

Miriam Allred (36:16.192)
A lot of great points. Thank you, Shea. I want to talk about some of the gaps and opportunities for these home care providers listening to this. One of the things that goes through all of our minds is how do we sell this technology to these consumers? We look at sensors and ambient devices and wearables.

there still can be a little bit of an uphill battle. It is still new, it is a little bit foreign. People don't want to be watched, people don't want to be listened to, people don't want that intrusion in their home. so a lot of, again, home care owners, leaders listening to this may think, how do we break down those barriers when the senior themselves says, I don't want that in my home or I don't want that on me? All three of you are up against that concern.

Jim (37:04.975)
You

Miriam Allred (37:06.358)
I want to hear from each of you, how do you advise these leaders to break down those concerns? Who wants to take that first?

Jim (37:18.919)
David Kingo.

David Eby (37:20.167)
Okay, so I guess, you know, this is one of the challenges, right? And I think that, you know, when I started in this space, it was like, we don't like cameras and we don't like wearables, right? So that was sort of what we got picked up right away. So we had to sort of step back and say, okay, well, how, you know, what's the idea, how we could implement it and how we're gonna get some traction and get some adoption because these customers, they're very wise.

they're, they're great consumers, conscious consumers, I guess. But so really sort of having to step back and look at how do we want to position ourselves? So we didn't use a camera. have a thermal sensor. did a study, small study with a group of seniors and we showed them pictures of, of thermal images. They all knew what a thermal image was and they all look, you know, when we did the thermal image, they all believe that they, they couldn't be recognized individually through the thermal image.

So it was an okay technology. was, we got it sort of considered as a non-invasive technology. So these are things that are really, really important and a real showstopper. If you're, you know, for, for cameras going into the space. And I know this with my parents that are in their mid eighties and, you know, my mom went away. My dad has diabetes. He doesn't see a low coming. and sure enough, you know, he felt fell. don't know if he fell or he just came to a.

behind the island and in the kitchen and nobody could find him. So then we put in cameras, but he hated the cameras. So we had a lot of sort of stuff, but I think that we really, with the caregiver, which to me, the caregiver is so important. And I think that the caregivers need, they need so much more support than we're giving them. And that's what the other thing is. So how do we make their job easier because they're having to take on more responsibility? And so that's what like with our product,

with the CTS Smart Sensor, we have a dashboard so that they can manage a hundred clients in a town so that they can see what's happening and we can do some trending and we can do some alerting and all the rest of stuff. We can lock out stoves at night, which is one of the common problems where the caregiver couldn't really trust the client to not turn the stove off on or off.

David Eby (39:43.111)
you know after they'd left so they could shut it off and so all these different things that we Didn't know about that we had to design in around the technology that we were putting in because it's easy for us just to throw a sensor up and you know connected to the internet and off you go and then just throw it into a Best Buy or something, but that's not what this is So this is we really need to work with that the caregiver the caregiver companies to deliver value for them and for their clients so and also

also for them to adopt this technology and resell the technology to their clients and sort of have that comfort working with technology and that they're not going to be spending a lot of time managing the technology or having to, you know, sort of manage the technology away from the client.

Miriam Allred (40:32.43)
I think one of the things that stood out to me about what you just said is the talking points to each audience is slightly different. You know, this is supplemental and supportive to the caregivers. This is peace of mind to the families. This is improved quality of life to the seniors. It's just knowing who you're talking to and how to position it to each of them to hopefully get buy-in from all the parties that this is really net positive for the senior, but really for everyone involved as well. Shea, what would you say?

to break down some of those concerns, especially with wearables. Like you said, 10, 15 years ago, when these first came on the scene, people were embarrassed. People didn't want to wear them, but now here we are with smart watches, smart devices, things look a little bit differently. is there still concerns there or is it a lot easier to get people to buy into these devices?

Shea Gregg, MD (41:24.839)
Sure, so I will actually, I'll answer this with four simple answers actually. If I'm speaking to the C-suite, then really my first three answers are extremely relevant. Cost, cost, cost. Okay, so that's three of my four answers. You know, the medical world has always built hardware, has sold hardware to solve, you know, the emergency response problem, all right?

Jim (41:30.739)
.

