"Medication Compliance" by Dan Bernstein (Chicago Health 2.0)
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Medic8 Manager LLC provides treatment management platforms and services for patients and caregivers. The document discusses the problem of poor medication adherence, which is defined as any deviation from a prescribed medical treatment. Poor adherence is a significant source of waste in healthcare. Approximately 33-50% of patients do not take their medications as prescribed, resulting in $290 billion annually spent on drug-related health issues in the US. Improving adherence requires addressing multiple behavioral barriers through reminders, education, counseling, automated refill functions, and social support systems. Software and mobile applications can provide reminder services, medication information, and adherence studies to help address this important healthcare issue.
"Medication Compliance" by Dan Bernstein (Chicago Health 2.0)
- 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!