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