Meducation - Homepage | HL7 International · Meducation® Medication Instructions That Any Patient Can Understand Lori McLean, CEO Polyglot July 2016 FHIR Roundtable

Meducation®

Medication Instructions That Any Patient Can Understand

Lori McLean, CEO Polyglot

July 2016 FHIR Roundtable

© First Databank, Inc. All Rights Reserved

What is Low Health Literacy?

Health Literacy is the ability to:

Low Health Literacy is a stronger

predictor of health than age, income,

employment status, and race.

1) Gather

2) Understand

3) Act

90M+

Americans are

Low Health

Literate

2


Challenges for Low Health Literacy

3


Medication Adherence

4

Health Literacy + Language Barriers =

Adherence Challenges

*Brown MT, Bussell JK. Medication Adherence: WHO Cares? Mayo Clinic Proceedings. 2011;86(4):304-314. doi:10.4065/mcp.2010.0575.

**Schillie SF, Shehab N, Thomas KE, Budnitz DS. Medication overdoses leading to emergency department visits among children. Am J Prev Med 2009;37:181-7.

***Tamblyn R, Eguale T, Huang A, Winslade N, Doran P. The incidence and determinants of primary nonadherence with prescribed medication in primary care: a cohort study. Ann Intern

Med. 2014;160:441-450.

Medications Not Taken As

Instructed

50% 25% Prescriptions Never Filled

70,000

ER Visits / Yr Pediatric Med

Overdoses

Drugs don’t work in patients who

don’t take them. -C. Everett Koop, M.D.


Meducation® Addresses Low Health Literacy with Personalized Medication Instructions

Universal Medication Schedule

• Intuitive representations of times of day and amount of medicine to be taken

Pictograms

• Reduce dosing errors

Instructions in Plain Speak

• 1 line per instruction

• 5th to 8th grade reading level

• Visual spacing to reduce cognitive overload

• 5 font choices, up to 18 point font

• Select from more than 20 languages

Easy to Understand

© First Databank, Inc. All Rights Reserved 6

Cautions

Side Effects

Meducation® Changes Adherence Behavior with Personalized Medication Instructions


Adherence – Meducation® RS

Multilingual Regimen Summaries

Video demo

content

access via

QR code

7


Meducation® Font and Language Choices

Individualized Medication Instructions

• English

• Spanish

• Arabic

• Bengali

• Burmese

• Cantonese

• Farsi

• French

• Haitian Creole

• Italian

• Karen

• Korean

• Mandarin -

Simplified

• Mandarin -

Traditional

• Polish

• Portuguese

(Brazilian)

• Russian

• Somali

• Swahili

• Tagalog

• Vietnamese

• Yiddish

More than 20 languages

8

Human Translation

Offers 5 font sizes


Meducation® Personalized Instructions

9

Personalized medication instructions reduce medication errors

Regimen Summary improves

medication adherence

Videos demonstrate

proper medication

administration techniques


Meducation®: San Francisco General Hospital Feasibility Pilot

8% of patients receiving Meducation® and counseling at discharge were readmitted within 30 days (compared to the control group where 26% of patients receiving standard medication instructions and counseling at discharge were readmitted within 30 days)

*Preliminary results, not yet peer-reviewed


65%

43% 39%

21.7%

36%

18% 22.7%

4.5%

0%

10%

20%

30%

40%

50%

60%

70%

…Sometimes forget to take my heart

medicines"

…Am sometimes careless with how I

take my heart medicines"

…Have trouble remembering what my

medicines are for"

…Forgot to take my heart medicine

yesterday"

Patients “Agree or Strongly Agree that I ...

Baseline 90 days later

Improved Medication Adherence at the VA

Three-month study of Meducation®*

77% improvement

* Published in Peer Reviewed Journal: “Patient Education and Counseling”

11

http://www.pec-journal.com/article/S0738-3991(14)00055-X/abstract


Meducation® Technical Integration

12

Drug ID may be NDC, RxNorm,

or FDB MEDID

Sig may be free text or codified

Med 1: ID / Name / Sig



Language ID

Font Size

Location ID

E

H

R

Orders

Screen

Discharge

Screen Dynamic interface (iframe or browser window)

• Complete any missing data (e.g. indications)

• Play, print, and deliver instructions and videos

Meducation

FHIR web service,

with SMART on FHIR

as the secure launch

mechanism

DEMO


Real World Users and Results

San Francisco General Hospital

University of Connecticut

VA

• Readmissions reduced from 26% to 8%

• HCAHPS Improvement

• 1st, 4th, 4th Percentiles to 85th, 98th, 52nd Percentiles

• 77% Improvement, Remember to Take Meds

14

http://www.google.com/url?sa=i&rct=j&q=&source=images&cd=&cad=rja&docid=IpjRdmhNtgYspM&tbnid=wr5HNUVlAoXDaM:&ved=0CAUQjRw&url=http://commons.wikimedia.org/wiki/File:Wellspan_Health_logo.jpg&ei=bze7UeCLBYnU9gSmr4DwDQ&bvm=bv.47883778,d.eWU&psig=AFQjCNHvHm5cF3_jN3HgP9iq838AQPjYzA&ust=1371310313614813

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=Wi8mgM0l0nJi-M&tbnid=9zMcfiySDMLKHM:&ved=0CAUQjRw&url=http://www.logodesignlove.com/wegmans-logo-redesign&ei=FSSNUZ-MOYKC8AT2i4CIBA&bvm=bv.46340616,d.eWU&psig=AFQjCNHKgWYdRp60kyI6FXbI0_WIo7PIXg&ust=1368290696057875

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&docid=-4f0hcDtNRD7_M&tbnid=BqO9yP-GqmrvhM:&ved=0CAUQjRw&url=http://www.rochestermarathon.com/sponsors.asp&ei=JkIBUq_QAoWA9gTY5IDwBQ&bvm=bv.50310824,d.eWU&psig=AFQjCNGx_4HQ4PkZsHjVLhehX3gKlcirbw&ust=1375900574195755

http://www.google.com/url?sa=i&rct=j&q=&source=images&cd=&cad=rja&docid=4xX0Fp1pvvM1mM&tbnid=bXIXjQ5X7bWYHM:&ved=0CAUQjRw&url=http://www.logoeps.com/wakefern-logo-vector/29112/&ei=ag67UYOrOIfi9gSc8oGQDA&bvm=bv.47883778,d.eWU&psig=AFQjCNHAksLAPZChoW59anwMW-Hv4nERIg&ust=1371299795912713

© First Databank, Inc. All Rights Reserved 15

Lori McLean [email protected]

919-653-4387

mailto:[email protected]

Meducation - Homepage | HL7 International · Meducation® Medication Instructions That Any Patient Can Understand Lori McLean, CEO Polyglot July 2016 FHIR Roundtable

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