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    Dramatically improve medication
    adherence, through wireless
    packaging, reminders, reports,
    and rewards.


    David Rose
    david@vitality.net
vitality™
Patterns of adherence
                                                   Took   Missed




    May                                     June
A
B
C

          Call and missed
                            Call and took
                                                                   Persistence
                                                                   Issue
This is what poor-adherence looks like...
Each row is person, each column is a day. Red indicates a missed dose.




                    Control group=71% of doses taken
This is what adherence looks like with GlowCaps




     Over 95% of doses taken over 6 months
1) Pharmacist deliver your medication in a
GlowCap and explains how it works.
    “The smart pill cap will help you to remember with
    light, sound, and if you want, a reminder call.”
2) At home, you plug in the reminder light.
3) Every day, the GlowCap and reminder light
flash for an hour, then play a ring tone every
few minutes until you open the GlowCap.
4) If the cap is still not opened, Vitality places an
automated call to ask “WHY?”
5) Weekly emails show progress and are
shared with a loved one.
6) Every month you and your physician
receive a printed progress report.
Four feedback loops address the root causes of poor-adherence
Vitality addresses each of the root causes of non-adherence

adherence issue        vitality’s approach


Forgetfulness          Reminders escalate from subtle to insistent

Non-Belief             Personalized interactive media educates

No Social Support      Progress is shared with a buddy

No Accountability      Reports inform your doctor, via e-health record

Refill Inconvenience   Refill requests automatically flow into pharmacy

Cost concerns          Behavioral economics-based financial rewards


    VITALITY                                                          confidential
An unprecedented, realtime data feed

Vitality radar
  pharmacies
  CVS 145
  Walgreens 93
  Walmart 22
  Express Scripts 3
  RiteAid 1

  physicians
  Rose 1
  Smith 3
  Goldblatt, 8


  conditions
  Hypertension 65
  Asthma 3
  Diabetes 22


  medications
  Diovan 34
  Liptor 13
  Gleevec 5


  adherence
  >80%
  60-80%
  40-60%
  <40%
vitality  ™
                                 Day of the month




Without GlowCaps




                   Time of day




With GlowCap
VITALITY
Connected health conf_10.22

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Connected health conf_10.22

  • 1. z Dramatically improve medication adherence, through wireless packaging, reminders, reports, and rewards. David Rose david@vitality.net
  • 3.
  • 4.
  • 5. Patterns of adherence Took Missed May June A B C Call and missed Call and took Persistence Issue
  • 6. This is what poor-adherence looks like... Each row is person, each column is a day. Red indicates a missed dose. Control group=71% of doses taken
  • 7. This is what adherence looks like with GlowCaps Over 95% of doses taken over 6 months
  • 8.
  • 9. 1) Pharmacist deliver your medication in a GlowCap and explains how it works. “The smart pill cap will help you to remember with light, sound, and if you want, a reminder call.”
  • 10. 2) At home, you plug in the reminder light.
  • 11. 3) Every day, the GlowCap and reminder light flash for an hour, then play a ring tone every few minutes until you open the GlowCap.
  • 12. 4) If the cap is still not opened, Vitality places an automated call to ask “WHY?”
  • 13. 5) Weekly emails show progress and are shared with a loved one.
  • 14. 6) Every month you and your physician receive a printed progress report.
  • 15. Four feedback loops address the root causes of poor-adherence
  • 16. Vitality addresses each of the root causes of non-adherence adherence issue vitality’s approach Forgetfulness Reminders escalate from subtle to insistent Non-Belief Personalized interactive media educates No Social Support Progress is shared with a buddy No Accountability Reports inform your doctor, via e-health record Refill Inconvenience Refill requests automatically flow into pharmacy Cost concerns Behavioral economics-based financial rewards VITALITY confidential
  • 17. An unprecedented, realtime data feed Vitality radar pharmacies CVS 145 Walgreens 93 Walmart 22 Express Scripts 3 RiteAid 1 physicians Rose 1 Smith 3 Goldblatt, 8 conditions Hypertension 65 Asthma 3 Diabetes 22 medications Diovan 34 Liptor 13 Gleevec 5 adherence >80% 60-80% 40-60% <40%
  • 18. vitality ™ Day of the month Without GlowCaps Time of day With GlowCap