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

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 recordEnterprise health record

National health record

Value driven healthcare

eHealth

Medicine 2.0

CRM SaaS

Web-based

Continuity of Care Record (CCR)

Medication compliance

Healthcare IT is complexHealthcare IT is complexIt’s easy for the patient to get lost. 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 recordEnterprise health record

National health record

Value driven healthcare

eHealth

Medicine 2.0

CRM SaaS

Web-based

Continuity of Care Record (CCR)

Medication compliance

We Take the Patient’s Point of We Take the Patient’s Point of ViewView

Hey! Hey! What about What about

me?me?

Medication Management Medication Management ServicesServicesRememberItNow! standalone works, connected is RememberItNow! standalone works, connected is

much better. much better.

eHealth Platform• Prescription number• Medication name• OTC, herbal elements• Prescribing doctor• Pharmacy• Refill date• Dosage• Purpose• Instructions• Frequency• Start & stop dates• Medication time• Medical conditions• Allergies• Medical history• Audit trail

Devices Pharmacy Physician

Fu

ture

Hospital Clinic

Patient Family & Friends

Home care Medical Professionals

About Us

Our StoryOur StoryBob & his healthBob & his health

About RememberItNow!

• 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

A scrappy startup with big ambitions.A scrappy startup with big ambitions.

“

“

Much sleeker and easier to use than Google Health or Microsoft HealthVault.

Large and Growing Market61 million adult Americans take multiple 61 million adult Americans take multiple medications. 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 EasyeHealth Made EasySaaS appliation. One account. Many devices. SaaS appliation. One account. Many devices.

In the cloud.

Compatible with:

Windows

Macintosh Mobile Text SMS

RememberItNow! MobileMedical information, anytime, anywhere. Medical information, anytime, anywhere.

• EHR/EMR/HIE partnerships >> Doctors/Hospitals/Pharmacy >> Patient

• Brokers >> Employers >> Employees

• Health Plan >> Members

• Pharmaceutical companies >> Consumers

• State/government programs >> Citizens

• Pharmacy >> Customers

• Assisted living/group home >> Family member >> Resident

• Direct/online >> Apple App Store/Android Market >> Clients

Go to MarketGo to MarketWe’re flexible: Licensed, hosted, PEPM, per seat, We’re flexible: Licensed, hosted, PEPM, per seat, private label… private label… . .

Seeking great partners for pilot programs.

We Do Three Things Really We Do Three Things Really WellWellMedication reminders, personal health record, care Medication reminders, personal health record, care

community. community.

Text or email reminders – push coming soon

1. Medication Reminders1. Medication RemindersRight medication, right time, right dose. 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

Noncompliance is RampantNoncompliance is RampantNearly 50% of the time medications are not taken as Nearly 50% of the time medications are not taken as prescribed. prescribed.

I forgot to take themI had no symptoms or the symptoms went awayI wanted to save moneyI didn’t believe the drugs were effectiveI didn’t think I needed to take themI had painful or frightening side effectsThe drugs prevented me from doing other things I wanted to doNobody reminded me to keep taking, or to refill prescriptionI had difficulty getting the prescription filledThe drugs tasted or smelled unpleasantI had difficult opening the bottle or swallowing the drugI 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

“Drugs don’t work if people don’t take them.”

― C. Everett Koop, MD

The Annual Cost of Medication

Noncompliance

$177.4 billion

Reminders WorkReminders WorkStudies reveal higher compliance and lower Studies reveal higher compliance and lower medical costs. 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

2. Maintain a Personal Health 2. Maintain a Personal Health RecordRecordCentralized health information for better care. Centralized health information for better care.

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 Team3. Create a Health TeamConnect patients, family, healthcare providers. Connect patients, family, healthcare providers.

HomeCare

Doctor

Family & Friends

Assisted Living

Wellness Providers

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

• 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

Overcoming the Challenge of Overcoming the Challenge of AdoptionAdoption Our greatest competitor is inertia. Our greatest competitor is inertia.

And now, the demo

Questions?

What’s next?

Product Road MapProduct Road Map

Jan

Reminderstext & email

June Sept.

Mobile

• Interoperability tools• Data integration

• Data mining/analytics

Mar

Personal Health Record

Push Reminders

eHealth Platform

Community AnalyticsEducation Management

20102010

20112011

20132013

As eHealth evolves so will we; quickly, and cost-As eHealth evolves so will we; quickly, and cost-effectively.effectively.

Future of eHealthFuture of eHealth

eHealth Platform

Community

Education

HealthManagement

Analytics

Some ideas from the patient’s perspective. Some ideas from the patient’s perspective.

Future of eHealth: Future of eHealth: CommunityCommunity

eHealth Platform

Community

Analytics

Decrease isolation, get support, collaborate, access Decrease isolation, get support, collaborate, access specialists. specialists.

Telehealth

Private health team

www.rememberitnow.com

Disease communities

Fitness challenges/support

People like me/near me

Video connection

Social network updates

Future of eHealth: Future of eHealth: EducationEducation

eHealth Platform

Patient & disease specific, credible, accessible. Patient & disease specific, credible, accessible.

Credible resources

www.rememberitnow.com

Text/email

Locate health services

Healthcare advisory

Video

Analytics

Custom health news

Future of eHealth: Future of eHealth: ManagementManagementEmpowering people to take control of their health. Empowering people to take control of their health.

eHealth Platformwww.rememberitnow.com

Analytics

Medication management

Accounting/auditing

Personal health record

Health provider communication

reminders, refill alerts, history, interaction

registration, appointment reminders, scheduling, refill requests, sharing medical reports

medical history, journal, biometrics, contacts, record storage, allergies, medications,

community

Future of eHealth: Future of eHealth: AnalyticsAnalytics

eHealth Platform

Analytics

Improve prediction, prevention, feedback, control, Improve prediction, prevention, feedback, control, decision makingdecision making

Individual and group trends

Biometrics self-tracking

Red flag alerts

Genetic testing

Progress toward goals

Exercise

Blood sugar, weight, blood pressure, ovulation, pulse, body temperature

Questions? Ideas?

•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

More About UsMore About Us

• 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

ReferenceReference