Shea Gregg, MD (41:53.896)
And what we are trying to do is actually build a strictly software as a services solution that provides all of the capabilities of the standard medical alert world and even more actually because it can integrate into a variety of things. So when I go and I approach say a executive suite, we're having a meeting about, okay, we're looking to change our PERS provider, our medical alert provider.

what is really the difference? And I will say we are half the cost of a standard medical or company. And let's look at what is going on in the healthcare landscape now. There are cuts, there are Medicaid cuts, there are multiple cuts that are expected. Healthcare costs are going to rise.

We are trying to do our best. I do work for a major hospital system. I'm actually a leader in one of those hospital systems. I have my own, you know, cost savings project that I'm working on right now. But the reality is the cost of health care is going up and we have to find ways to manage supply chain and manage things that will ultimately curtail some of those costs and even reduce them. So when I talk about my solution, I'm just like, we are 2.3 million lines of code. All right.

simplified down onto an interface that an older adult will use. All right. But we're just code. And so we have the luxury of actually, you know, meeting partners like the best in class partners here with Jim and David to integrate these different technologies. But at the same time, we can actually sell to the C suite and actually provide tremendous savings. And then that final point is actually meeting the consumer where they are at this point. As I described earlier, you know, a significant

percentage of people over the age of 70 own a smart device. guess we bet in the right horse to some degree in many regards. If they're at that point, we have to develop around that point. We've been working on that for years, test groups, pilots. I can tell you some of my best feedback comes from the older adult as far as adding features or fixing things, etc. It ends up in an iteration later.

Shea Gregg, MD (44:10.135)
empathetic design, I use that phrase a lot, but really try to build for the consumer and the caregiver. So reducing costs, building for the consumer where they are at this point, I think we will be a lot more successful than some of these legacy technologies that have been around so long.

Miriam Allred (44:29.934)
want to make sure we're all on the same page about fall call. think some people may listen listening to this may understand part of it, but not the full picture because you're referencing just smartphones specifically. Can your technology work exclusively with a smartphone or does there need to be an Apple watch? Does there need to be a wearable or is the phone with the app sufficient enough?

Shea Gregg, MD (44:51.994)
Thank you for the clarification. So we believe actually that the mobile phone is the centerpiece, is the new safety hub in everything that we actually connect to, whether it's the quick set door unlock, whether it is the bed radar, whether it is the, you know, the different pendants that we have or the Apple Watch itself. Everything sort of

can be set up from the smartphone and then run independently around that. So when we traditionally think of landline systems, we think of, you plug it into the landline or you have a 4G connection that is, you know, based at your home. This is your mobile hub for safety. And that is how we're sort of transforming and really disrupting the industry. Because again, 60 % of people fall at home, 30 % outside the home and 10 % in hospitals.

the mobile phone or the Wi-Fi etc as your central safety hub that is the ability to actually call for help and all of these peripherals actually can activate the help and actually you could just activate it from the from the phone itself so thanks for the clarification

Miriam Allred (46:02.336)
Yeah, thank you for the clarification. I want to make sure we're all on the same page and that makes a lot of sense and is where the disruption occurs. It's the smartphone is the center, which Jim leads me to you. There may not, it may be an easy sell because every home has a TV, every senior home in this country, you know, we're probably talking like 99.9%. And then has a television. so for you all, that's the whole point. We're not introducing a net new device that there has to be kind of

Jim (46:21.713)
Maybe more than one.

Miriam Allred (46:30.872)
grumblings and gripes around it. You've got the TV, let us install this technology, let us integrate all of your sensors into one place and it's basically running on its own in the background. Is it as simple as that?

Jim (46:45.075)
It is and it can also be a little more complex than that. So the idea with technology and who we're selling it to, and I think Shea said it was, you got to meet them where they are and what is their aptitude for technology. But you've got a couple of players in the mix and you got to really diversify. And think we've both, they both said this is that the messaging does need to change. So when you're talking about somebody who's not smartphone, right? Technology savvy. Yeah, the TV is a great way to do it. But we also have a mobile app, by the way, that caregivers

and family members can engage and get that same data delivered on that device. So what's really good is we have a platform that sits, let's say, on a computer where the home care provider can get all that data and see that from office or wherever that might be. But you can also get it through a mobile app. So if you are comfortable utilizing that technology, we do have the ability now to extend to it. So

