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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
2
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
4
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Meducation® Personalized Instructions
5
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
6
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
8
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®
9
• 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
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