iRx Reminder ? Helping the most complex medical patients - News Details

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iRx Reminder ? Helping the most complex medical patients

iRx Reminder ? Helping the most complex medical patients
Jan 9, 2014

By Rosalyn Ben-Chitrit:

iRxReminder does not address the “mass” market for medication reminders...

At first glance, their product - iLidRx - appears to be a fairly large and formidable medication compliance solution.

After a conversation with Anthony Sterns, CEO, and Larry Tusick, VP of Business Development, however, the solution seemed compelling for the niche market it’s meant to serve.

Here’s how it works:
An at-risk patient’s care team creates a medication regimen for the patient
Pharmacy fills the prescriptions by placing Rx’s in the “pods” in the iLidRx, an automated tabletop medicine cabinet, akin to a jewelry box (the pods are cartridges filled with one medication each that dispense the appropriate dose when it’s time to take a medication)
The patient’s care team enters reminders, educational and symptom management information into the system
Patient returns home and is reminded about medications in multiple ways:
Through a reminder on their smart phone
Through visual reminders on the pods within the box
On a screen within the box that provides detailed instructions for the patient
When a pod is removed, medication is dispensed and the pod is returned, technology inside the pod sends a message to the patient’s phone and the phone sends a message to the control center to let them know that the medication was dispensed
If desired and if there’s the infrastructure, a Health Information Exchange can move data into the provider’s EMR
If the care team feels that changes should be made to the dosages or prescriptions, they can do that remotely – on the fly
For many patients, this product is overkill.

But here’s why it works. iLidRx is not meant for the “average” patient.

iLidRx is meant to address very sick patients with intense medical challenges. It’s for “high cost-high complexity patients” according to Tusick.

Currently, the company – iRxReminder – is working on projects in support of children who have recently undergone bone marrow transplants.

Sterns, who founded the company, identified the challenges for individuals taking such a complex medication regimen.

He also realized that in our healthcare system, it’s important to understand and support those responsible for paying for the care or those at risk. (Besides the patient, of course.)

And that’s where iLidRx is different.

Sterns and his collaborators recognized that there is a real challenge for medically fragile and complex patients to manage their medications. Of course, it’s of primary importance to help patients get well.

But, payers and ACOs are at risk for the fees associated with these patients and their complications, so it’s in their best interest to keep patients on top of their regimens for financial reasons, too.

They’re going to be interested in what Tusick called the “lowest cost venue, best outcome.”

Transplant patients are typically discharged from the hospital 30-45 days post-op. When they go home, there’s a greater risk that they will be susceptible to graft-versus-host-disease (GVHD).

It’s widely believed that medication compliance reduces the chance of this life-threatening complication.

If there is a way to be confident about patients following their complex instructions post-discharge, there may even be an opportunity to reduce the initial hospital length of stay.

Equally as important, adherence to one’s medication regimen – for transplant patients that can mean 8-15 medications/day – can reduce the ongoing cost of care while improving outcomes and supporting patients and their caregivers.

This is the promise of the iLidRx product.

It’s a great solution for providers (and their patients) who are reimbursed by universal fees and capitation…and it solves a financial problem while doing good for the patient.

I’ll be following them to see what happens.

Roz Ben-Chitrit is managing director of Sanford Rose Associates’ telehealth/mHealth recruitment practice. To learn more about career opportunities or talent searches in telehealth/mHealth, contact Sanford Rose Associates’ recruitment practice at http://www.sanfordrose.com/ct.

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