Talk given in Asian Healthcare Week, 2017, Singapore

1. Home Eldercare
Technologies, Robotics
and A.I. Platforms
Dr Tan Jit Seng
Lotus Eldercare Health
Services
Lotus Eldercare Private
Limited

2. Ageing in Place – A NEEDS model in
which technology should either be
preventive or supportive
• Preventive -
• Tele Remote Vitals monitoring
• Tele Presence for isolation and loneliness
• Verbal controls of appliances like lighting, TV and air con
etc.
• Supportive -
• Quick access to information for problem solving
• Tele consultation
• Day to day assessment and monitoring for deterioration
and identifying reversible issues
Maslow's hierarchy of NEEDS!

3. What are the benefits of Technology Use in
Eldercare?
2 Greatest Factors:
• Reduce the reliance of trained healthcare manpower by empowering
the patients and their family on the care supported by
1. timely input of information to patients and their families or
2. continual monitoring of chronic disease and early warning of flares or decompensation.
• Reduce personal and government spending on healthcare by
improving compliance in leading a more healthier lifestyle with input
of vital data and treating diseases or deterioration earlier e.g. delaying
onset of dementia by five years would both reduce the number of cases by a third and alleviate
economic costs by 36%, or over £21 billion, by 2050. (Taken from Alzheimer's Research UK)

4. Example 1 of Technology Use: NCS’ Continuous Care Management (CCM) Platform :
Supporting Chronic Disease Management & Transition Care
Clinical Correlation
Clinical studies have shown strong
correlation between uncontrolled
chronic diseases and occurrence of
acute events like acute myocardial
infarction and stroke, as well as
neurological disorder like dementia
CCM Corollary
Enable care providers to manage
patients’ disease progression beyond
institutional care setting (i.e. patient’s
home) to effect timely, preventive
intervention and minimize admission
and costly acute treatments
Target Beneficiary
Post discharged
patients requiring
transitional care
Patients requiring long
term chronic disease
management
Elderly living
independently or
home alone

5. Continuous Care Management (CCM) Platform
Home
Access
Channel
Devices IOT Gateway Continuous Care Management
Home
Gateway
Mobile
Gateway
Blood
Pressure
Weight
Scale
Respiratory
& Heart Rate
Activity
Sensor
Panic
Button
Tablet
TV
Elderly Monitoring Devices
Glucometer
Health Monitoring Devices
Home
Hospital
SPO2
Thermometer
Laptop
/PC

6. Example 2 of Technology
Use: Welvue - LEMS
• Mobile EMR System
• Mobile PMR
• Secured Tele Communication platform
for voice, video, messaging
• E prescription
• Sync with current tele monitoring
systems
• Uber system for services
• E Charging - Fintech

7. Example 3 of Technology
Use: Nuclues Dynamics -
EMediCare
• Closer monitoring of wounds with
ease
• Able to chart accurately with most
intense follow up while using less
manpower
• Empowerment of the carers to
better manage chronic wounds

8. Example 2 of Technology
Use: Nuclues Dynamics -
EMediCare

9. Example 4 of
Technology Use:
SoundEye

11. Example of Robotics Use
1: OhmniLabs

12. • Families/Caregivers can engage
remotely over Internet
• Cook, eat, walk together just like being there
• Check on the elders’ safety for peace of mind
• Make sure they follow their diet or medication
• Geriatric specialists, nurses, doctors
can dial-in on-demand simultaneously
to provide services
Ohmni - Robots to augment care
Click for Video

13. Example of
Robotics Use 2:
ExoAtlet

14. Advantages of Exo Skeletal Robotics:
Fall Prevention
No stigma unlike a wheelchair
Better able to manoeuvre in any terrain
More possibility of quicker rehab esp. frail elderly
post hospitalisation
Disadvantages of Exo Skeletal Robotics:
Cost – USD 45,000
Issue of battery life and weight
No vendor for repair and maintenance

15. Example of Robotics Use
3: Loomo

16. Main Uses:

17. Example of A.I. : A.I. Chatbots use in Healthcare
• For Healthcare institutions to create and personalised their own
chatbots with A.I. intelligence.
• Individual clinics, hospital departments, nursing home, care facilities
etc can seamlessly list their services and other important information
in their chatbots avatars.
• Each chatbots can later use for integration of personalised companion
robots and given protocols to enhance the lifestyle of the individual
while seamlessly monitoring for their health status.
• Chatbots for health advisory are already available to those savvy in
chatbots but in future, the healthcare industry will be empowered to
use this tools as a next form of automation and communication.