Patient centric workflow is required for the pharmacy to establish an effective patient relationship management. pateint -patient centric

1. !1
Pharmacy Interventions
Improve patient health, gain loyalty and drive
transactions using next generation patient
relationship management.
!
Gyan Patra, Cofounder & CEO
@GyanAtRxNetwork @RxNetwork1
gpatra@rxnetwork.com

2. !2
Today And Future

3. !3
Transactions, Loyalty, Efficiency
35% Patients
85% Rx
Transactions
Provide
8-12% More Rx
Transactions
CanProvide
7-15 Days
reduction in
time between
refills
4-8% More Rx
Transactions
CanProvide
Pharmacy
Intervention!
(Counseling & Med
Synchro)
Today With digital intervention

4. !4
Lets face the fact.!
Managing medications isn’t a fun activity, and
the intrinsic motivation to do the things we
think can easily be drowned out by the
distractions of life. Unless we’re bleeding, we
need to be nudged and motivated.

5. !5
Your patients need…
To address the 69% + 15% of their problems
Customized
Alerts
Every individual is different. So they need different
alert frequency that fits their life style - almost like
a virtual assistant without even creating them.
Rewards always influence behavior which can be
in any form - virtual goods, social recognition etc.
On time
Interventions
Personalized communication relating to their
condition.
Coaching &
Information
Easy access to right information relating to their
condition and disease state.
Personalized
Rewards &
Promotions

6. !6
Your Pharmacy needs tools…
To address the needs of 35% of your patients.
Scheduler
An easy scheduler to create complete therapy
schedule including refills - to address confusion,
procrastination, and forgetfulness.
To create and manage customized rewards and
promotions based on patient profile to influence
and motivate their healthy behavior.
Insightful data
for intervention
Gain therapy usage data without calling up patient
or waiting for next visit to perform selective
counseling or perform medication
synchronization
Secure
Messaging
channel
A channel to reach out to your patients and
caregivers without picking up phone.
Targeted
Rewards &
Promotions

7. !7
Your Pharmacy needs tools…
To address the needs of 35% of your patients.
Without disrupting your existing
workflow and gain…
Patient !
Loyalty
Staff!
Productivity
Increased
Transactions
… and healthier patients.

8. !8
Timely refill request can occur only if
meds in possession are taken on time.

9. !9
And follow the routine on time with ease
From Pick up to Order Refill
Start Therapy
On time
16% don’t start their
medications on time - which
delays refill date.
Pick Up Meds
Delay in picking up meds
cause delays in starting the
therapy.
Continue
therapy as
prescribed
39% - 45% skip or miss
dosage because of behavioral
reasons .
Order Refill
Late start, missed dosage
delays refill order.
Inconvenience to order causes
further delay.
Start Therapy
On time
(Rx Cycle)
Patient
Continue
therapy as
prescribed
Order Refill
Pick Up/
Receive
Med

10. !10
Your Patient Demographics

11. !11
Patients with 2+ Rx need special attention
35% Patients Matter
60+ age group. Over 25% have access to smartphones/
tablets. Over 60% are supported by family caregivers
who have smartphones/tablets.
10% with
4+ Rx
18% with
3+ Rx
55% with 1+ Rx
27% with 2+ Rx
55+ age group.
Over 35% have access to smartphones/tablets.
50+ age group.
Over 40% have access to smartphones/tablets.
45+ age group.
Over 50% have access to smartphones/tablets.
Source: American Heart Association, CDC, NEHI, NCPA, NACDS, Pew Research, AARP

12. !12
84% can be achieved
Addressable Patient Barriers
1684
15%
10%
20%
39%
Forget
Late Refill
Late Renewal
Clinical Question
69% Problems are behavioral
15% Needs counseling
Source: ExpressScripts-Medco Lab drug trend report.

13. !13
Rx Delivery Process

14. !14
Turn around time impacts your button line
Rx Timeline: 20 to 60 Lost Days
Step 1 Step 2 Step 3 Step 3 Step 4 Step 5
Receive Rx (Day 1)
• New Rx via eRx or
• Paper Script. or
• Refill Request
Confirm to fill (Lost
Days: 1-3)
• Wait for patient confirmation
for electronically received Rx
or
• Perform an auto refill.
Make them ready for
pickup (Lost Days: 1-2)
• Several patient interactions
for PA, insurance verification
etc.
• Notify patient to pickup.
Take as prescribed
(Lost Days: 15-45)
• 18% don’t start on time.
• 47% Skip/Miss dosage
• 9% Take wrong dosage.
Patient Pick up (Lost
Days: 1-2)
• Patient doesn't return to
pick up on time
• Possibility of return to bin.
Place Refill Order(Lost
Days: 2-5)
• Barrier to place refill order
using existing methods -
telephone call, website or
additional trip.

15. !15
Address the preventable by segmenting
Breakdown of Rx Usage
47% Contd
29% Didn't
76% Start
12% Didn't
100% Rx Prescribed
Paper + eRX
88% Filled
12% not filled
Occurs At Home
85% Barriers due to
Forgetfulness, Procrastination,
Motivation & Confusion
Source: American Heart Association, CDC, SureScripts, NCPA, NACDS
Addressable

16. !16
Patient - Pharmacy Communication.

17. !17
Simple to Complex Interventions.
Pharmacy/Patient Interventions
For 69% Barrier
(Mostly patient managed)
For 15% Barrier
(Pharmacy Managed)
Requires auto reminders that fits
lifestyle. Rewards that motivates.
Social support that addresses
procrastination. Convenience that
reduces barrier to order refill.
Requires counseling to educate.
Need complete data to address
adverse effect and perform
medication synchronization.
69% 15%

18. !18
Self managed - For 69% Problems
Existing Patient Solutions
Doesn't address forgetfulness,
procrastination and motivation barriers.
Barrier still remains if created by the
patient. Ineffective in the long run.
Replaces PillBox or Text Reminder. Can be
a significant barrier if patient is allowed
to make manual entries.
PillBox or
ePillBox
Text
Reminder
Mobile
App
(Digital
Calendar)

19. !19
Pharmacy managed - For 69% Problems
Existing Pharmacy Solutions
Addresses confusion(12% of the barrier).
Forgetfulness, procrastination and
motivational barriers still remains.
Up-to 90% effective for dosage
reminders followed by refill reminder. Can
be monotonous and ineffective in the long
run.
If not engaging, then it doesn't yield
significant value.
Text
Reminder
Mobile
App
Blister
Package

20. !20
Pharmacy managed - For 69% Problems
Existing Pharmacy Solutions
Very effective. But extremely time
consuming and labor intensive because
of lack of real data.
If patients are not taking their meds on
time, it may not yield its intended result.
Very effective. Lack of detailed data and
manual process requires multiple patient
interactions.
Medication
Sync
Manual
follow up
Refill
Reminder

21. !21
Thank You.
!
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