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7 th Healthcare Design of the Future VIP OPEN HOUSE December 4 th , 2012. Georgia Institute of Technology. Fall 2012. Emergency Room of the Future. Parachute. Project Advisor. Craig Zimring , PhD David Cowan Ellen Yi- Luen Do , PhD Jeremy Ackeman , MD PhD. Prescription Network.
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7th Healthcare Design of the Future VIP OPEN HOUSE December 4th, 2012 Georgia Institute of Technology Fall 2012. Emergency Room of the Future Parachute Project Advisor Craig Zimring, PhD David Cowan Ellen Yi-Luen Do, PhD Jeremy Ackeman, MD PhD Prescription Network 1. PROBLEM • 3. WHAT IS THE PPN? • Elderly patients take multiple prescription medications that are often filled by different pharmacies. In addition, due to physical and mental impairment they are at risk for noncompliance to prescription instructions. In the stressful environment of an emergency department, the elderly have difficulty communicating accurately their medication history and compliance record, forcing doctors to make medical decisions based on potentially incomplete or inaccurate medication information • Parachute Prescription Network is a digital application that allows the caregiver of an elderly patient to link medication information from the patient's online pharmacy accounts, online hospital accounts, and automated medication dispensers into a single account. This account can be accessed through a patient passport that is brought with the patient to the Emergency Department, where practitioners can quickly check a patient's filled prescriptions from multiple locations, compliance record, and over-the-counter medications that are registered 2. RESEARCH • 20% of all ER visits are geriatric (Wajnberg, et al. 2012) • 70 percent of elderly patients are taking at least one chronic medication (Moxey, et al. 2003) • Current methods of communicating & recording directions are not effective, only 1/5 of used prescriptions are known about by the doctor (Glintborg, et al. 2007) • Elderly patients find medication adherence difficult- Cognitive & Physical impairment(Beckman, et al. 2004) • Patient adherence with chronic medications averages only 50 percent (Haynes 2001) • 10 percent of hospital and 23 percent of nursing-home admissions are due to medication nonadherence(National Pharmaceutical Council 1992) • 4.HOW DOES PPN WORK? Pharmacy • Prescription history • Prescribed medicine • Last filled date • Expected refill date • Compliance • Direction • Provider info. Caregiver Doctor Pill Dispenser ID Card • Product number • Real-time compliance status • Compliance summary • Start& end date of medication • Dosage info. of each container • Medical history • Patient Information • Summary data from pharmacy& pill dispenser
Laura Salisbury Ben Cleveland Sanghun Lee MS, Industrial Design School of Industrial Design Laura.d.salisbury@gmail.com MS, Health Systems Health Systems Institute bmcleveland313@gmail.com MS, Industrial Engineering School of Industrial Systems Engin. dodori0909@gmail.com 5. DIGITAL INTERFACE 6. PHYSICAL INTERFACE • Doctor Perspective • Smart Parachute Case • Card Reader 1 2 3 4 • Touch Screen • Easy Grip • Caregiver & Patient Perspective 7.DISTINCT FEATURES 1 2 • Without the Parachute • No way of knowing if information is accurate • Published records may not be up to date • Can take a lot of time if info isn't readily available • Information is not sorted in a uniform way • With the Parachute • Accurate information based on patient's online accounts • Can see when records were updated • Information from multiple sources is all in same application • Information organized uniformly • Visual tools for processing compliance record quickly 3 4