As I've kind of said, we have to be flexible as a platform in order to address the way the market's moving and what people want for that technology. But one thing about selling it is that you're really asking a caregiver to do a lot. I mean, they have to be professionals in what they do. They have to be able to do what they do and giving them the tools to do a better job of that. And at the same time, you're talking about caregivers that may have to drive two hours to a location to do a blood pressure check or

basic biometric stuff where maybe that's done more easily, right? Remotely, I can do Bluetooth connection through scales and those types of biometric devices. But we've learned very painfully that we're not selling technology. We're actually helping home care providers sell technology and incorporate it into their overall care philosophy. So if you look at, let's say HomeWatch Connect,

That is HomeSight, right? But underneath what they call their total care solution. So they've incorporated technology as a part of when they present this to the potential care recipient, here's the continuum. They have active care, which is very early. So I'm going to meet that person very early in the stage of care. And they progress it through the continuum so they can add different things and different services. But maybe that client's just not ready for in-home care right now.

Jim (49:02.469)
Okay, well we can still stay connected. We can create that connection to family. Then we go and we show the family, look, you can get all this data that we're gonna collect on your smartphone. You're included. The communication with the family and the caregiver is now, you're seeing the same data. We can bring the doctor, the family and the caregiver onto one call. So the family hears what the doctor says, right, to the care recipient. It's not a third party.

Hey mom, how'd the call go? And she'll give you parts and pieces or whatever she thinks you want to hear. Right? So we're trying to build that loyalty, that trust, that communication, and help the caregiver because they're all trying to, know, we're not selling the technology. What we're selling is that it's the, what, do I get by putting this in? How does that make the client feel? How does, what data do I get as a care giver? So by using technology, right? We use technology to impact people's lives.

And when you start sharing some of the case studies that we have, for example, I have a 98 year old lady that said she can live independently because she has HomeSight in her home. When you start realizing that that's what we really do, we're not selling technology, we're selling something that we are now helping somebody live independently that might not have had that luxury without the use of technology. And at the same time, we have to change and look at the home care model.

Miriam Allred (50:20.75)
Yeah.

Jim (50:24.859)
and realize that it's a SaaS based model for the caregivers. So as they're adding sensors, as they're adding devices or features, there's this ability to augment, right? It is a business for them to be profitable because we want them to stay in business, keep caregivers under their payroll because we don't want them jump and ship, differentiate their services. Therefore they can demand a little bit more because their services augment the human factor, right? We don't want to take away the human part.

But there might not just be enough caregivers to support the population. So we can do a little more with less using technology and making it a profitable thing for the caregivers, but an ultimate benefit to the care recipients and their families.

Miriam Allred (51:06.465)
Great comments, Jim. I think it's just a matter of time until every sales rep care coordinator that's going out and selling home care to families, technology will be a part of that bundle, will be a part of that package, will be a part of that solution. We're offering a complete end-to-end solution. We're using that term in home care more more now as just solution. We are a solution to these families and it's not enough to just necessarily place a caregiver in the home.

every other touch point that surrounds that care, what are we offering the family to cover end to end everything that that individual needs to be safe and independent and healthy in their home? And so really, really great comments there. I want to talk briefly about liability. That's something on probably all of your minds in home care. We're working with this delicate population and cognitive decline is very real and very prevalent for most of these individuals.

All of you have to think about the liability and the consent that comes with this technology. What are your thoughts around that and what are some of the best practices to help home care leaders understand kind of the liability and where that burden can fall? David, why don't we start with you and then Shea.

David Eby (52:25.124)
Sure. I mean, this is again, back to my point of, you know, how we, how we look at that, the client, and, and, and, protecting privacy and, not, not being an invasive technology. and I think that, you know, how we manage the data that we collect. So how we do it is our devices, we run the AI on the edge or on the device itself. So we only use.

So it's a safety device as a device. And then it can be connected to our cloud. And then it can be then displayed if one wants it so that we've got a good, better, best sort of dashboard kind of idea. And then we can go into the sort of the health side of things. then, that's sort of that trending that I spoke about, you know, we can say, did mom cook today? And if she cooked it too in the morning, do we care about that behavior? So we can trend and.

and track all that. this is where, you know, this is data that they control, that they manage. don't hold any data. We don't hold any thermal images. It basically, it goes off and into them or there's a stopping point and we have policies and processes around that because I think we are dealing with is, you know, that

little bit more fragile client that that needs that is wary of technology and, and fair, fair point. And so, and so that extra, that extra care needs to be conveyed in how we're managing the data, how we're collecting the data. that, you know, we have a policy, this is what we do with our data. This is how we dispose of our data. This is, you know, all the different, aspects of that. So that we communicate that.

very clearly with the device. But I just wanted to sort of go back to Jim's point on was something, and I think that it's, talking to caregiver companies, I think that, I think there's some, maybe some initial pushback on these technologies, but I think it's really, there's so much force coming from the market in different places, like Verizon and Best Buy's and.

