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RxCOMPLi Introduction

Introductory video on RxCOMPLi Sensor and App. This video gives a brief overview of the features like how to setup the sensor, add medicine, how to sync with the sensor and how the sensor works once it is setup. Click to watch the video.

 

Can Medication Adherence be Improved?

Medication possession ratio = Number of days that a drug is supplied / Number of days the drug should be supplied if the prescription was filled per the drug regimen.
Benchmark says >80% is adherent; 80 – 60% is partially adherent; and <60% is non-adherent. The table below shows rates of medication non-adherence for some chronic conditions:

Chronic Condition Non-Adherence Rates
Coronary Heart Disease 40-50%
Hypertension 15-20%
Diabetes: oral meds 5-60%
Diabetes: insulin 35%
Asthma 25-75%
Major Depression 50-70%
Anxiety Disorders 50%
ADHD 25-50%

Consequences of not taking medication as prescribed include:
• 125,000 deaths
• $100 billion per year in unnecessary hospitalization costs
• $300 billion per year cost to the U.S. economy

On top of the macro factors, micro factors pertaining to the patient include:
• Unnecessarily high doses
• Illness relapse
• ER usage and hospitalization

So, it begs the question: WHY? Despite all of the above why does non-adherence persist? There can be several factors: the patient is fearful of medication side effects; the patient does not want to take medication because it reminds him of illness; the patient is forgetful. There can be other factors too but these three seem predominant.
Is the solution SMART pill bottle or SMART pill cap? The answer is NO. Studies have proven that SMART devices in enough of themselves do not increase adherence.

Clinician – Patient relationship may impart the most value in improving adherence. Key elements are trust and caring and promoting participation in decision-making. Reminder technology is bound to be part of the solution. However, the technology must be simple to use, leverage an integrated workflow to allow patient’s health information to be viewed in real-time, and enable the physician – patient to be “in-touch” as needed.

Patient behavior cannot be changed overnight – it’s a journey in which the ecosystem of patient, physician, device and data will all have to play a part in unison.

Sharing data with a Care Provider

Introduction

RxCOMPLi has an option where the user can share the data with a care provider (or any other user). This allows the care provider to access the user’s Adherence and Medicines. The care provider can only read the data and he/she will not be able to modify the user’s data.

Sharing the data

Assume, an user / patient wants to share his/her data with a care provider.

1. User first logs in to the app (if not already logged in)
  • Patient is having login id as patient@alwine.io in the examples / screenshots
  • Care provider is having login id as careprovider@alwine.io in the examples / screenshots
2. Click on menu button, then on “Settings”. This will take you to the settings. Here, select “Share Reports” option. This takes you to the “Manage Care Providers” screen.
3. In Manage Care Providers, select the “+” button to add care providers. Add the name and email address of the care provider.
4. The care provider can see the patient in the “My Patients” list. Use the menu option to reach there. (In the older versions, the care provider needs to login using the “Login as care provider” option provided in the login screen)
5. Select patient from the list shown to see the data
6. You can also get detailed daily reports by clicking on “Detailed Report”