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RememberItNow Presentation to U.S. Office of eHealth Initiatives


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RememberItNow! recently presented their eHealth service to the U.S. Office of eHealth Initiatives in response to their request for information on new medication management technology.

Learn how RememberItNow! can improve medication compliance with SMS, Push and eMail medication reminders, an easy-to-use PHR, and a private care community.

Discover the future of eHealth and how it starts with the patient’s perspective. To learn more about RememberItNow! please visit:

Published in: Health & Medicine
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RememberItNow Presentation to U.S. Office of eHealth Initiatives

  1. 1. Enterprise Medication Management Services An eHealth initiatives presentation to the states of Alabama, California, Colorado, Georgia, Maine, Missouri, New York, North Carolina, South Carolina, and Tennessee By Pamela Swingley, Founder
  2. 2. Today’s Agenda <ul><li>Medication management – where we fit </li></ul><ul><li>About RememberItNow! </li></ul><ul><li>Demo – medication reminders, PHR, care community </li></ul><ul><li>Future of eHealth from the patient’s perspective </li></ul>
  3. 3. Healthcare IT is complex It’s easy for the patient to get lost. EHR HIT EMR HIE mHealth Health 2.0 HIPAA Federal Health Architecture (FHA) Nationwide Health Information Network (NHIN) ePrescribing Electronic medical records Telehealth ePatient Personal Health Record (PHR) Clinical health record Enterprise health record National health record Value driven healthcare eHealth Medicine 2.0 CRM SaaS Web-based Continuity of Care Record (CCR) Medication compliance
  4. 4. We Take the Patient’s Point of View Hey! What about me? mHealth Health 2.0 HIPAA Federal Health Architecture (FHA) Nationwide Health Information Network (NHIN) ePrescribing Electronic medical records Telehealth ePatient Personal Health Record (PHR) Clinical health record Enterprise health record National health record Value driven healthcare eHealth Medicine 2.0 CRM SaaS Web-based Continuity of Care Record (CCR) Medication compliance
  5. 5. Medication Management Services RememberItNow! standalone works, connected is much better. eHealth Platform <ul><li>Prescription number </li></ul><ul><li>Medication name </li></ul><ul><li>OTC, herbal elements </li></ul><ul><li>Prescribing doctor </li></ul><ul><li>Pharmacy </li></ul><ul><li>Refill date </li></ul><ul><li>Dosage </li></ul><ul><li>Purpose </li></ul><ul><li>Instructions </li></ul><ul><li>Frequency </li></ul><ul><li>Start & stop dates </li></ul><ul><li>Medication time </li></ul><ul><li>Medical conditions </li></ul><ul><li>Allergies </li></ul><ul><li>Medical history </li></ul><ul><li>Audit trail </li></ul>Devices Pharmacy Physician Future Hospital Clinic Patient Family & Friends Home care Medical Professionals
  6. 6. About Us
  7. 7. Our Story Bob & his health
  8. 8. About RememberItNow! <ul><li>Private company, headquartered in Orinda, CA </li></ul><ul><li>Launched March 2010 – 100 users </li></ul><ul><li>SaaS application, developed in PHP, MySQL database </li></ul><ul><li>Medication reminders, personal health record, health team </li></ul><ul><li>Free + premium service </li></ul><ul><li>Management team: Deep experience in enterprise software & web application development. </li></ul><ul><li>Buzz </li></ul>A scrappy startup with big ambitions. “ “ Much sleeker and easier to use than Google Health or Microsoft HealthVault.
  9. 9. Large and Growing Market 61 million adult Americans take multiple medications. . Our mission: To empower every person in America to take control of their health. “ “ Without the proper meds, I zone out and I am not as productive. The reminders have improved my job performance. Ray, diabetes patient, salesperson, father “ “ RememberItNow! has taken a lot of the worry out of managing Hannah’s meds. The text reminders have been a lifesaver! Hannah’s mom, mother of five
