Overview of Readmissions - Georgia Institute of Technology

Download Report

Transcript Overview of Readmissions - Georgia Institute of Technology

???
Adherence
With focus on medication
management
Tiffany Formby, Asger Møller, Brandon Whitehead
Healthcare Design of the Future
October 25, 2011
Consider this…
2
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
Pieces
to the
nonadherence
problem
Not
held
accountable
Forgetting
No exercise
regiment
Unclear
prescription
instructions
Note: NOT an exclusive list
Not
following
diet
Etc.
4
5
Already underway…
• Pill reminder dispensers
• iPhone reminder apps
6
7
Case study
Take
your
pill!
8
Before
After
50-80%
96%
9
Problems
• Understand the prescription
• How to take the medication correctly.
• Medication combination issues
10
Illiteracy for
discharge
instructions, but
what about Rx
instructions?
11
12
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
13 with
Smartphone solutions
Benefits
• Visual instructions
• More than once (reiteration) – the nurse or
physician tells it one time and the patient
forgets.
???
14
Benefits
• Ultimately saves time
• Privacy factor
15
Market
•
•
•
•
Elders
Families
Young
Adults
16
References
•
1
•
2
•
3
•
4
•
5
•
6
•
7 Minott,
•
8
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.
Batty, C. (2010). "Systematic Review: Interventions Intended to Reduce Admission to Hospital of Older People."
International Journal of Therapy & Rehabilitation 17(6): 310-322.
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.
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.
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.
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.
J. (2008). "Reducing Hospital Readmissions." accessed on April 8: 2009.
Press, M. J., Jeffrey H Silber, Amy K Rosen, Patrick S Romano, Kamal M; F Itani, Jingsan Zhu, Yanli Wang, Orit Evenshoshan, 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