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AMEDS-PMHS - part one AMEDS-PMHS - part one Document Transcript

  • AMEDS - PMHS
    Innovation
    for
    Cure and Care
  • AMEDS - PMHS
    SystiMed is anenterprisefordesigning and developinginnovationsforhealthcare
    These presentations are abouttwo brand newinnovationsdesignedby SystiMed
    In thisfirst part a verylargeproblem in todayshealthcare is outlined
    In the second part the innovations AMEDS and PMHS willbepresented
  • AMEDS - PMHS
    AMEDS - PMHS
    Part one
  • AMEDS - PMHS
    Do you want to know more aboutone of the biggestchallenges we face in healthcaretoday?
  • AMEDS – PMHS
    Do you want to know more aboutone of the biggestchallenges we face in healthcaretoday?
    Ifso, thenplease, readon and learnabout a mechanismwhichcan have a dominatingnegativeinfluenceonhealthcareformanyyears to come.
  • AMEDS - PMHS
    Medicationadherence has been a very big problem in healthcarefor a long time
  • AMEDS - PMHS
    Medicationadherence has been a very big problem in healthcarefor a long time
    and still is…
  • AMEDS - PMHS
    Medicationadherence has been a very big problem in healthcarefor a long time
    and still is…
    Severaltechnicalsollutions have been introduced to help patientstaketheirmedication, like the Baxter system, the Simpill, the Medido (Innospense) and recently the PicoBello (Kysos).
  • AMEDS - PMHS
    Althoughcurrenttechnicalsollutionsformedicationadherencecanbeverysuccesfullforsomepatients…..
  • AMEDS - PMHS
    Althoughcurrenttechnicalsollutionsformedicationadherencecanbeverysuccesfullforsomepatients…..
    there are still a lot of patientswho in spite of the usage of these technicalsollution are stillnotable to taketheirmedicationadequately
  • AMEDS - PMHS
    Unfortunately….
  • AMEDS - PMHS
    Unfortunately these are the most vulnerable, fragile, elderlypatients.
  • AMEDS - PMHS
    Unfortunately these are the most vulnerable, fragile, elderlypatients.
    These elderlypatients have severalseriousillnesses (multimorbidity)
  • AMEDS - PMHS
    Unfortunately these are the most vulnerable, fragile, elderlypatients.
    These elderlypatients have severalseriousillnesses (multimorbidity)
    and need to take a largenumber of different sorts of medicines eachday (polypharmacy)
  • AMEDS - PMHS
    The largenumber of illnesses these elderlypatients have result in cognitive and physicalshortcomings
  • AMEDS - PMHS
    The largenumber of illnesses these elderlypatients have result in cognitive and physicalshortcomings
    These shortcomingscanalsojustbeagerelated
  • AMEDS - PMHS
    These cognitive and physicalshortcomingsinterferewith the dailyfunctioning of these elderlypatients
  • AMEDS - PMHS
    These cognitive and physicalshortcomingsinterferewith the dailyfunctioning of these elderlypatients
    Thisincludestakingmedication
  • AMEDS - PMHS
    These cognitive and physicalshortcomingsinterferewith the dailyfunctioning of these elderlypatients
    Thisincludestakingmedication
    Thisleads to socalledmedication nonadherence by these patients
  • AMEDS - PMHS
    So, thiscategory of elderlypatients have the intention to taketheirmedicine
  • AMEDS - PMHS
    So, thiscategory of elderlypatients have the intention to taketheirmedicine
    butthey are notable to do so, because of shortcomingsdue to illnessesoroldage.
  • AMEDS - PMHS
    So, thiscategory of elderlypatients have the intention to taketheirmedicine
    butthey are notable to do so, because of shortcomingsdue to illnessesoroldage.
    We callthis a form of …
  • AMEDS - PMHS
    So, thiscategory of elderlypatients have the intention to taketheirmedicine
    butthey are notable to do so, because of shortcomingsdue to illnessesoroldage.
    We callthis a form of …
    ‘nonintentional medication nonadherence’
  • AMEDS - PMHS
    Especiallywith these elderly, vulnerablepatientsmedication nonadherence is highlyunwanted….
  • AMEDS - PMHS
    Especiallywith these elderly, vulnerablepatientsmedication nonadherence is highlyunwanted….
    buthighlylikely
  • AMEDS - PMHS
    Especiallywith these elderly, vulnerablepatientsmedication nonadherence is highlyunwanted….
    buthighlylikely
    and with these fragile and vurnerableolderpatients even the slightestmedication nonadherence can have serious, and sometimesdevastatingeffects!
  • AMEDS - PMHS
    Question:
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
    Deterioration of patientshealth
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
    Deterioration of patientshealth
    Need of superimposedtreatments
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
    Deterioration of patientshealth
    Need of superimposedtreatments
    More need of elderly care
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
    Deterioration of patientshealth
    Need of superimposedtreatments
    More need of elderly care
    Admissions in elderly homes
  • AMEDS - PMHS
    Question: What are the effects of medication nonadherence with these fragile, vulnerablepatients?
