1. Polyglot Systems, Inc.
Meducation Adherence Driver
® ™
Sims Preston, CEO
Dr. Charles Lee, President and Founder
Dr. Daniel Fritsch, CTO

2. Solution Overview
Combines two revolutionary Polyglot technologies:
• Meducation® TimeView™: Generates an intuitive, longitudinal view of patient’s adherence history
• MeducationRS™: Generates simpler medication summaries in the patient’s preferred language
Appropriate for integration with Allscripts’ Sunrise, Enterprise and Professional EHR solutions
Healthcare/business problem addressed:
• Improved medication adherence and communication of medication instructions associated with:
• Improved medication management for chronic conditions
• Increased patient safety
• Reduced hospital readmissions
• Increased patient satisfaction
• Results in improved performance under new care delivery and reimbursement models, including ACOs,
Value Based Purchasing, Patient Centered Medical Homes, CMS’ Readmission Reduction Program, and
CMS’ Star Ratings
 The application developed addresses the following category:
 Applications that improve management of high cost chronic diseases.
 Innovative approaches to addressing value-based care imperatives.
 Both
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3. Solution Overview
 The Meducation® Adherence Driver™ has both provider-facing and
patient-facing technologies
Screenshot of TimeView Screenshot of meducation rs
Provider Solutions: Patient Solutions:
Meducation TimeView™ MeducationRS™
• Longitudinal view of patient’s medication • Personalized Universal Medication Schedule
adherence history • Easy-to-understand instructions and
• Dashboard of analytics allow tailored demonstrations of techniques in patient’s
interventions preferred language
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4. Development Stage
 Submission date: February 3, 2013
 Idea
 Prototype
 Code development in progress
 Code complete
 Code complete, tested and approved by Allscripts
 Underlying Polyglot technologies comprising Meducation® Adherence
Driver™, Meducation® TimeView™ and MeducationRS™ have been coded
and licensed by Polyglot in beta versions to a third party. Coding necessary
to integrate Meducation® Adherence Driver™ with Allscripts EHR not begun
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5. Integration Description
 Integration Points with Allscripts’ solution
• Designed to integrate with EHR medication list
 APIs/Web Services calls used:
• GetDictionary • SearchMeds
• GetDUR • SearchPatients
• GetPackages
• GetPatientFull Key:
• GetPatientList Black text: will use call
• GetPatientLocations Gray text: will likely use call
• GetRXFavs
• GetSigs Note: Sunrise SDK assumed to
• SaveDocumentImage include similar calls
• SaveNote
• SaveRX
• SaveSimpleRX
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6. Video Demonstration
http://www.youtube.com/watch?v=EUjgFX6qo8s
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7. Usability and Design: Process flow
Provider views comprehensive patient adherence dashboard
• Pharmacy claims and fill data populate dashboard detailing adherence history
Provider holds an informed discussion with the patient
• Dashboard allows provider to easily identify gaps in adherence – reasons for
non-adherence can be discussed and the therapy modified accordingly
Informed discussion drives change
• Editing features allow provider to make adjustments to medication schedule and
instructions
Patient receives tailored printed materials
• Includes easy-to-read content consistent with health literacy guidelines and
evidence-based Universal Medication Schedule in patient’s preferred language
Patient manages care at home
• Mobile capabilities include patient access to educational videos
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8. Usability and Design: Improved outcomes
 The process facilitated by the Meducation® Adherence Driver™ improves patient
adherence
• Improved medication adherence is associated with decreased rate of ED visits,
decreased adverse events and improved mortality13
• Non-adherence in the U.S. costs an estimated $250 billion annually11
• Chronically ill patients who adhere to their medications generate an average
annual savings of $4,186 per person versus those who are not adherent12
 Informed discussions improve patient engagement and outcomes
• Effective physician-patient communication is associated with better
physiological and behavioral health outcomes9,10
 Tailored printed materials address health literacy issues
• One in five Americans read at or below a 5th grade reading level1
• Low health literacy leads to increased medication errors, decreased treatment
compliance and an increased risk of rehospitalization1,2,3
• Low health literacy costs the U.S. a minimum of $106 billion annually4
• Educational interventions tailored to low health literacy drive improved health
outcomes5,6,7,8
*References available upon request
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9. Why Select this Solution?
