Podcast

eQALY co-founder Kelly Tagalan talks about how her company is working to bring big data to aged care

Kelly Tagalan, co-founder and COO of eQALY, joined Steve on the latest episode of Give It A Nudge to talk about how they’re bringing big data to the aged care sector.

by hao-nguyen on September 6, 2021

About the guest

Kelly Tagalan

Co-Founder & COO at eQALY

Kelly Tagalan is the co-founder and COO of eQALY, a startup bringing big data and IoT technology to aged care. She co-founded the company through the Antler program in Sydney, where she met her co-founder Andy after a career in education and the not-for-profit sector. Her name stands for Electronic Quality Adjusted Life Years. eQALY uses smart home sensors and biometric devices to monitor elderly people living at home, giving care managers a data-informed view of their wellbeing and enabling earlier interventions to keep people independent for longer.

Episode overview

Kelly Tagalan joined Steve Grace on Give It A Nudge to share the origin story of eQALY, a startup she co-founded through the Antler program to bring big data to aged care. The conversation covers how she went from scaling a charity to wanting to scale impact again, this time commercially, how she and co-founder Andy connected through Antler, what it means to be non-technical co-founders building an IoT and data visualization business, and how a real pilot in a home on Sydney’s Northern Beaches is already beginning to demonstrate what the platform can do.

From not-for-profit to aged care tech

Kelly spent most of her career in education and the not-for-profit sector, including co-founding a charity that gave her a view of regional Australia that few expats see. COVID prompted a reset. She asked whether the experience of scaling something meaningful was a one-off or something she could replicate. She applied to Antler alongside a friend who had mentioned the program, initially discouraged the idea, and then ended up applying herself. Both got in.

“I co-founded a charity and had the opportunity to really scale something big. I kind of turned around and said, could I do that again? Was that a flash in the pan, or do I have it in me to do something different, scale it, and this time, let’s try to make a few bucks?”

Kelly Tagalan 3:00

Meeting a co-founder through Antler

At Antler, Kelly met Andy, a former management consultant with a background in large health projects who wanted to build his own thing. She initially thought they did not have enough in common to work together. But design sprints on unrelated projects revealed how well they collaborated, and eQALY followed. The platform concept, bringing big data to aged care, came from Andy’s volunteer work and an early slide deck he showed Kelly at the end of a day.

Big data for aged care: the care hub

eQALY uses off-the-shelf IoT devices, including smart scales, diabetes monitors, and motion sensors, to gather data about elderly people living at home. That data is fed into the care hub, a dashboard visualized in a way non-clinical care managers can understand, with color-coded indicators, expandable graphs, and decision prompts. The goal is to identify trends before they become emergencies: a 20 percent drop in activity for a person with a particular health profile can trigger a care review weeks before a crisis.

“All that data is visualized in the care hub in a way that someone who’s non-clinical can understand what’s going on. There are colour-coded indicators, graphs where you can expand for more information, and it’s all individualised to that person’s actual situation.”

Kelly Tagalan 21:00

The Northern Beaches pilot

eQALY’s first real-world pilot is running in a home on Sydney’s Northern Beaches. An adult son has moved back to live with his elderly mother to keep her from being isolated, leaving his own family to do so. Sensors have been installed and data is flowing. Kelly notes that the family dimension of aged care is as important as the clinical one, and that giving families confidence that Mum is doing all right has a value that is hard to put a number on.

“Can you put a price on peace of mind? That’s really what we’re providing for the family. And we’re also empowering the individual to understand more about their health and well-being.”

Kelly Tagalan 28:00

Key takeaways

Antler works by creating conditions for co-founder chemistry to emerge naturally. Kelly did not set out to partner with Andy. They discovered they worked well together through design sprints on unrelated problems. Antler’s structure creates the conditions for founder-co-founder fit to reveal itself through collaboration rather than through deliberate search.
Non-technical founders can build technical products with the right partnership model. Kelly and Andy are both non-technical. They use off-the-shelf IoT hardware and partnered with Centagem, a data visualization and AI development firm that took an equity stake, to build their MVP. This cost-plus-equity model gave them a senior technical team without the cash burn of hiring engineers directly.
There for the cause, not the applause. Kelly notes that in startup life, you can put in your best work and have it fall flat with no recognition. She frames this as a feature of the work rather than a problem: you have to be building for the mission, not for external validation. Startups do not offer the guaranteed applause that corporate jobs can.
The aged care workforce is as important as the technology. eQALY is not just building for the elderly person. It is building tools that help non-clinical care workers, who lack clinical training but have high empathy, make better decisions. Upskilling the workforce through better data is as central to the mission as the sensor technology itself.
Early warning signals prevent late-stage crises. A pattern of declining activity, reduced outings, or irregular sleep is often visible weeks or months before a fall, a hospitalisation, or a decline in mental health. eQALY’s value proposition is in making those early signals legible to someone who is not medically trained but is responsible for a person’s care.
Health tech moves slowly because the stakes are high. Kelly is candid that health tech is conservative. Investors want proof, guarantees, and evidence at a level that does not exist in early-stage startup land. The only answer is to accumulate more clients, more real-world data, and more case studies before seeking institutional investment.
Generational attitudes to privacy and vulnerability vary enormously. Kelly describes interviewing an elderly woman who described no health issues, then over the course of the conversation revealed a fall, a hip replacement complication, and a heart attack. An entire generation was raised to say they are fine. Passive monitoring removes the dependency on self-reporting for a group that was taught not to complain.

