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Adherence

???. Adherence. With focus on medication management. Tiffany Formby, Asger Møller , Brandon Whitehead Healthcare Design of the Future October 25, 2011. Consider this…. Problem Statement.

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Adherence

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

  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.

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

  5. Already underway… • Pill reminder dispensers • iPhone reminder apps

  6. Case study Take your pill!

  7. Before After 96% 50-80%

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

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

  10. The Future

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

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

  13. Benefits • Ultimately saves time • Privacy factor

  14. Market • Elders • Families • Young • Adults

  15. References • 1Aranda, J. M., J. W. Johnson, et al. (2009). "Current Trends in Heart Failure Readmission Rates: Analysis of Medicare Data." Clinical Cardiology32(1): 47-52. • 2 Batty, C. (2010). "Systematic Review: Interventions Intended to Reduce Admission to Hospital of Older People." International Journal of Therapy & Rehabilitation17(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-Health15(8): 770-776. • 4Kimel, J. and J. Lundell (2007). "Exploring the nuances of Murphy's Law---long-term deployments of pervasive technology into the homes of older adults." interactions14(4): 38-41. • 5Lundell, 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. • 6Lundell, 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 April8: 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 Medicine26(4): 405-411.

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