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Patient Reporting & Educational Systems

Patient Reporting & Educational Systems (PRES)

EMOL Health started development of our PRES line of produces in 2009. All of the PRES systems provide personalized patient care and interface directly with the patients via the Internet, phone, SMS txt, tablet, and/or mobile device to increase compliance, manage side effects, manage symptoms, reduce patient hospitalizations, conduct patient surveys, and collect patient-reported outcomes. The systems support multiple languages and are 100% database-driven, enabling maximum scalability as well as customizability from the individual patient all the way up to the hospital level.

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Interactive Voice Response

Interactive Voice Response (IVR)

EMOL Health started development of our IVR system, our "phone system", in 2009 with guidance from Michigan State University College of Nursing.

The IVR system was developed to provide:

  • Patient Education
  • Patient Adherence, Including Medication Reminders
  • Facilitate Clinical Study, Including Data Collection
  • Patient Symptom Management
  • Automated Patient Surveys

The IVR system is completely database-driven, meaning calls can be dynamic, changing based on how a patient has responded during one call or over a series of calls. The system can also take into account a patient's diagnosis and treatment plans.

The IVR system is customizable at the hospital, practice, physician, and patient level. This means that a system put in place by a hospital system could be customized by each physician in their network to suit their individual needs, while still being compatible on a larger scale.

The IVR system can interface into any EMR and change the questions automatically based on real-time data.

Outcomes and patient statuses can be faxed or uploaded into an EMR.

Multiple case studies have been conducted with groups such as Michigan State University College of Nursing, Florida Hospital System, and Diplomat Specialty Pharmacy.

The IVR system has been clinicaly proven to be as effective and in some cases more effective than nursing calls. This can be seen in the following two case studies: Symptom Management for Cancer Patients and Managing Symptoms Among Patients With Breast Cancer During Chemotherapy

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Short Message Service

Short Message Service (SMS)

EMOL Health started development of our Short Message Service (SMS) system, our "txting system", in 2012. The system interfaces into our core database which allows us to not only perform IVR calls and ask questions via a tablet but also to conduct the same services via the a txt interface at home or on a mobile device.

Current System Supports:

  • Reminders
  • Compliance Checking
  • Dynamic Questions Based on Previous Responses, Medications, & Co-Morbidities
  • Customizable at the Practice-, Physician-, & Patient-Level

The system can interface into any EMR.

Two case studies are currently underway by Michigan State University College of Nursing and being funded by NIH and The McKesson Foundation.

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PresMobile

PresMobile

EMOL Health has developed a web, iPad, Android app which interface into our core database allowing us to not only perform IVR calls and txt patient reminders, but also to conduct the same services on any tablets and mobile device. This system can be used in a physican's office as well as at the patient's home.

Current System Supports:

  • Picture Taking for documentation and independent third party review
  • Multiple language support and helpful interactive human analogs
  • Printing Symptom Management information for initiatives like Quality Oncology Practice Initiative (QOPI)
  • Video support
  • Dynamic Question Support Based on Previous Responses, Medications, & Co-Morbidities
  • History & Physical (H & P) Forms
  • Case Report Form (CRF)
  • Customizable at the Practice-, Physician-, & Patient-Level

The tablet system is completely database-driven, meaning questions can be dynamic, changing based on how a patient has responded while using the system or over a series of uses. The system can also take into account a patient's diagnosis and treatment plans.

The tablet system is customizable and skinable at the hospital, practice, and physician level. This means that a system put in place by a hospital system could be customized by each physician in their network to suit their individual needs, while still being compatible on a larger scale.

The tablet system can interface into any EMR and change the questions automatically based on real-time data.

Outcomes and patient statuses can be faxed or uploaded into an EMR.

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PresRx

PresRx

EMOL Health has developed an iPhone app we call PresRx. PresRx can remind patients to take their medications, conduct surveys, manage systems, and contact a care provider if needed. The PresRx system interfaces into our core database allowing us to leverage our other patient reporting and symptom management tools. It reminds patients to take medications, even for complex regimens.

Current System Supports:

  • Patient Centered Medication Management
  • In App Medication Reminders
  • Tracks patient adherence and compliance
  • Uses OCR technology and barcode scanning for importing medications
  • Dynamic Question Support Based on Previous Responses, Medications, & Co-Morbidities
  • Pre-populates medication images for 500+ drugs
  • NDC and UPC database integration for Prescription and OTC drugs
  • Multiple language support and helpful interactive human analogs

The PresRx system can interface into any EMR and change the questions automatically based on real-time data.

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Symptom Management & Reduced Hospitalization

EMOL Health, in conjunction with Michigan State University College of Nursing, has created a unique method of managing patient symptoms at home reducing hospitalizations.

Symptom Management

EMOL Health has integrated the Michigan State University’s Symptom Management Toolkit (SMT) into our IVR and Tablet systems. The Symptom Management Toolkit provides comprehensive information about common symptoms experienced during cancer treatment. The toolkit provides evidence-based information to help both the caregivers and the patients.

Reduced Hospitalization

In several studies through MSU, the IVR and Symptom Management Toolkit (SMT) were shown to reduce hospitalization in both minorities and the general population. In one clinical trial, the IVR, in combination with the SMT, reduced hospitalization by 64% and reduced the length of stay in the hospital by 48%-57% when comparing patients with improved symptoms vs. symptom severity increasing.

