1. Adherence With focus on medication management Tiffany Formby, Asger Møller, Brandon Whitehead Healthcare Design of the Future October 25, 2011 ???

2. 2 Consider this…

3. Problem Statement Non-adherence of medications leads to 125,000 deaths per year and over $100 billion in indirect and direct costs. Non-adherence could be attributed to being unfamiliar with a new drug, forgetting to take the drug, and other reasons that can be prevented with technologies. 3

4. 4 Pieces to the non- adherence problem Note: NOT an exclusive list Managing multiple prescriptions No exercise regiment Non- familiarity with the drug Forgetting Not following diet Unclear prescription instructions Not held accountable Etc.

5. 5

6. Already underway… Pill reminder dispensers iPhone reminder apps 6

7. 7

8. 8 Take your pill! Case study

9. 9 96% 50-80% BeforeAfter

10. Problems Understand the prescription How to take the medication correctly. Medication combination issues 10

11. 11 Illiteracy for discharge instructions, but what about Rx instructions?

12. 12

13. 13 Everyone has a Smartphone or will be in the next few years People are becoming comfortable with Smartphone solutions Trend is everything is moving towards phones and mobile applications

14. Benefits Visual instructions More than once (reiteration) – the nurse or physician tells it one time and the patient forgets. 14 ???

15. Benefits Ultimately saves time Privacy factor 15

16. Market Elders Families Young Adults 16

17. References 1 Aranda, J. M., J. W. Johnson, et al. (2009). "Current Trends in Heart Failure Readmission Rates: Analysis of Medicare Data." Clinical Cardiology 32(1): 47-52. 2 Batty, C. (2010). "Systematic Review: Interventions Intended to Reduce Admission to Hospital of Older People." International Journal of Therapy & Rehabilitation 17(6): 310-322. 3 Hayes, T. L., K. Cobbinah, et al. (2009). "A Study of Medication-Taking and Unobtrusive, Intelligent Reminding." Telemedicine Journal and E-Health 15(8): 770-776. 4 Kimel, J. and J. Lundell (2007). "Exploring the nuances of Murphy's Law---long-term deployments of pervasive technology into the homes of older adults." interactions 14(4): 38-41. 5 Lundell, J., T. L. Hayes, et al. (2007). Continuous activity monitoring and intelligent contextual prompting to improve medication adherence. 2007 Annual International Conference of the Ieee Engineering in Medicine and Biology Society, Vols 1-16: 6287-6290. 6 Lundell, J., J. Kimel, et al. (2006). Why elders forget to take their meds: A probe study to inform a smart reminding system, IOS Press. 7 Minott, J. (2008). "Reducing Hospital Readmissions." accessed on April 8: 2009. 8 Press, M. J., Jeffrey H Silber, Amy K Rosen, Patrick S Romano, Kamal M; F Itani, Jingsan Zhu, Yanli Wang, Orit Even- shoshan, Michael J Halenar, and Kevin G Volpp (2011). "The Impact of Resident Duty Hour Reform on Hospital Readmission Rates Among Medicare Beneficiaries." Journal of General Internal Medicine 26(4): 405-411. 17