Transcript MEDIXINE - University of Portsmouth

Piloting a Multimodal Medication
Management System
Tapio Jokinen, M.D., CEO
Medixine Ltd
www.medixine.com
© 2005 Medixine Oy
Medixine
• Medixine is a software company
• Our product is a multimodal
communication software suite
• Our customers are healthcare providers,
insurance companies, pharmacies,
pharmaceutical companies
• Over 200.000 users in 16 countries
© 2006 Medixine Oy
Patients/caregivers/customers
eBooking
Measurements
Counselling
Messaging
Communication platform
Health care provider
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Queries
The Strategy
MEDIXINE
Generic communication solution
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Queries
Counselling
Safe messaging
E-Booking
Call Center
Hypertension
Diabetes
Vertical - Horizontal
Bluetooth
XML
Medixine Solutions
Additional
Medixine/
third-party
Web
modules
Medixine Functional Modules
Medixine Application Server Software
© 2006 Medixine Oy
Patient
management
systems
Family
Friends
Medication
Home care
Patient
Portal
Professionals
Social services
Patient
Nutrition
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Pharmacy
Sample Solutions
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Medication management
RFID logging
RFID Communication board
Automatic Treatment Follow-up
Chronic Disease Support Network
Chronic Disease Clinic
Mobile data collection
Occupational Health Card
Citizen’s Interface
Laboratory e-booking
Hypertension, diabetes, warfarin treatment ...
© 2006 Medixine Oy
Pilot in Helsinki City Homecare
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Piloting a full logistic solution
including pharmacies
400 patients planned, ca. 100
enrolled, pilot now extended
and area expanded
Co-operation between public
and private sector
Pilot evaluated by STAKES
National Research and Development Centre for Welfare and Health
© 2006 Medixine Oy
Background to Pilot
• Medication related tasks take up to 20% of
nurses’ active work time
• ”33% of the medication is taken as
prescribed, 33% is taken some times and
33% not at all”
• Elderly patients forget, take incorrect doses
• Medication related problems substantial
reason for hospitalisation
• Invest saved nursing time and better quality
of care into activating patients -> postpone
hospitalisation ?
© 2006 Medixine Oy
Drug Dispenser
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Ensures correct medication management
Gives out only the correct dose
– beeps reminders if dose not taken in time
– transmits a remote alarm if dose remains not
taken
Skips possible not taken doses that remain
safely inside the dispenser
User definable 1, 2, 3 or 4 daily dose times
– 14 compartment cassette for big 1 or 2 daily
doses
– 28 compartment cassette for small doses
– 21 compartment cassette for 3 doses a day use
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Reminders, alerts
Patient
Mobile alert
Nurse
Reminder
Family
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Alarm
Alarm
Medixine Server
dddd
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Patient Portal
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For patients, their families,
nurses, doctors, pharmacies
Records compliance, alerts,
reminders
Uses web, SMS, IVR, unlimited
number of recipients
Shows reports
Allows for additional e-services
to be used (next: patient
monitoring, mobile nurse)
Generic substitution
Information about medication,
integration to pharmaca
© 2006 Medixine Oy
Medication Logistics
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Pharmacy managed medicine logistics
Cassettes packed at pharmacy, marked
with sticker
Dispensed mediciation documented to
patient portal
Supplied to nurses’ offices
Nurses bring patient’s cassette when
visiting patient
Nurses change cassettes at patient’s
home
Empty cassette back to nurses’ office
Pharmacy picks up empty cassettes
© 2006 Medixine Oy
A usability survey with two purposes
• Surveying the conventional medicine delivery service
process currently in use.
• Identifying the benefits and disadvantages of the new
medicine delivery service process compared with the
conventional one, with an emphasis on the client’s
perspective, as well as on medicinal and information
technology considerations.
National Research and Development Centre for Welfare and Health
© 2006 Medixine Oy
Evaluation
• Surveying the conventional medicine delivery service
process currently in use, 10 delivery models found
• Surveying the new medicine delivery service process
• Identifying the benefits and disadvantages of the new
medicine delivery service process compared with the
conventional one, with an emphasis on the client’s
perspective, as well as on medicinal and information
technology considerations.
• Results to be published Q1/2007
© 2006 Medixine Oy
Questions to Answer
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(1) How functional is the current action model from the perspective of the
client, staff time use and related costs, and medicine dispensing
(accuracy/wastage)?
(2) What are the benefits and disadvantages of the current action model?
(3) How will the new process of medicine delivery service change the
operations from the perspective of the client, staff time use and medicine
dispensing?
(4) How well does the new process of medicine delivery service function
from the perspective of the usability of information technology?
(5) How will the change affect the clients’ and family members’
experiences?
(6) How will the introduction of the new service model affect the staff’s
experiences of professionality, co-operation with pharmacies and the
interaction between home-care clients and staff?
(7) How will the new action model and information technology change the
work duties of the home-care staff?
© 2006 Medixine Oy