connected health conf_10.22

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

David Rose

david@vitality.net

vitality™

Patterns of adherence

May June

ABC

Call and missed

Took Missed

Call and tookPersistenceIssue

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

V I T A L I T Y confidential

Vitality addresses each of the root causes of non-adherence

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

adherence issue vitality’s approach

An unprecedented, realtime data feed

Vitality radarpharmacies

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™

Without GlowCaps

With GlowCap

Day of the month

Tim

e of

day

V I T A L I T Y