  10. 10. eHealth Made Easy SaaS appliation. One account. Many devices. In the cloud. Compatible with: <ul><ul><ul><li>Windows </li></ul></ul></ul><ul><ul><ul><li>Macintosh </li></ul></ul></ul><ul><ul><ul><li>Mobile </li></ul></ul></ul><ul><ul><ul><li>Text SMS </li></ul></ul></ul>
  11. 11. RememberItNow! Mobile Medical information, anytime, anywhere.
  12. 12. <ul><ul><li>EHR/EMR/HIE partnerships >> Doctors/Hospitals/Pharmacy >> Patient </li></ul></ul><ul><ul><li>Brokers >> Employers >> Employees </li></ul></ul><ul><ul><li>Health Plan >> Members </li></ul></ul><ul><ul><li>Pharmaceutical companies >> Consumers </li></ul></ul><ul><ul><li>State/government programs >> Citizens </li></ul></ul><ul><ul><li>Pharmacy >> Customers </li></ul></ul><ul><ul><li>Assisted living/group home >> Family member >> Resident </li></ul></ul><ul><ul><li>Direct/online >> Apple App Store/Android Market >> Clients </li></ul></ul>Go to Market We’re flexible: Licensed, hosted, PEPM, per seat, private label… . Seeking great partners for pilot programs.
  13. 13. We Do Three Things Really Well Medication reminders, personal health record, care community. Text or email reminders – push coming soon
  14. 14. 1. Medication Reminders Right medication, right time, right dose. 81% of adults in the U.S. take at least one medication during the week; 27% take at least five. Text, email or push reminders
  15. 15. Noncompliance is Rampant Nearly 50% of the time medications are not taken as prescribed. I forgot to take them I had no symptoms or the symptoms went away I wanted to save money I didn’t believe the drugs were effective I didn’t think I needed to take them I had painful or frightening side effects The drugs prevented me from doing other things I wanted to do Nobody reminded me to keep taking, or to refill prescription I had difficulty getting the prescription filled The drugs tasted or smelled unpleasant I had difficult opening the bottle or swallowing the drug I was confused by all the drugs I had to take 64% 36 35 33 31 28 25 20 20 19 16 15 Failed to Take Rx Drugs Source: Wall Street Journal Online/Harris Interactive
  16. 16. “ Drugs don’t work if people don’t take them .” ― C. Everett Koop, MD
  17. 17. The Annual Cost of Medication Noncompliance $177.4 billion
  18. 18. Reminders Work Studies reveal higher compliance and lower medical costs. Study group: Pediatric liver transplant recipients Multiple professional studies: ' Improved Adherence and Outcomes for Pediatric Liver Transplant Recipients by Using Text Messaging ', ' Text-message Reminders to Improve Sunscreen Use ', ' A daily SMS reminder increases adherence to asthma treatment: A three-month follow-up study ', PageMinder Project Summary Report Compliance Rejection Episodes 69% 48% With reminders Without With reminders Without 2 12
  19. 19. 2. Maintain a Personal Health Record Centralized health information for better care.
  20. 20. In the past 12 months, 65.7 million people in the U.S. have served as unpaid family caregivers to an adult or child. - AARP, 2009 report, Caregiving in the U.S. 3. Create a Health Team Connect patients, family, healthcare providers. Home Care Doctor Family & Friends Assisted Living Wellness Providers
  21. 21. Surveys in 1997, 1999, and 2000, sponsored by such groups as the AARP, Fortis Investors, and Metropolitan Life Caring for elderly family members costs U.S. employers more than $29 billion/yr .
  22. 22. <ul><li>Easy to use </li></ul><ul><li>Accessible – at home, at work, on the go </li></ul><ul><li>Affordable – free </li></ul><ul><li>Connect with others </li></ul><ul><li>Personalized </li></ul><ul><li>Integrated, single eHealth solution </li></ul><ul><li>Solve a problem – remembering to take pills, organizing care </li></ul><ul><li>Fun – gaming elements </li></ul><ul><li>Incentives/rewards </li></ul><ul><li>Education: </li></ul><ul><li>lower costs, feel better </li></ul>Overcoming the Challenge of Adoption Our greatest competitor is inertia.
  23. 23. And now, the demo
  24. 24. Questions ?
  25. 25. What’s next?