David Eby (54:48.44)
and all sorts of different places, great companies that are working in the health space. I think that it would be a real disservice not to try to incorporate some technology into your business because I think that that's sort of what everybody's going to be looking for as one caregiver has it, then another one doesn't. And I think that it's not that you have to go running out the door by next Friday and do something, but I think it's time, it's a really great time to pay attention to what's coming and start learning. Like Jim's,

platform HomeSight I mean, it's a great it's a great platform to get started. That's not that cumbersome technology wise. So even though my product is running AI on the edge is doing all sorts of stuff in the background, the minute it gets onto the HomeSight platform, it becomes an easy to use product or feature sensor within that that community. so I just wanted to just sort of add to that because I think it's I think it's important.

to look at that, not just what else can we do for that client and what's going to make that managing that client easier. So like for us, we're working with different universities and hospitals right now collecting our data to be due early on sets of cognitive decline for cooking sessions getting smaller or dementia where you forgot you ate and you came back and had another dinner and lunch.

This is how we're using the data to better off to do this predictive kind of idea. And the product will get that much better over some time. So again, it's a good time to jump in and start paying attention to what's coming down from not just the three of us, but all these other bigger partners and companies that are really going into this health space.

Miriam Allred (56:36.884)
Absolutely. Thank you, David. Shea, what would you add around addressing the liability and the consent piece of this?

Shea Gregg, MD (56:44.9)
Absolutely, so it comes down at least I live HIPAA every single day, know and taking care of patients So when I first set out one of my first things that I said when we build something it's got to be HIPAA compliant and so fall call is HIPAA compliant and We maintain those standards, you know as

you know, benefit about being the founder and CEO is that, you know, when you have a vision that that's really where you go. And we know from AARP's tech survey that about 50 % of people who answered that, that privacy is a major concern, especially in the, you know, these days of AI and other things that they're trying to learn from.

the recipient. I think transmitting data only when it's necessary, asking permission, you know, well off the bat, making sure that you have airtight HIPAA compliant compliance with the articles. And there's actually been updates to HIPAA compliance as well recently. And making sure that your technology is reflective of that.

So how we've approached it is maintaining that HIPAA-based compliance to the best of our ability.

Miriam Allred (58:00.472)
That's great. That's great. You're speaking everyone's language here because that is where we all start is at that HIPAA ground level and building upon that and understanding kind of the nuances there. Jim, anything that you would add around privacy and compliance?

Jim (58:13.277)
Yeah, I mean, think these guys certainly hit most of those hot points. And David said, right, nobody wants a camera in their house. So we took it upon ourselves to understand how can we provide the capabilities of a camera without the feeling that somebody is watching 24 seven. So we created the smart shutter, which.

does need permission as she says. we do get permission from the caregiver, the recipient and the families to provide that. It is a closed system. So you can't hack it. You can't, you know, robo dial it or anything like that. You have to be authorized to open a session. Even if you did originate a session, I, as the care recipient, still have the opportunity to reject that call.

The call doesn't automatically answer, right? So doesn't just pop on your TV and open up a session. Unless you design it that way, we do it with some of the dementia patients which might forget that they have to hit a certain button to activate. So we can auto activate, we can auto turn on the TV, but we ask permission first. So it's a switchable feature. And we are HIPAA compliant and we want to ensure we don't record any of the sessions between

The caregivers the family members or anybody so nothing's recorded we do just time stamp you know date and times but nothing nothing is is is is recorded and we also invest into the partnerships that we bring up with the home care provider to help. Then learn how to sell technology learn how to incorporate it we invest in the partnership from.

take it from here in this continuum, start out here in the early care, but invest in the marketing, invest in the education that shows them that all the things we're talking about over this hour, we have to consider how many care providers are out there that have to be educated on this type of information. It's an overwhelming task, I think, for some of these home care providers to take it on. So you need a partner that's here to help you sell it, not just sell you technology.