    Answer:
    Longterm hospitaladmissions
    Deterioration of patientshealth
    Need of superimposedtreatments
    More need of elderly care
    Admissions in elderly homes
    Death
  • AMEDS - PMHS
    To beable to help these patients to taketheirdailypillsadequately
  • AMEDS - PMHS
    To beable to help these patients to taketheirdailypillsadequately
    a muchbettertechnical support is needed!
  • AMEDS - PMHS
    To beable to help these patients to taketheirdailypillsadequately
    a muchbettertechnical support is needed!
    Muchbetterthancanbeprovidedwith the currentsystems
  • AMEDS - PMHS
    In case a technicalapropriatesollutioncannotbefound, the onlyalternative to help these patients is by hand, which has its drawbacks:
  • AMEDS - PMHS
    In case a technicalapropriatesollutioncannotbefound, the onlyalternative to help these patients is by hand, which has its drawbacks:
    A largenumber of healthcare professionals are needed to performthistedious service.
  • AMEDS - PMHS
    In case a technicalapropriatesollutioncannotbefound, the onlyalternative to help these patients is by hand, which has its drawbacks:
    A largenumber of healthcare professionals are needed to performthistedious service.
    Helping these patientsby hand in this respect induceshumanerrors and bythismedication nonadherence.
  • AMEDS - PMHS
    In case a technicalapropriatesollutioncannotbefound, the onlyalternative to help these patients is by hand, which has its drawbacks:
    A largenumber of healthcare professionals are needed to performthistedious service.
    Helping these patientsby hand in this respect induceshumanerrors and bythismedication nonadherence.
    The patients are becomingtoomuchdependent
  • AMEDS – PMHS
    So, helping these patientstakingtheirpillspreferablywith a technicalsollution is of greatimportance!
  • AMEDS – PMHS
    So, helping these patientstakingtheirpillspreferablywith a technicalsollution is of greatimportance!
    As in countrieswhich face a verylargeupcomingincrease of the numbers of elderlypeople
  • AMEDS – PMHS
    So, helping these patientstakingtheirpillspreferablywith a technicalsollution is of greatimportance!
    As in countrieswhich face a verylargeupcomingincrease of the numbers of elderlypeople
    the number of thiscategory of patientswillbecomealsoverylarge.
  • AMEDS - PMHS
    Impact of the increase in numbers of these elderlyfragile, vulnerablepatientswho are notable to taketheirmedication:
  • AMEDS - PMHS
    Impact of the increase in numbers of these elderlyfragile, vulnerablepatientswho are notable to taketheirmedication:
    Largeincrease of healthcarecosts.
  • AMEDS - PMHS
    Impact of the increase in numbers of these elderlyfragile, vulnerablepatientswho are notable to taketheirmedication:
    Largeincrease of healthcarecosts.
    Severeshortage of healthcare professionals to copewith the increasedworkload.
  • AMEDS - PMHS
    Question:
  • AMEDS - PMHS
    Question: whatcosts are involved?
  • AMEDS - PMHS
    Question: whatcosts are involved?
    Answer:
  • AMEDS - PMHS
    Question: whatcosts are involved?
    Answer:
    In the Netherlands the totalcostsinvolvedwithmedicationadherence are ca. 1 billion Euro a year.
  • AMEDS - PMHS
    Question: whatcosts are involved?
    Answer:
    In the Netherlands the totalcostsinvolvedwithmedicationadherence are ca. 1 billion Euro a year
    In the US the totalcostsinvolvedwithmedicationadherence are ca. 300 billion USD a year (!)
  • AMEDS - PMHS
  • AMEDS - PMHS
    Answercontinued:
  • AMEDS - PMHS
    Answercontinued:
    Although the mentionedtotalcostsdue to medicationadherenceseemvery high…
  • AMEDS - PMHS
    Answercontinued:
    Although the mentionedtotalcostsdue to medicationadherenceseemvery high…
    it is stillunclearhowmuch the mentionedcategory of patientstribute to these costs
  • AMEDS - PMHS
    Answercontinued:
    Although the mentionedtotalcostsdue to medicationadherenceseemvery high…
    it is stillunclearhowmuch the mentionedcategory of patientstribute to these costs
    Butitmightbevery high!
  • AMEDS - PMHS
    Answercontinued:
    Although the mentionedtotalcostsdue to medicationadherenceseemvery high…
    it is stillunclearhowmuch the mentionedcategory of patientstribute to these costs
    Butitmightbevery high!
    And these costsmighteasilyskyrocketthe coming years!
  • AMEDS - PMHS
    Answercontinued:
  • AMEDS - PMHS
    Answercontinued:
    And costs are not even the biggest issue here
  • AMEDS - PMHS
    Answercontinued:
    And costs are not even the biggest issue here
    The biggestproblem we face here is that we won’tbeable to provide the healthcareprofesionalsneeded to care for these patients - and otherpatients – anymore.