 Polyglot’s mission aligns well with this initiative
• Our mission is to provide solutions that improve patient understanding, thereby improving
the efficacy, efficiency and quality of healthcare (www.pgsi.com)
 Our company has experience and a history of success with similar technologies
• Multiple products directed at improving patient understanding across health care
• Multiple grants from the National Institutes of Health
• Winner, Harvard Medical School researchers’ “SMART Apps for Health” challenge
(http://www.smartplatforms.org/2011/06/smart-app-challenge-winners-announced/)
 Our customer base lends credibility to our capabilities and our products
Polyglot’s expertise in developing healthcare technology solutions makes it an ideal
partner for Allscripts and its clients.
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10. Why Select This Solution?
COMMUNICATION
• Plain language
• Materials in patient’s preferred language
• Facilitates improved provider-patient
interactions
CARE COORDINATION PATIENT CENTEREDNESS
• Longitudinal adherence schedule • Personalized Universal Medication Schedule
• Provides transparency between acute and • Instructional videos (convenient access)
ambulatory care providers • Encourages patient engagement
• A
Our Meducation® Adherence Driver™ promotes value based care through effective
communication and patient-centered care coordination
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11. Why Select This Solution?
Readmissions Value Based STAR Ratings
Reduction Program Purchasing
• Improved adherence • Improved • Patient satisfaction,
has been proven to communication medication
reduce readmissions improves value based adherence and
• Excessive purchasing scores patient safety
readmissions will • Low value based measures drive STAR
result in up to 3% in purchasing scores ratings
lost Medicare result in up to 1% in • Can determine
reimbursement lost Medicare Medicare Advantage
reimbursement and Part D enrollment
opportunities, bonuses
and penalties for
integrated health
systems
This comprehensive solution may significantly improve the profitability of Allscripts’
clients through regained reimbursement
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12. Why Select This Solution?
SETTING ISSUE OUR SOLUTION
Accountable Care Profitability dependent Improved medication
Organizations upon controlling cost of adherence is associated
patient care with significant savings
Reimbursement penalties Improved adherence
Hospitals for avoidable reduces adverse events
readmissions and readmissions
Patient Centered Evaluated on patient Improved provider
Medical Homes satisfaction measures in communication drives
CAHPS survey patient satisfaction
Patient engagement Universal Med. Schedule
Ambulatory Care Clinics essential for effective allows patient to better
patient management manage their care
The Meducation® Adherence Driver™ is equipped to help all of Allscripts’ clients
tackle their care coordination goals
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13. Go to Market Plans
 Price point: $50 per physician per month
• No installation required
• Includes maintenance and troubleshooting
• Does not include fees for third party data access
• Discounts for enterprise wide and/or high volume use
• Revenue sharing for use of Allscripts’ advertising and sales
services
 The $50 fee will be waived for a free 30-day trial period to
provide new customers the opportunity to try the
Meducation® Adherence Driver™ and generate interest
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14. Go to Market Plans
 Marketing strategy would
leverage Allscripts’ capabilities
and position the Meducation®
Need for care coordination
Integrated
Adherence Driver™ as an Systems or
ACOs
enhancement to standard EHR Ambulatory
medication list care
Acute care
 Marketing strategy would first
target clients with greatest
opportunity for value-add, in Post-
the following order: acute
care
1. Integrated systems/ACOs
2. Acute care settings Value of tool to organization
3. Ambulatory settings Key:
• Size of bubble corresponds to revenue generated for
4. Post-acute care settings Allscripts
• Diagonal fill indicates lack of data
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15. Conclusion
 Meducation® Adherence Driver™
• Offers technologies that will benefit Allscripts’ clients and
patients
• Includes two unique tools: a longitudinal medication adherence
dashboard and a tailored patient medication schedule
• Can improve communication, patient-centeredness, and care
coordination, ultimately increasing medication adherence and
improving health outcomes
• Aligns with shift towards value-based care and can support
providers in earning Medicare reimbursement
Polyglot, Meducation, MeducationRS™, TimeView and Health Through Understanding are trademarks and/or registered trademarks
of Polyglot Systems, Inc. in the Unites States and/or other countries.
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