  26. 26. Product Road Map Jan Reminders text & email June Sept. Mobile <ul><li>Interoperability tools </li></ul><ul><li>Data integration </li></ul><ul><li>Data mining/analytics </li></ul>Mar Personal Health Record Push Reminders eHealth Platform Community Analytics Education Management 2010 2011 2013 As eHealth evolves so will we; quickly, and cost-effectively.
  27. 27. Future of eHealth eHealth Platform Community Education Health Management Analytics Some ideas from the patient’s perspective.
  28. 28. Future of eHealth: Community eHealth Platform Community Analytics Decrease isolation, get support, collaborate, access specialists. <ul><ul><li>Telehealth </li></ul></ul><ul><ul><li>Private health team </li></ul></ul> <ul><ul><ul><li>Disease communities </li></ul></ul></ul><ul><ul><ul><li>Fitness challenges/support </li></ul></ul></ul><ul><ul><ul><li>People like me/near me </li></ul></ul></ul><ul><ul><ul><li>Video connection </li></ul></ul></ul><ul><ul><ul><li>Social network updates </li></ul></ul></ul>
  29. 29. Future of eHealth: Education eHealth Platform Patient & disease specific, credible, accessible. <ul><ul><li>Credible resources </li></ul></ul> <ul><ul><ul><li>Text/email </li></ul></ul></ul><ul><ul><ul><li>Locate health services </li></ul></ul></ul><ul><ul><ul><li>Healthcare advisory </li></ul></ul></ul><ul><ul><ul><li>Video </li></ul></ul></ul>Analytics <ul><ul><li>Custom health news </li></ul></ul>
  30. 30. Future of eHealth: Management Empowering people to take control of their health. eHealth Platform Analytics <ul><ul><ul><li>Medication management </li></ul></ul></ul><ul><ul><ul><li>Accounting/auditing </li></ul></ul></ul><ul><ul><li>Personal health record </li></ul></ul><ul><ul><ul><li>Health provider communication </li></ul></ul></ul><ul><ul><ul><li>reminders, refill alerts, history, </li></ul></ul></ul><ul><ul><ul><li>interaction </li></ul></ul></ul><ul><ul><ul><li>registration, appointment reminders, scheduling, </li></ul></ul></ul><ul><ul><ul><li>refill requests, sharing medical reports </li></ul></ul></ul><ul><ul><ul><li>medical history, journal, biometrics, contacts, </li></ul></ul></ul><ul><ul><ul><li>record storage, allergies, medications, community </li></ul></ul></ul>
  31. 31. Future of eHealth: Analytics eHealth Platform Analytics Improve prediction, prevention, feedback, control, decision making <ul><ul><ul><li>Individual and group trends </li></ul></ul></ul><ul><ul><ul><li>Biometrics self-tracking </li></ul></ul></ul><ul><ul><ul><li>Red flag alerts </li></ul></ul></ul><ul><ul><ul><li>Genetic testing </li></ul></ul></ul><ul><ul><ul><li>Progress toward goals </li></ul></ul></ul><ul><ul><ul><li>Exercise </li></ul></ul></ul><ul><ul><ul><li>Blood sugar, weight, blood pressure, ovulation, pulse, body temperature </li></ul></ul></ul>
  32. 32. Questions? Ideas?
  33. 33. <ul><li>Follow us on Twitter </li></ul><ul><li>Prezi – Patient-centric Philosophy </li></ul><ul><li>Prezi – company overview </li></ul><ul><li>Watch our story - video </li></ul><ul><li>Visit our Website </li></ul><ul><li>Email: </li></ul><ul><li>Connect on LinkedIn </li></ul>More About Us
  34. 34. <ul><li>National Alliance for Caregiving, NACI </li></ul><ul><li>Consumers and Health Information, A National Survey, California Healthcare Foundation </li></ul><ul><li>National Council on Aging – Center for Healthy Aging </li></ul><ul><li>National Council on Patient Information and Education </li></ul><ul><li>Study: Boomers to Flood Medical System </li></ul><ul><li>Prescription Drug Compliance a Significant Challenge for Many Patients, Interactive </li></ul><ul><li>Protecting U.S. Citizens from Inappropriate Medication Use, ISMP paper. </li></ul><ul><li>The Institute for Safe Medication Practices </li></ul><ul><li>Preventing Medication Errors Quality Chasm Series </li></ul><ul><li>Patterns of Medication Use in the United States, 2004, Slone Survey. </li></ul><ul><li>National Family Caregiver Community (NFCA) </li></ul><ul><li>The National Alliance for Caregiving </li></ul><ul><li>The Wisdom of Patients: Health Care Meets Online Social Media </li></ul><ul><li>Employer medication compliance initiatives study (Benfield) </li></ul><ul><li>Costs of Non-compliances, Align Map </li></ul><ul><li>Behind the Numbers; Medical Cost Trends for 2009, PwC </li></ul>Reference