Jim (01:00:07.271)
There's a lot of people who go on Amazon and buy technology and in the home care world, I think you need a partner that really invests with you to make it a mutual success.

Miriam Allred (01:00:15.922)
I want to give each of you just a minute or two to share a quick case study, quick testimonial of someone that's used your technology and the impact that it's had on their life or on the life of the family. I know, Jim, you mentioned an older woman who said she could quite literally live independently in her home because of home sight. I think that's a beautiful example. want David and Shea, could you share just quickly kind of a quick example that bubbles to the top of your mind about someone that's

use your technology and the impact that it's had on their life. Let's start with you Shea and then David.

Shea Gregg, MD (01:00:49.32)
Sure. So, you know, I will simply say as a surgeon, especially you're dealing with emergency situations hit by a car, try to fix it, shot, try to fix it. Obviously, you are you feel like you're walking on sunshine if you get that patient out of the OR.

I can tell you that again, we get all the QA and the QI associated with calls associated with when there's an emergency call in an ambulance dispatch. And I can tell you that the feeling that I get, it's again, a lot of these people that I will interact with occasionally, you know, they'll, they'll come to and they'll say, thanks doc. You know, that's something that's an amazing feeling, but I can tell you that when I see fall call based technology, whatever accessory that actually stimulated it, and I do the QA on that.

and there was a efficient ambulance dispatch that got someone who was having chest pain to the emergency department. We've had chest pain, epistaxis, meaning bleeding from the nose, uncontrolled bleeding, falls, you know, a variety of, you know, injury patterns. And when I get that notification and just, you know, I have to do the QA on it and make sure that everything's actually done well,

I feel like I just walked out of the OR and saved someone's life, you know, or potentially saved someone's life. So I can just tell you that there are, I'm not going to give you a specific story, but I can tell you there's numerous times where I've come across that. And, you know, I will just get a smile inside because it's the exact same feeling. So,

Yeah, it's a wonderful place to be, especially in this space. And I could just tell you that for other people who are in this space, I know that they feel the same. yeah, hopefully that does answer it.

Miriam Allred (01:02:39.502)
Absolutely fantastic. It's great to have your perspective as a practicing surgeon, but also at the forefront of this technology and just where your worlds collide. It's so great to hear your perspective on that. David, what about yourself? A story or kind of a case study that comes to mind?

David Eby (01:02:54.881)
Yeah. Yeah. Real life stories. mean, this is, this is what people want to, you know, how does this fit into my, into my life and how what's that, you know, is there a connection? So, yeah, I mean, I've got a few, I've got lots actually, I mean, it's, it's not just, you know, somebody, you know, how to avoid it, a, unsafe cooking situation where, you know, they drain the pasta water, in the sink and then forgot to turn the stove off, which is.

not a cooking fire, more of a bad cooking behavior. Cause we also help with that as well. but where I find it really is, some of the story that comes to mind is, is, a couple that, one is active and one is an active. And so the one that's active is, outplaying bridge for four hours and the unactive, spouse is, is there who's who, you know,

needs some management or some assistance or some watching and so for that it is where they can go off and use our piece as basically a peace of mind device knowing that this that the that in this case was the husband who loved to cook but wasn't was very forgetful so he would keep leaving the stove on and she would come back at four and a half hours later kind of thing and see the stoves on

and he would be watching TV. that kind of thing. So where this device comes into play, where it shut the stove off or alerted, um, the, the, the person to at least, okay, come back and, and turn the stove off. Not that there's a cooking for it. Now, if there's a cooking fire, it'll get it before the fire and the smoke and all the rest of stuff. And that's what's great about our product. But what it does do is it gives somebody, um, the ability to circumvent the problem.

So, you know, there isn't smoke billowing all through the house or the apartment. There isn't, we get to that before there's a situation of a cooking fire. And so it's a peace of mind for them. Also too, our device on the peace of mind is people will leave the apartment or the home and we geofence the device so that if you leave, you'll get a notification on your phone.

David Eby (01:05:20.149)
saying your stove's on. and then instead of you know and then you can actually turn the stove off remotely. You can't turn it on but you can turn it off so you don't have to turn around go back. So like my thing is the garage doors you know I drive down 100 feet I go back you know everybody's got their thing. But so you know there's a lot of those similar you know stories that this device really helps because these are the

For the National Fire Prevention Association, with this data that they've got great data, and they're the ones that sort of come up with leading cause of all residential fires being cooking, and then out of that is distracted and unattended. That's only when the fire truck rolls. So there's only been one other test or one other study done by the Consumer Protection Association, where they've most, only 7 % get caught.