In addition to reducing overall hospitalizations, the IVR in combination with the Symptom Management Toolkit (SMT) has been shown to reduce symptom burden, the number of overall symptoms, unscheduled clinic visits, and ER visits.

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Patient Outcomes & Clinical Trials

Patient Reported Outcomes & Clinical Trials

The IVR and tablet systems are ideal for collecting patient reported outcomes and conducting clinical trials. The centralized database allows for the seamless collecting of information at home as well as in the office. The patient can literally start a questionnaire at the hospital, complete it at home, then have follow-up questions asked at their primary care practice.

With the integration of the Symptom Management Toolkit (SMT) we can reduce hospitalizations, which keeps patients on clinical trials longer. Further we can conduct automated call/text messages to remind patients to take their medications, increasing adherence.

Finally, with the integration into the hospital's/practice's EMR we can start and stop calls automatically and change the questions automatically based on real-time data. All data collected can be pushed back into the practice's EMR or lab systems for easy access in a familiar way.

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Case Studies

eCancer: A technological approach to symptom management from home to practice

In 2010 EMOL Health and Michigan State University (MSU) College of Nursing were awarded an STTR grant.

Grant Overview:

  • Manage Symptoms
  • Monitor Patients’ Symptom Status
  • Identify & Communicate Urgent Care Issues Back to Oncology Clinics
  • Reduce Hospitalization
  • Fully Commercialize and Enhance IVR System Developed by Dr. Barbara Given, Dr. Bill Given, & Cindy Majeskei at MSU
  • Site Principal Investigator: Dr. Sajeel Chowdhary, Program Director, Department of Neuro-Oncology, Florida Hospital System
  • Principal Investigators: Brian Decker, EMOL Health and Dr. Barbara Given, Michigan State University College of Nursing
  • Funded by the National Center on Minority Health and Health Disparities

Temodar & Tarceva: Improving Adherence and Compliance

In 2011 EMOL Health, Diplomat Pharmacy, and Michigan State University College of Nursing started a project to improve adherence and compliance to Temodar.

Project Overviews:

  • Manage Symptoms
  • Increase Quality of Life
  • Reduce Hospitalization
  • Medications Reminders
  • Funded by a partnership between Michigan State University, Diplomat Specialty Pharmacy, and EMOL Health

Mothers In Motion

In 2011 EMOL Health started working with the Mothers In Motion project, which uses our patient/study management system.

Grant Overview:

  • Obesity Prevention for Low-Income Mothers
  • Promoting Healthy Eating, Physical Activity, and Stress Management
  • Principal Investigator: Dr. Mei-Wei Chang, Associate Professor, Michigan State University
  • Four-year Initiative
  • Funded by the National Institute of Diabetes and Digestive and Kidney Diseases

Testing New Tools For Better Cancer Care

In 2013 EMOL Health started Testing New Tools For Better Cancer Care through Michigan State University College of Nursing.

R01 Grant Overview:

  • IVR Calls to increase Oral Chemotherapy Adherence/Compliance and Monitor Symptoms
  • At-Home Symptom Management through Symptom Management Toolkit (SMT)
  • Principal Investigator: Dr. Barbara Given, University Distinguished Professor of Nursing, Michigan State University
  • Four-year Nationwide Initiative involving Multiple Cancer Centers and Universities including Michigan, Ohio State, and Yale
  • Funded by the National Institute of Health

R15 Grant Overview:

  • SMS Texting to increase Medication Adherence/Compliance
  • IVR Calls to Monitor Adherence
  • Principal Investigator: Dr. Sandra L. Spoelstra, Assistant Professor, Michigan State University College of Nursing
  • Funded by the National Institute of Health/National Cancer Institute

McKesson Foundation Grant Overview:

Integrating Health IT to Develop a Patient-Centered Approach to Medication Management

In 2014 EMOL Health started a clinical trial with Dr. Erin Sarzynski, M.D., M.S., of Michigan State University. Dr. Sarzynski was awarded grant funding from the Center for Innovation and Research, a collaboration between MSU and Sparrow Health, to create a medication reminder application. This project uses PresRx to help patients increase medication adherence and populate a compliance report for physicians.

Project Overviews:

  • Uses OCR technology and barcode scanning for importing medications
  • Patient Centered Medication Management
  • In App Medication Reminders
  • Tracks patient adherence and compliance
  • Funded by a partnership between Michigan State University and Sparrow Health

Michigan's Adult Medicaid Quality Grants: Measuring and Improving the Quality of Care in Medicaid

In 2014 EMOL Health started a Quality Improvement initiative in adult asthma care. Working with Centers for Medicare and Medicaid Services and Debra Darling, RN, BSN, CCP of the MSU Institute for Health Policy, we will educate both the patient and the physician. The PRES Systems will call over 1000 patients an hour to help manage their asthma by reminding them to take their medications, educating, and ultimately reduce hospitalizations.

Project Overviews:

  • Medications Reminders
  • Manage Symptoms
  • Increase Quality of Life
  • Reduce Hospitalization
  • 12 sites and over 1000 patients
  • Asthma Management Manual
  • Funded by Centers for Medicare and Medicaid Services