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"Medication Compliance" by Dan Bernstein (Chicago Health 2.0)
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"Medication Compliance" by Dan Bernstein (Chicago Health 2.0)

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  • 1. MEDIC8 MANAGER LLC © 2008 - 2010 Dan Bernstein, Founder, dan@imedic8.com (312) 436-1926 Treatment Management A platform & services for patients & caregivers
  • 2. HEALTH 2.0 ADHERANCE MEETING •The Problem , Size, Causes & Complexity • Solutions – Software Solutions - Dan – Hardware Solutions – Chirag – Contextual Reminder Stickers – Peter • We can do better – Blue Sky
  • 3. The Problem Defined •Poor medication adherence – defined as any deviation from the prescribed course of medical treatment – is a significant source of waste in our health care system. *New England Health Institute
  • 4. The Problem’s Size: Scope & Costs •33% to 50% of all patients do not take their medications as prescribed* •Adverse Drug Reactions account for nearly** • 10% of all hospital admissions in the US • up to 140,000 deaths annually in the US, alone • sixth leading cause of death in the US • NEHI now estimates the current cost of drug-related morbidity, including poor adherence, to be as much as $290 billion annually – or 13 percent of total health care expenditures.* *New England Health Institute **Medscape.com-407005
  • 5. High Adherence Cost Savings Medical Care, 2005, vol. 43, no6, pp. 521-530 see APPENDIX via Vitality
  • 6. Adherence Declines with Time 5 Source: AARDEX MEMS, 2010 via Health-E-Dose
  • 7. Adherence Causes  Problem Regimens Financial  Patient Behavior  Missed doses (sporadic forgetter, active decliner)  Gaps between refills (procrastination) (Home Delivery)  Drug Interactions  Psychological
  • 8. Improving Adherence Source: Avalere Health, NEHI Analysis Improve Drug Regimen Reduce Cost Barriers Address Patient Behavior Appropriate Medication Use
  • 9. Adherence improvement needs more than a tech device Need to overcome multiple Research proved that best BEHAVIORAL barriers solutions are multi-faceted – reminders, alarms - gadgets – Psychological – counseling, education on – Financial specific condition – human touch – nurse as a – Behavioral coach – Physical – automating Rx refill function – circle of peers / patients w same condition – shared info with family / caretaker / doctor – rewards, incentives Sources: H McDonald et al: “Interventions to Enhance Patient Adherence 8 to Medical Prescriptions – a Scientific Review”, Journal of American Medical Ass’n, Dec. 11, 2002, vol 288, No 22 via Health-E-Dose
  • 10. Software / Service Reminder Services via phone Eliza Data Driven Healthcare Communications Solutions Silverlink Interactive Automated Voice & multi-Channel Communications Medication Information SurveyorHealth Drug interactions & cumulative side effects DoubleCheckMD Drug Interactions & My Symptom Interaction Checker iGuard Free online Drug Interactions& Clinical Drug Trial recruitment Mobile Applications OnTimeRx Email, Phone & SMS reminders Personal Caregiver Dose time & refill reminders & FDA Recall Alerts
  • 11. Studies & Articles Thinking Outside the Pillbox New England Health Institute Report, Nov 2009 Express Scripts’ 2009 annual drug trends reportBasic adherence can save $130B Drug Adherence Throwdown Disruptive Women in Healthcare -eBook Real Solutions for Better Medication Adherence 5 recommendations
  • 12. dan@imedic8.com THANK YOU!