  • AMEDS - PMHS
    Question:
  • AMEDS - PMHS
    Question: how is itthatcurrent system fall short of helping these oldpeopletaketheirmedicationadequately?
  • AMEDS - PMHS
    Question: how is itthatcurrent system fall short of helping these oldpeopletaketheirmedicationadequately?
    Answer:
  • AMEDS - PMHS
    Question: how is itthatcurrent system fall short of helping these oldpeopletaketheirmedicationadequately?
    Answer: unfortunately these currentsystemsfall short heremainlyontwoessentialaspects:
  • AMEDS - PMHS
    Question: how is itthatcurrent system fall short of helping these oldpeopletaketheirmedicationadequately?
    Answer: unfortunately these currentsystemsfall short heremainlyontwoessentialaspects:
    Ergonomic design
  • AMEDS - PMHS
    Question: how is itthatcurrent system fall short of helping these oldpeopletaketheirmedicationadequately?
    Answer: unfortunately these currentsystemsfall short heremainlyontwoessentialaspects:
    Ergonomic design
    Multi-userfriendlyness
  • AMEDS – PMHS
    Ergonomic design:
  • AMEDS – PMHS
    Ergonomic design: Most currentsystems are someform of pillboxes, baxter systems (Medido, PicoBello) whichworkwithpillbagsorpill cups (MD.2; Philips); someexamples:
  • AMEDS – PMHS
    Ergonomic design: Most currentsystems are someform of pillboxes, baxter systems (Medido, PicoBello) whichworkwithpillbagsorpill cups (MD.2; Philips); someexamples:
    A patientwith a hemiparalysis and apraxiadue to a strokestruggles to getpills out of a plastic bagsuppliedby a Baxter system; the patientunfortunately is notable to do this and justthrowsaway the full bag.
  • AMEDS – PMHS
    Ergonomic design: Most currentsystems are someform of pillboxes, baxter systems (Medido, PicoBello) whichworkwithpillbagsorpill cups (MD.2; Philips); someexamples:
    A patientwith a hemiparalysis and apraxiadue to a strokestruggles to getpills out of a plastic bagsuppliedby a Baxter system; the patientunfortunately is notable to do this and justthrowsaway the full bag.
    A patientwith a tremor due to Parkinsontries to gethispillsfrom a MD.2- cup, due to the tremor all pillsfallon the floor.
  • AMEDS - PMHS
    Multi-userfriendlyness:
  • AMEDS - PMHS
    Multi-userfriendlyness: currentsystemsdesignedforreducingmedication nonadherence are mostlyuser-friendlyforonlyonegroupinvolved, someexamples:
  • AMEDS - PMHS
    Multi-userfriendlyness: currentsystemsdesignedforreducingmedication nonadherence are mostlyuser-friendlyforonlyonegroupinvolved, someexamples:
    The Baxter system orderrivativeslike the MedidoorPicoBello are veryuser-friendlyfor the pharmacist, unfortunatelynotfor all patients.
  • AMEDS - PMHS
    Multi-userfriendlyness: currentsystemsdesignedforreducingmedication nonadherence are mostlyuser-friendlyforonlyonegroupinvolved, someexamples:
    The Baxter system orderrivativeslike the MedidoorPicoBello are veryuser-friendlyfor the pharmacist, unfortunatelynotfor all patients.
    The MD.2 (Philips) mightbeuser-friendlyforsomepatients, but is veryuser-unfriendlyfor the pharmacist, as the pharmacist is bound to fill all cups by hand.
  • AMEDS - PMHS
    Question:
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer:
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer: to support these patients we need a system which combines the followingattributes:
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer: to support these patients we need a system which combines the followingattributes:
    Muli-userfriendlyness
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer: to support these patients we need a system which combines the followingattributes:
    Muli-userfriendlyness
    Optimalergonomic design
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer: to support these patients we need a system which combines the followingattributes:
    Muli-userfriendlyness
    Optimalergonomic design
    Safety in usage
  • AMEDS - PMHS
    Question: so, with all this in the back of ourhead, what do we want for these elderly, fragile, vulnerablepatients?
    Answer: to support these patients we need a system which combines the followingattributes:
    Muli-userfriendlyness
    Optimalergonomic design
    Safety in usage
    Reliability in usage
  • AMEDS - PMHS
    Ifyou want to knowhow a system with all these attributescanbedesigned, keep on the look out herefor the upcomingpresentation of AMEDS and PMHS
  • AMEDS - PMHS
    Ifyou want to knowhow a system with all these attributescanbedesigned, keep on the look out herefor the upcomingpresentation of AMEDS and PMHS
    In the meantime….
  • AMEDS - PMHS
    Ifyou want to knowhow a system with all these attributescanbedesigned, keep on the look out herefor the upcomingpresentation of AMEDS and PMHS
    In the meantime….
    Try and design a system likethatyourself!
  • AMEDS – PMHS
    Thankyou