So there's so many close calls. There's so many different things, whether somebody put a cooking fire out with a tea towel or all sorts of things. So there's a lot of close calls that are done at cooking. whenever I walk into a room, I say, has anybody put up your hand if you've ever had a close call cooking? And it's 90%. You know, that's right. know, whether it's my daughter who's 21,

Miriam Allred (01:06:39.214)
Everybody's laughing.

David Eby (01:06:46.376)
forgetting that the stove's on and she goes, you know, her gets on her phone and she's distracted. so there's, I could probably tell you 10,000 stories if we had time because of this, our, CTS smart sensor works not just for, for people that are aging in place, but it also works for bad cookie behavior, which is what, you know, what I have in my house. So, so there's a lot of, there's a lot of true, you know, stories that are, that are kind of fun, but

Definitely the one that comes to mind is the couple that one was active, one wasn't active, and she really wanted that peace of mind. And that really helped out.

Miriam Allred (01:07:26.478)
That was great. Thank you so much for sharing, David. It's just great to put this all to life with real people that have experienced this technology and the life-saving solutions that it really can be. We're going a little bit long here. I want to ask one last question to each of you. It is 2025. This technology that we've talked about today exists today. It is in people's homes. is

it is actively being used. I want you to all let your minds open and run a little bit in five years from now, 2030, let that sink in, we're getting close to 2030. In five years from now, what do you think will be possible or what do you want to influence to be possible in five years from now? Again, we've come such a long way the last five years, the pandemic in 2020, here we are in 2025 and look at just the change and the innovation that's taken place.

What do you hope is possible in five years from now? Jim, why don't we start with you and then we'll go Shea and then David.

Jim (01:08:23.057)
Yeah, it's a good question. wish I had that crystal ball because we'd invest right away. I think home care is going to stay. People are going to want to age where they want to age in place.

Miriam Allred (01:08:27.694)
you

Jim (01:08:36.147)
We're going to have to have flexibility and people start talking about robots and know, Tesla's out pointing out home care robots. I don't think you can ever replace that human touch. think technology in itself is a very cold thing. I think when you add the human factor, it makes the ability for us to amplify what humans can do, how they can continue to be and interact as humans and provide the care, that touch. I mean, think Shea said it, loneliness is a killer.

How do we mitigate that? And you can't put a robot in somebody's house. That doesn't change. They have dogs and cats. So that's why we're working on working with pets. So now we can do telehealth for pets and kind of give them the caregiver solutions that they're looking for. But I think the future is really going to have to be a flexible solution. We saw some pretty cool stuff at the innovation thing where you could actually teleport Dr. Greg right into your living room, right? And he could be like right there.

That I think is really cool, but I don't think it ever takes away the human coming to your home and connecting. And people are living all over the globe. And I think we're going to really have to look at technologies that keep that connection over the next five years. And we don't get lost in substituting technology for humans. We have to find a way to amplify the human capabilities. But I think in the next five years, I don't think you're going to see technology more integrated.

to the solution, but I think you're gonna still see the need for caregivers. You're gonna need that touch. You know, they're already talking about robot surgeons, but I think Shea would admit, you can't replace him for the human piece, right? There's people doing surgeries halfway around the world, you know, using robotic arms and things like that. I still think the care for aging in place and thriving in place is gonna require that human touch, and I don't think that's gonna change in the short term.

Miriam Allred (01:10:28.152)
Great, great comments. Shea, what's your take?

Shea Gregg, MD (01:10:31.062)
Yeah, no, I agree with Jim. think, you know, every day I think I use the phrase putting the human back in AI. There are several AI deployments that is actually goes through governance committee and it eventually hits us as frontline practitioners and leaders within the organization. But the reality is, is that you do need to maintain the human in the AI. And what we what we call it in medicine is actually, you know,

AI augmented decision making. So it might sort of point out the stroke on radiology a little easier, might help us. I'm working on a project with MIT right now that we're looking to grade liver injury a lot more accurately. But it still requires human input. So there's a variety of things that I think in the medical world.

that are things to look forward to, but it will be augmented decisions where humans will not be left out of the decisions. And when it comes to technology in general, I think the sensors just need to get better.

