Introducing the Medication Recording System Schedule

1. Introducing the Medication Recording System Schedule Ed Castagna Mom & Pop’s Small Business Services

2. Doctors Prescribe and Patients Administer Doctor Prescribes Medication to improve patient during illness Patient administers medication until some time Patient and Doctor reevaluate continued need for medications

3. Current Doctor and Patient Problems Patient may not recall all their current medications Patient may not be able to understand drug information given Patient may not be able to administer medications well Patient may be unwilling to take additional medications

4. Current Doctor and Patient Problems Patient may not understand drug paper documentation Patient may not know how to add medication to schedule Patient may be overwhelmed with the practitioner coordination needs Patient may not be physically able to administer drug (for instance, standard Insulin Injection for arthritic patients)

5. Patient Issues Improving Outcomes Understanding Medications Improving Continuity of Care Improved Ability to Control Medications Administration

6. Doctor Issues Improving Outcomes Continuity of Care Training Patient re Medications Improving Patient Compliance Improving Patient Feedback

7. Pharmacist Issues Improving Outcomes Improving Continuity of Care Training Patient re Medications Improving Pharmaceuticals Dispensing, Renewals, Scheduling, and Delivery Minimizing Costs

8. Insurers Issues Improving Outcomes Continuity of Care Training Patient re Medications Improving Patient Compliance Improving Patient Feedback Improving Pharmaceuticals Dispensing, Renewals, Scheduling, and Delivery

9. Insurers Issues Minimizing Cost Minimizing Costly Emergency Room Visits due to wrong medicine, missed doses, double doses, inappropriate diagnosis, treatment options.

10. Sample Medication Recording System Schedule

11. Sample Medication Recording System Schedule

12. A Team Approach to Medication Recording System Patient arrives at Doctor for checkup Doctor suggests additional medication is needed Patient hands doctor Medication Recording System Schedule All current medications appear on schedule

13. A Team Approach to Medication Recording System Doctor notes existing medications Doctor prescribes medication , dosage, number of pills, number of administrations/day Doctor suggests potential timing of dosage administration Patient updates Medication Recording System Schedule with new medication

14. A Team Approach to Medication Recording System Patient shows Medication Recording System Schedule to Pharmacist Pharmacist checks for drug interactions Pharmacist updates his view of patient with additional medication Pharmacist delivers medication and blessing Patient administers medications regularly based on schedule

15. Old Hospital Discharge Scenario Patient is in Hospital for something Patient is medicated regularly in Hospital with Nursing Support Patient is Discharged with pending medications needs Hospital may give patients a day’s worth of drugs

16. Old Hospital Discharge Scenario Patient is at home with a Discharge Summary they do not know how to read Patient needs to verify information found on Discharge Summary to turn it into timely drug administration needs in outside world Patient solicits Hospital Nursing Staff after discharge for help with unknown state

17. Old Hospital Discharge Scenario Patient solicits Primary Care Physician to help with unknown state Patient Solicits Pharmacist to help with unknown state Discharge orders may be continued, follow-up with Primary Care Physician should be recommended

18. Old Hospital Discharge Scenario Primary Care Physician prescribes those medications from Hospital to be continued for patient Pharmacist delivers newly prescribed medications Patient is satisfied that the Primary Care Physician has evaluated Hospital medications handoff to home

19. Hospital Discharge with Medication Recording System Patient is in Hospital for something Patient is medicated regularly in Hospital with Nursing Support Patient is Discharged with pending medications needs Medication Recording System Schedule is created for patient Hospital may give patient sufficient dosing till Primary Physician visit

20. Hospital Discharge with Medication Recording System Patient is at home with a Discharge Summary and a Medication Recording System Schedule they find easy to understand Patient fills prescriptions based on Medication Recording System Schedule. Patient Solicits Primary Care Physician to understand issues relating to Discharge Summary at a lower priority than immediate medication needs.

21. Hospital Discharge with Medication Recording System Primary Care Physician coordinates with Hospital Staff to understand Discharge Summary. Patient consults Primary Care Physician to help with unknown state Pharmacist coordinates with Hospital Staff to understand Discharge Summary.

22. Hospital Discharge with Medication Recording System Primary Care Physician prescribes those medications from Hospital to be continued for patient Pharmacist delivers newly prescribed medications Patient is satisfied that the Primary Care Physician has evaluated Hospital medications handoff to home

23. Old Doctor’s Office Visit Patient visits Primary Care Physician noting symptoms Doctor evaluates symptoms and prescribes medication Patient gets prescription from local drug store Medication Information shows side effects which patient decides not to bear the risk of

24. Old Doctor’s Office Visit Next Patient visit Doctor notes no further improvement Patient confides in Doctor that the side effects were not acceptable. Is there another way of treating Patient may have put himself at risk

25. Doctor’s Office Visit with Medication Recording System Patient visits Primary Care Physician noting symptoms Doctor evaluates symptoms and prescribes medication Doctor reviews medications and side effects and gains patient’s approval for intended treatment plan. Doctor revises Medication Recording System Schedule with new medications

26. Doctor’s Office Visit with Medication Recording System Patient gets prescription from local drug store Doctor Tickles Patient in timely fashion to evaluate if the medications are being taken. If Patient is not fulfilling treatment plan, Doctor offers another visit with alternate treatment plan.

27. Problems Addressed by Medication Recording System Doctor rely on Patient’s ability to followup with medications Patients have a hard time understanding specifics of Doctor’s medications requests, interactions between medications, foods Let’s attempt to make it easier for patients to administer medication prescribed by Doctors

28. Medication Recording System Schedule Patients carry schedule to Doctor’s office for visit Doctors have list of medicines readily available to make optimal decisions Patients have best chance of following Doctor’s orders. Internet Solution allows access if Patient does not have schedule on hand.

29. Patient Benefit Patients are more able to understand medicine administration needs. These functions are currently only offered in Hospital Settings, with Nursing Delivery. Easier to comply than reading the bottles for frequency of medications delivery Responsibility is appropriately on caregivers to assist with scheduling the medication administration

30. Doctor Benefit Doctors have a list which can be used for allergies, current medication information rather than patient’s memory. Doctors have agreement of the patient that they can handle the new schedule before the patient leaves the office. Patient has a greater ability to implement doctor’s intended medication schedule.

31. Pharmacist Benefit Pharmacists have a schedule which can be used for allergies, current medication information rather than relying on a patient’s memory Pharmacists can facilitate drug interaction checks more successfully against a full medication schedule. Pharmacists can coordinate monthly renewal needs for renewable prescriptions

32. Insurer Benefit Patients who are able to follow the schedule will be less prone to costly Emergency Room Visits based on medication administration failures. Improved continuity of care among caregivers aware of a patient’s medication needs should improve patient outcomes, wellness, and minimize costs Empowering Claimants and their family frees up scarce resources

33. Medication Recording System Schedule Thank You

34. Medication Recording System Schedule Q & A Other Scenarios (Doctor’s Office, Discharge from Hospital) needing to be addressed Are you comfortable with the program