Solutions   »   MedsIncontext™

MedsIncontext™ – Medication Adherence and Outcomes

Each year, 20% to 30% of prescriptions are never filled(1), and of those filled, about 50% are abandoned after the initial fill. These are big numbers. Hospitals take extensive measures to track and manage patient's medication intakes during hospital stays. While discharge-planning is predictable and thorough most of the time, once the patient is discharged after an elapsed period of time, monitoring is left largely to the patient and to the one-time fill reminders from pharmacies. Even for patients with high-risk conditions, such as Diabetes, Congestive Heart Failure, Pneumonia, Coronary Artery Disease, transition support is sub-optimal.

MedsIncontext™ highlights

MedsIncontext™ automates the tracking of patients' adherence and measures the impact of medication therapy on health outcomes to deliver the personalized information needed by clinicians to more rapidly engage with their patients

According to research literature, early detection and intervention help lower overall costs of care(2). When significant discrepancies exist between patient behaviors and expected health outcomes, our application auto-prompts the patient for reasons of poor compliance and/or auto-prompts the clinician for timely engagement with these patients. The information provided by our application also enable the clinician to review and determine whether they need to adjust the medication therapy.

By identifying patients who are likely to have the highest cost of care and who are most at risk of declining health, we help organizations prioritize care team resources to achieve better health outcomes and lower costs of delivery.

Sanctioned data: Not all data is created equally

Our success in tracking adherence is facilitated by the automatic capture of data sourced from multiple service providers. Key data sets include fill data from retail pharmacies and PBMs; lab results from diagnostic centers; and patient's self-reported data on reasons for poor adherence.

Peoplechart is a certified solutions provider with the Surescripts® network, which enables us to access patient's prescription data from over 90% of pharmacies in the US, including mail order. Through our partnership with lab data providers we can tap into the clinical exchange network of lab centers nationwide.

Even with sanctioned data, however, there is room for interpretation, errors, duplicates, gaps in data, and need for further clarification. At Peoplechart, we take the time to examine the data in order to better grasp the caveats and exceptions before we design data rules around which data is to be used and defined. MedsIncontext™ comes with notations about nuances and subtleties in the data that help enhance the level of confidence from our users.

Patient's story revealed by aggregated data, metrics, and algorithms

Once cleaned and integrated, the data is processed using a set of proprietary algorithms, business rules, and metrics. The result is an emergence of the patient's clinical profile and adherence history. With this personal background information about the patient, the clinician gains incredible insights and can make an informed decision about when and how to intervene. As importantly, communications can be done with the patient at a more personal level. Through engagement, patients know that they are not alone and are more likely to adhere to their medication regimens.

Customized thresholds for triggering alerts

Clinicians can set threshold parameters for triggering alerts (notifications) for each patient or for a population of patients. Peoplechart's applications are designed to provide clinicians with optimum flexibility – but not so much that preferences become overwhelming.

The clinician can:

  • Choose the views: Aggregated data by class, condition, patient, and periodicity that meets clinical assessment needs – for all medications
  • Choose the data fields to view:

    • See patterns associated with patient's fill of specific medication in context of other medications
    • Assess length, gaps, overlaps, and location of fills
  • Choose the triggers for alert notifications:

    • When other clinicians are prescribing medications for your patient, so nothing slips through the cracks
    • When patient's adherence falls outside pre-set threshold
    • When patient's lab result falls outside normal range or changes abruptly
  • Choose the notification method:

    • Email, text, or only upon login to the website
    • Once a day or as it occurs

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  1. Osterberg L, Blaschke T. "Adherence to medication." 2005.
  2. U.S. Department of Health and Humans Services. "Prevention Makes Common Cents." 2003.