Mentioned in this episode

Frequently asked questions

What is eQALY and what does it do?

eQALY is a startup bringing big data and IoT technology to aged care. Its platform uses smart home sensors and biometric devices to monitor elderly people living at home, feeding that data into a dashboard called the Care Hub that gives care managers color-coded, individualized insights into each person’s wellbeing, enabling earlier interventions to prevent falls, hospitalisations, and loss of independence.

What does eQALY stand for?

eQALY stands for Electronic Quality Adjusted Life Years, a term from health economics that measures the quantity and quality of life lived in good health. The name reflects the company’s mission to improve both the quality and duration of independent life for elderly Australians.

How did Kelly Tagalan meet her co-founder?

Kelly met her co-founder Andy through the Antler startup accelerator program in Sydney. She initially thought they did not have enough in common to work together, but design sprints on unrelated projects revealed a strong collaborative chemistry. Andy had already been developing the core idea for eQALY from volunteer work in aged care.

How is eQALY built if the co-founders are non-technical?

eQALY uses off-the-shelf IoT hardware for the sensor layer, and partnered with Centagem, a data visualization and AI development firm, to build the Care Hub dashboard. Centagem took an equity stake in the business in exchange for a cost-plus development arrangement, giving eQALY access to senior developers without the cash burn of building a full engineering team.

What does the eQALY pilot involve?

eQALY’s first pilot is running in a private home on Sydney’s Northern Beaches with a paying customer who is also a strategic investor. An elderly woman has had IoT sensors installed in her home, and her adult son who has moved back to live with her is participating in the program. The pilot is generating real data that the team is using to refine the Care Hub and demonstrate the platform’s effectiveness.

Topics discussed

aged carebig dataIoThealth techAntlerco-founder storynon-technical foundersstartup lifesocial impactAustralia

Full transcript

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Show full transcript (37 minutes, 8 sections)

0:00 Introduction and Kelly’s background

Steve welcomes Kelly Tagalan, noting she is a guest he has not met before. Kelly introduces herself and her background: eight years in Australia, most of her career in education and the not-for-profit sector, motivated by leveling the playing field and scaling impact. She co-founded a charity that took her to regional Australia, then COVID prompted a career reset.

6:00 Antler and meeting co-founder Andy

Kelly describes her path to Antler: initially discouraging a friend who mentioned it, then applying alongside her, both getting in. She describes the infectious energy of the cohort, the variety of ideas from green energy to e-commerce, and meeting Andy, a former management consultant with a health background, who she initially thought was interesting but not obviously a co-founder match. Design sprints on unrelated projects changed that.

10:00 What eQALY does and why aged care needs it

Kelly describes the aged care landscape: an overwhelmed and underserved system where non-clinical workers manage complex care packages for elderly people at home, without the tools to see early warning signals. eQALY addresses the quality of life problem from the care worker’s perspective as much as from the elderly person’s, with a platform designed for the non-clinical worker who has empathy but not clinical training.

18:00 The first 10 months: registration, pilot, and paying customer

The company registered in late 2020. In 10 months it secured a community care organisation as a paying pilot customer and strategic investor, co-designed features with the actual workforce, and got live users on the platform. Kelly is candid about the gap between the early vision of 100 pilot participants and the reality of a more cautious rollout driven by the generation-specific privacy concerns of elderly people.

21:00 The Care Hub: visualising data for non-clinical workers

The Care Hub dashboard takes all sensor data and presents it in a way that a non-clinical care manager can interpret. Color-coded indicators, expandable graphs, and decision prompts guide the worker through what the data is showing and when to take action. The system is individualized: it looks at each person’s actual trend, not a generic population benchmark.

24:00 Northern Beaches pilot and the family dimension

The first live household pilot on the Northern Beaches features an elderly woman whose son has moved back to live with her. Sensors are installed and data is flowing. Kelly highlights that the family dimension of aged care is often underestimated: giving families confidence about their loved one’s wellbeing is as important as the clinical data.

31:00 Frailty monitoring, predictive analytics, and voice

Kelly explains how frailty is measured through declining physical activity, weight, and reduced outings, and how eQALY is beginning to prototype voice interaction to reduce dependency on touch screens for elderly users. The long-term roadmap includes predictive analytics, sentiment analysis, and diagnostic tools as the data set grows.

34:00 Beliefs, fundraising, and why join eQALY

Kelly reflects on the changed belief that you can always go home, now she is separated from her California family by border closures, and how that fuels her mission with eQALY. She is candid about the patience required to raise in health tech and frames the path forward as doubling down on revenue and proof before seeking institutional investment. She closes with a pitch for the impact opportunity for people who want to do something first-of-its-kind in an industry that is only just beginning to change.

About the host

Steve Grace is the founder and CEO of The Nudge Group, a technology-focused recruitment and advisory business. He has built and scaled companies across Australia and the US, and hosts Give It A Nudge to spotlight founders and operators building something meaningful.

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