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ePI51 A New Mobile-Responsive Solution to Increase Patient Adherence: Instant Personalized Product Handouts

Catherine T. Milne, APRN, MSN, BC-ANP/CNS, CWOCN-AP1, Elaine Horibe Song, MD, PhD, MBA2, Tiffany Hamm, BSN, RN, ACHRN, CWS3, Jeff Mize, RRT, CHT, CWCA3, Nataliya Lebendiskaya, RN, BSN, CWOCN4, Scott Robinson, MD5, Erin Ensz, RN, BSN5, Dee Anne Schoenfeld, RN, BSN5, Kathryn Whiston-Lemm, ACNP, CWON6 and Lydia M. Ferreira, MD, PhD, MBA7, (1)Connecticut Clinical Nursing Associates, LLC, Bristol, CT, (2)Wound Reference, Inc, San Francisco, CA, (3)Wound Reference, Inc., San Francisco, CA, (4)Kaiser Permanente Wound Clinic, Kaiser Permanente, Walnut Creek, CA, (5)Lawrence Memorial Hospital Wound Clinic, Lawrence, KS, (6)Queen of the Valley Medical Center, Napa, CA, (7)Division of Plastic Surgery, Federal University of Sao Paulo, São Paulo, Brazil
Background: In outpatient settings, uncomplicated wound healing heavily depends on patient adherence.1 Patients need to know products to purchase, where to obtain them, how much they cost, and how to appropriately use them. However, busy schedules and lack of easily available information frequently prevent clinicians from satisfactorily meeting this need. This project aimed to develop a solution to quickly generate customized product handouts with this information for patients.

Method: Using Design Thinking methodology2, a module was developed within a cloud-based clinical decision support platform*. Development process was as follows:

  • Wound care specialists’ desired features identified through interviews.
  • Prototype development with wireframing software and then testing by specialists.
  • Module improvement using robust programming language, library, framework, and application programming interfaces from Medicare and other third parties.
  • Module then beta-tested at five wound clinics with feedback incorporated into the final version.
  • Beta-sites completed 2 evaluation rounds by clinicians and patients.

Results: The final module instantly generates customized product handouts for over 900 wound care products. The clinician chooses a product, enters a patient’s ZIP code and selects desired type of information. Handout automatically populates information, which can include: product-specific description, Medicare coverage/co-payment, local/online/preferred suppliers, and clinician’s notes and instructions. Handouts can be printed or emailed and bookmarked. 100% of beta-users indicated they would use the module “daily/weekly”. 80% indicated it met needs “very well”. Participants stated 88% of handouts shared with patients are useful in increasing adherence to plan of care.

Conclusion: Customized patient handouts with clinical, coverage, pricing and supplier information has the potential to significantly increase patient adherence while saving clinicians’ time.

* Wound Reference, Inc. San Francisco, CA. Company does not produce, market, distribute healthcare goods or services consumed by or used on patients with no funding/financing/advertisement fee from companies with commercial interest.  Content is free of commercial bias.

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