PharmaSmart - Million Hearts Risk Check - Application Overview

1. PharmaSmart Inc. Million Hearts Application Submission - Overview
Executive Overview of Application Platform Agnostic Approach
Two main interfaces:
We decided against creating native smartphone applications due to
• Web based (HTML5/Mobile Aware/Optimized) the smaller reach such applications provide to target audiences
• Two-way SMS Texting today. Our strategy uses mobile responsive web-based applications
Note: We also are prepared to provide a third, telephone voice-based
option for taking the assessment, but this would be something we would introduce in 2013. that can still be shown in the native phone App Stores, but can also be
used on any computer or internet connected home entertainment
Focus areas: device. Further, we supplement this with a full SMS Text based
• Accessibility: Be as accessible to as many people as possible. interface to reach patients with the most basic cell phones.
• Simplicity: Keep it simple.
• Education: Provide a interface that makes it easy to understand • Smart Phone Use by Age Distribution1
different blood pressure, glucose, cholesterol, and weight levels, in • Only 7% of smartphones are owned by 55+
addition to the overall health assessment. Make it easy for the patient • Only 28% of smartphones are owned by 35+
to see their progress.
• Accuracy: Leveraging our core strengths and our extensive Blood • All smartphones only cover 47% of mobile subscribers2
Pressure monitoring capabilities to access to historical biometric data • Even of people with smartphones, the most highly used feature
allowing us to use Last 10 Averages for biomarkers such as Blood across the population is texting.
Pressure, Blood Glucose, and Cholesterol providing much more • 74.8% have texted vs. 49.5% have downloaded apps3
accurate health assessments.
• Integration: Utilize our integration platforms and partnerships and the • This combination of web-based solutions and SMS texting covers
resulting biometric data we receive to further improve the accuracy of a very high percentage of the population who are capable of
the health assessment and better engage with patients needing engaging with a Health IT solution at a basic level.
intervention.
• Extensibility: We see this as only the beginning and plan to build the • Application is multi-lingual (both interfaces)
health assessment and follow-up care pieces throughout our entire • English
existing Health IT infrastructure extending to Pharmacies and other • Spanish
health providers across the nation. • French
• Depth: Develop a comprehensive solution that provides patient tools • More can be added if needed.
for measuring and monitoring their biomarkers with automatic health
assessment updates. • Blood Pressures Kiosks are multilingual.
1: Source 1
2: Source 2
3: Source 3

2. • Ad-Hoc Presentation and Usage Mode: No need to
login. Immediately presents itself as a risk assessment
tool. This is intended for the mass marketing using all
media where there is no association with Kiosks or our
Smart Cards.
• Multilingual (English, Spanish, French)
• Simple results, easy to read
• Maximized use of natural language, minimizing clinical
layout or terms.
• Automatic responsive layout, adjusts to mobile and
tablet layouts
• Patient can re-take assessment
• Patient can share assessment with their Doctor
• Has automatic reminders and notifications via e-mail
and SMS Text.
• Integrated Presentation and Usage Mode:
Integrated with our Blood Pressure Tracker.
• Alternatively, patient can get a full, anonymous user
account and have full Blood Pressure, Glucose,
Cholesterol, Weight/BMI trackers, with the Million
Hearts/Archimedes Assessment automatically
updating as data is collected

3. • Integrated with complete suite of related biomarker tracking
and history data, with Averages.
• All BP reads taken from kiosks automatically display in the
interface and the assessment is updated based on Last 10
Average.
• Ability to e-mail results including a link to all the patient data
to their Doctor or health care provider.
• Data is very interactive. Simply sliding the range selector will
immediately update the patient data.
• Data visible to Physicians and Pharmacists in participating
MTM/EMR solutions with visual alerting to immediately
engage the patient and discuss the assessment.

4. SMS Texting with E-mailed Assessment Report & Link to Web Tracker
English SMS Texting Interface Overview
• Very accessible
• Super simple to use. If people have
texted, they can use this.
• Engaging use of language
• Multilingual. Three languages for
consideration, but can easily add many
more, full database-based translation
tables
• To choose language and initiate the
assessment, simply text “Hello” in your
Spanish French desired language (e.g. “Hola”, “Bonjour”)
• Due to limited length of SMS Text
messages, it provides basic risk
assessment via Text, and asks for e-mail
to send a complete assessment report
via e-mail which also includes link to full
featured tracker.
• Asks if it can send reminders for updated
biometrics and will send updated
assessments.
• Easy to market in print and media ads.
Simple say “Text Hello to <phone> to get
started!”

5. Review Criteria Executive Overview (BPT = Blood Pressure Tracker)
How well the apps follow the specific input The application asks the specific questions and provides the proper output per the API spec and other
and output requirements of the two APIs documentation based on our understanding of them.
and exchange data with the data sources
Effectiveness in getting individuals to Both Web and SMS Text interfaces are simple and straight forward. Each asks one question at a time and the next
answer all the questions for the initial risk question depends on the answer to the previous answer. Answers along the way are saved if the patient walks
assessment away from the process, we can engage them with follow up communications via e-mail or text messaging.
Effectiveness in encouraging further The Million Hearts requirements were added the PharmaSmart Blood Pressure Kiosks and BPT web site . This is
testing (specifically lipids and BP), designed to promote blood pressure and other biometric testing and reporting of data. Further, as new data
especially for those with some risk transfers into the tracker from Kiosks, or manual entries made on the web site, the assessment data is updated and
can be configured to send users notification whenever it changes.
Effectiveness in communicating final risk to The BPT has concise graphical charts that clearly communicate a patients biomarker (blood pressure, glucose,
individuals, based on guidelines provided cholesterol, and weight/BMI) in very intuitive and easy to read format with clear indications of where they fall
by Archimedes API within recognized guidelines. This design was based on advisory panels and customer/patient feedback over the
last 3 years. We extended this illustrative approach and added a health assessment page that shows the
Archimedes assessment risk data on similar sliders and indicators.
Effectiveness in communicating final risk to The simple “sliders” clearly show their Risk and where it falls on a scale. One look and it makes it clear where their
individuals, based on guidelines provided risk is relative to the scale. This illustration is also used for the BP, Cholesterol, Glucose, and Weight/BMI history
by Archimedes API providing a highly effective and consistent view. Charts and tables also show historical readings so they can view
their progress on improving their risk.
Effectiveness in encouraging lifestyle The Risk Assessment page provides clear , color-coded warning indicators for all risk states.
changes for those at some risk
Effectiveness in encouraging seeing a The Risk Assessment page recommends seeing a health professional, but we take this much further. Our API’s are
health professional if they are at high risk integrated in participating pharmacies and physician MTM/EMR software. This accomplishes two things. If the
MTM/EMR software detects patients are taking medications related to hypertension or other targeted disease
states , it recommends to the pharmacist that they consult with the patient and recommend enrollment in the
monitoring program. Once enrolled, our API’s provide patient alerting within the MTM/EMR. If a patient has blood
pressure reads in high risk zones , it will also provide a blinking red warning to the pharmacist to encourage the
patient to see their Doctor and get the condition managed.
How easy and intuitive is the app to use, Based on 3 years of experience with our BPT and constant refinement based on feedback, the tracker has been very
and how well does it engage consumers easy to use by Patients, Pharmacies, and other Health Providers. Adding entries is very simple. Blood pressure
from diverse backgrounds. Which app is readings taken on our Kiosks automatically show up. We are integrated with Microsoft HealthVault and can also
the most likely to get the most people to source biometric data from a patients HealthVault records.
know their full cardiovascular risk?