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Meducation® Update & DemonstrationMedication Instructions That Any Patient Can Understand

Lori McLean, FDB Vice President, Meducation

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Challenges for 144 Million Americans

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90M+Low Health

Literacy

*Nielsen-BohlmanLT, PanzerAM, HamlinB, KindigDA, eds. Institute of Medicine. Health literacy: a prescription to end confusion. Committee on Health Literacy, Board on Neuroscience and Behavioral Health. Washington, DC: National Academies Press. April 2004.

Detailed patient education – often formatted in small

font to fit on one page, provided in one language

Low Health Literacy

Limited English Proficiency

116M

28M

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Easy to Understand

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

• 6 font size choices, up to 18 point font

• Select from more than 20 languages

Meducation® Addresses Low Health Literacy with Personalized Medication Instructions

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Individualized Medication Instructions: 20+ Languages, Human Translation, 6 Font Sizes

English

Spanish

Arabic

Bengali

Bosnian – 2018

Burmese

Cantonese

Farsi

French

Haitian Creole

Hmong – 2017

Italian

Karen

Khmer - 2017

Korean

Mandarin - Simplified

Mandarin - Traditional

Polish

Portuguese (Brazilian)

Russian

Somali

Swahili

Tagalog

Vietnamese

Yiddish

New: Meducation® Font and Language Choices

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Meducation® Personalized Instructions

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Engage Patients with Simple and Intuitive Patient-Specific Instructions and Regimen Summary

Reduce medication errors with patient-specific

Medication Instructions

Improve medication adherence with Regimen Summary

Demonstrate proper medication administration techniques

through Videos

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New: Integration in Discharge Instructions & Patient Portal

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Help Meet Meaningful Use Requirements For Patient Portal

Integration into EHR Discharge Instructions &

Patient Portal*

• Write back into patient record

• Automatic insertion in patient’s discharge

instructions for streamlined workflow

• Meducation instructions and calendar posted

to the EHR patient portal

• Help meet Meaningful Use Requirements for

10% Patient Electronic Access

*Available for Cerner, Epic, Paragon, MEDITECH

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Zuckerberg San Francisco General Hospital Feasibility Pilot

8% of patients receiving Meducation® and Pharmacists 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

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New: Results and Users

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San Francisco General Hospital

• Readmissions reduced from 26% to 8%

UCONN Health

• HCAHPS Improvement

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

VA

• 77% Improvement, Remember to Take Meds

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SMART on FHIR®

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• One API for SIX integrations ….so far!− Until 2017, Cerner only Now Epic, Allscripts Sunrise, Allscripts Paragon, athenahealth & eClinicalWorks

• Now: Meducation is a provider-facing application

• Next: Patient & Consumer applications One API with 3 modes of access

Application

FHIR

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Demo: 1 App, 1 API, 3 ways to access