You know, the sensors need, I mean, the glucose, we've been waiting for that panacea or that, you know, that glucose monitor that does not require any sort of skin violation through a needle or otherwise. We're waiting for that. We're waiting for blood pressure capability on your wrist. You know, I think with that, I think that there has been a tremendous jump with the ability to make diagnoses of high heart rate, low heart rate, and irregular heart rate, and the diagnosis of AFib. But this

All of these things, blood pressure, glucose, low or high heart rate, irregular heart rate, that will get us to truly being proactive. Because if you have the ability to actually integrate into a call center that will actually get that notification saying high heart rate notification, someone could check on that person saying, hey, how are you feeling? Oh, I'm not feeling, I'm feeling lightheaded. Or they get that new onset AFib. Then you can have an intervention right there.

Shea Gregg, MD (01:12:33.556)
So as sensors get better and we think of that, if we can prevent the fall, prevent the problems that we are dealing with today, then I think we will have a dent in mortality, we'll have a dent in hospitalizations, we'll have reductions in costs of care, and ultimately we will hopefully make some, I think, some powerful interventions that'll really, again, affect this upcoming generation.

Miriam Allred (01:12:59.026)
Very well said. Thank you, Shea. David, last but not least, your take on what could be coming in the next five years.

David Eby (01:13:05.729)
Wow. Okay. So, you know, to keep going with what Jay's saying, I one of the things that I think is important, um, is with better sensor technology that's integrated. And so I work with this hospital that has this, uh, as a one bedroom, uh, um, apartment with tubs and the whole thing that they do full of technology. And there's about, uh, I there's about 15 of us technology partners that are in this, that are testing our different technologies. And so.

really how do we sort of look at look at that and get better, better, not better and less intrusive sensors and technologies that people don't recognize. And so I also look at this carrying into sort of aging in place construction or retrofit is, is, is you have different, you know, hundreds of different companies that are doing aging place construction.

buildings and property managers so that they're really looking how do we incorporate this technology into the building so that's one point but I think going back at you know what's driving this tech like what what you know in five years what do we look like right and so and I think the idea of driving the tech is what what's what's that what's that customer look like and the customer wants to be independent so especially just in five years how do we

How do we sort of focus in on that independent person and what's going to work in and around their lifestyle? So if it's a 55 plus active community, is it assisted living? Is it senior living? Like all these different spots and what is sort of work for them? That's what's gonna drive this technology. So, and that's what's happening now. So.

I look at, know, she's been doing this for longer than I have in this, you know, he's got 10 years, I got six, but certainly I look at us as early adopters, not adopters, but early inventors of technologies that are coming in and we're scrapping away trying to get our technology embedded and adopted. And then with all these, this,

David Eby (01:15:21.365)
bigger movement coming in is, is how does this technology look for that person that really wants to be independent? I think that's the big driving factor. And I think that the there's, there's technologies that we don't know how they're going to work in today, everyday life today. I've seen some of this technology there. They need to figure out how do they get into the day to day, and into the market, but there's some really neat things that are coming down the pipe, for technology.

that'll make it very interesting and keep people safe, keep people in their homes longer. And I think that's an objective we all want to get to.

Miriam Allred (01:16:01.714)
Gentlemen, this has been fantastic. Thank you all for coming so prepared. This has been my pleasure. just am imagining these home care leaders listening to this. I prefaced it at the start. Sometimes their point of view is myopic to what they do day in and day out, but you all have just broadened their minds to new technology, new solutions. What's in existence today? What's coming in the next five years? I love that this conversation is just

so forward thinking because again, home care providers, home care leaders need to be thinking about these solutions and finding ways to integrate them into their care that they offer today. So thank you for joining me in the lab. This has been a fantastic session. I will have all of your contact information and your websites in the show notes. I'm sure lots of people are going to want to reach out to you and have individual conversations with individual questions tailored to their business with each of you. So all of that will be included.

Jim (01:16:42.93)
Well, thanks for your...

David Eby (01:16:57.441)
Peace.

Miriam Allred (01:16:58.088)
in the show notes to these companies. But thank you for being here and we'll go ahead and wrap here.

Jim (01:17:03.859)
Thank you.

David Eby (01:17:04.715)
Thanks, Miriam

Shea Gregg, MD (01:17:04.779)
Thank you.