Post on 22-Mar-2017
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Conversational AIfor HealthcareJack Crawford, CEO, datalog.aiMarch 2017
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Providers must put patients first
The goal for healthcare payers is to improve and optimize member experiences, through easier access and interaction with their services
This will reduce medical expenses and other cost drivers. Through this process they gain patient loyalty and meet member enrollment goals
For all prescribed medications, only 25% are taken properly
ONLY 51% of Americans treated for hypertension follow their health care professional’s advice when it comes to their long-term medication therapy1
And it matters: Non-adherence increases risk of death by 60%
41 Ho PM, Bryson CL, Rumsfeld JS. Medication adherence: its importance in cardiovascular outcomes. Circulation. 2009;119:3028-3035
Prescription adherence can be improved with Conversational AI
1. Americans don’t like visits to healthcare professionals1
2. That “seems ok” because the system “can’t afford” extensive in-person care
3. “Habits drive health” - Without support, most patient’s best intentions fail to establish healthier behaviors between healthcare visits
4. A CVS/Caremark study2 showed that patient adherence improves health outcomes
5. Any tool that improves the proper use of a prescribed medicine can have an impact
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1 Americans visit their doctors 4 times per year, versus up to 12/year in other developed countries, Commonwealth Fund, Forbes Statista
2 Medication adherence leads to lower healthcare use and costs despite increased drug spending, Health Affairs, M.C. Roebuck, et. al., 2009
A virtual assistant could cost effectively help patients use medicine as directed by their doctor
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Hypertension - signs that the patient is not complying
Demonstrates limited English language proficiency or low literacy.
Has a history of mental health issues like depression, anxiety, or addiction.
Doesn’t believe in the benefits of treatment.
Believes medications are unnecessary or harmful.
Expresses concern over the cost of medications.
Has a concern about medication side effects.
Says he or she is tired of taking medications.
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Two reasons that may benefit from CONVERSATION
1. Expresses concern over the cost of medications
2. Has a concern about medication side effects
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Expresses concern over the cost of medications
1. I can't afford it.
2. My co-pay is too high.
3. My insurance doesn't cover it.
4. The drug company charges too much.
5. It is too expensive.
6. There is no discount.
7. I am on a fixed income.
8. I don't have enough money to pay for it.
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Has concern about medication side effects
1. The medication makes me
nauseous.
2. I get dizzy when I take it.
3. It gives me a stomach ache.
4. I can't taste my food.
5. I feel sick when I take it.
6. It causes me to throw up.
7. I get blurred vision.
8. I break out in a rash.
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Blue Shield of CA offers just a few self-service features in their mobile app
• Register for online and mobile access
• Find a doctor, pharmacy, or urgent care center near you• View your plan summary details• Look up your recent claims activity• Download and view an online version of your ID card
• Call the NurseHelp 24/7 line for health related questions
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Virtual Assistant Family Voice Bot
Patient medication adherence can be improved with a virtual assistant that speaks in the voice of a loved one
It will gently remind the patient to take their medication as directed
And confirm the dosage amount that the patient should be taking
Will answer questions regarding side effects
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Coordination of care between physician visits
The bot may alert assigned care coordinators to contact a patient or their caregiver regarding the medication and its proper use
Triggered by the bots interaction, various forms of intervention might be taken to assure compliance:
○ The mailing of written brochures that the patient can read at their leisure
○ Telephonic reminders to a patient’s family
“Conversational Intelligence” brings other benefits
MyPolly provides:
1. Maintenance of state in a machine to human conversation
2. Training of bots using very small amounts of data
3. Deployment within a corporation’s private cloud, protecting critical business and consumer data
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