avella specialty market access presenation - mobile technology

Amplifying the High-Touch of Specialty Pharmacy through Mobile and Web-Based Tools

Rebecca M. Shanahan, Esq.CEO of Avella Specialty Pharmacy

July 29, 2014

2 | Confidential and proprietary

Agenda

• Examine the shift toward digital — evolving customer demands and engagement opportunities

• Delve into an Avella Specialty Pharmacy case study highlighting mobile and web-based tools

• Identify industry best practices and early adopter examples

Does Mobile Technology Matter?That mHealth Data Trends

71% 62% 59%

71% of nurses are using smartphones at work

62% of physicians are now using tablets, with over half of them using one at point-of-care

59% of patients in emerging markets use at least one mobile health app or service (compared with only 35% in the developed world).

Source: electronichealthreporter.com/mhealth-stats-mobile-apps-devices-and-solutions/

Does Mobile Technology Matter?Data Points

Source: www.greatcall.com/lp/is-mobile-healthcare-the-future-infographic.aspx


Emerging TechnologiesHow to investigate and assess opportunities

• Cross-functional team assessment • Clinical, Operations, IT, Marketing, etc.

• No technology “one-trick ponies” • Customer-centric NOT Business-centric

• Strong user-interface / experience

• Vendor/partner trajectory (not just current state)

• Technology adoption (fad or future)• Beyond “proof of concept”

• Plenty of interesting technologies, but what actually works?


“Responsive” WebsiteAddressing the Mobile Visitor

• Over 20% of Google searches are being performed on a mobile device.

• 61% of people have a better opinion of brands when they offer a good mobile experience on your website.

• 48% of users stated that when a site doesn't function on their mobile device it makes them feel that the company does not care for their business.

Source: Google's Think Insights on Mobile Report

Avella Mobile App


Why an Avella App?Driving reasons to develop and promote mobile app

• Every prescription counts / every day delayed counts

• Lowered operational costs• Measureable ROI• Meet the expectations of traditional Rx

customers• Engage / empower / educate our patients• DELIGHT customers• Differentiation vs. competition

11 | Confidential and proprietaryMobile App


App FunctionalityKey features available on the Avella app

• Prescription lookup

• Prescription refill

• Prescription status

• Transfer prescription

• Pharmacy lookup

• Contact Avella locations

• Store physician information

• Connect with Avella / provide feedback


What Success Would Look Like

• Delighted customers (internal and external)

• Improved metrics for cohort of app users• Higher customer satisfaction• Increased refill rate• Improved health outcomes

• Doesn’t make a consultative process a transactional one.

• Doesn’t set false customer expectations

Digital Promotion TacticsMobile Locations Page | Email Campaigns

Offline Promotion TacticsIn-store Video Signage | Rack Cards | Patient Fax Notifications


Dashboard


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Rx by typing Rx by on phone Rx by SMS Total for the day

Text Message Program Case Study


Text Messaging Program Case Study

Objective:• To assess the impact of bi-directional SMS

technology on patient adherence through measurement of refill rates in specialty population.

Hypothesis:• Bi-directional SMS technology will improve

patient and clinician engagement resulting in increased medication adherence.


• Text messaging program• Daily reminders to take medication• Reminders for lab work • Educational tips, e.g. blood pressure

monitoring • Motivational messaging• Patient surveys

• Gather lab values

• Pharmacist intervention for any indication of non-compliance

• Clinician notified• Weekly emails to clinical staff

• Refill Reminders

Bi-Directional Text Messaging Program


Text Messaging Program Case Study

• 29% increase in adherence for low compliant cohort

Group 1: Low compliant patients

Group 2: High compliant patients

Group 3: Treatment naïve patients

Significant impact on refill rates

GlowCaps® Case Study



Objective:• Determine if cost savings and positive

health outcomes result from patient adoption of GlowCap® adherence tools.

Hypothesis:• Adoption of GlowCaps will increase patient

adherence, resulting in positive health incomes and reduced hospitalization and medical care costs.


“A quick reminder from your friends at Avella: Don't

forget to take your <time of day> pill in your

GlowCap®.”

How Do GlowCaps® Remind Patients?

1. GlowCap® flashes orange at reminder time for the 1st hour

2. GlowCap® flashes orange and plays ringtone for the 2nd hour

3. Patient receives an automated phone call


Our pilot program demonstrated a 50% increase in medication adherence at month 4 of therapy for Tasigna® patients using GlowCap (vs. control group).



Oct. 11 Nov. 11 Dec. 11 Jan. 12

100.0%

82.6%89.5% 90.0%

100.0%

92.2%

80.4%

60.0%

Avella Tasigna Patient Adherence by GlowCap Use

(Oct'11-Jan'12)

GlowCap (n=23) No GlowCap (n=51)


GlowCaps™ Case StudyResults

Gleevec treated GIST Patients:• Patients with > 90% adherence had fewer hospitalizations,

reduced inpatient length of stays and lower medical costs compared with patients with < 70% adherence.*

Length of stays: • 3.4 vs. 29.9 days

Mean total medical care costs*:• $15,088 vs. $39,743 (during 1st year follow-up)• $38,062 vs. $71,126 (throughout follow-up)

• GlowCap users demonstrated an increase in medication adherence vs. the control group.

*Halpern, R., Barghout, V., Zarotsky, V., Williams, D. (2009). Costs and utilization associated with imatinib adherence in patients with chronic myeloid leukemia or gastrointestinal stromal tumors. Journal of Clinical Outcomes Management, 16(5); 215-223.

28 | Confidential and proprietary Provider Portal

Other Novel Examples

Does Mobile Technology Matter?Data Points

Accredo“Plus C” Mobile App

JanssenPsoriasis Mobile App

BiogenMicro8 App

Briova“Briova Live”


Visual IVR

Turns This Into This:

Source: http://www.visual-ivr.com/

Apple – Health KitPulling Disparate mHealth Data Together

WalgreensBalance Rewards for Healthy Choices


What this Means to Specialty Pharmacy

• Focus on a tool that solves multiple challenges for your patients.

• Start with tools that help long-term patients (i.e. hemophilia, HIV)

• Invest in mobile solutions that improve:

• Brand differentiation• Patient satisfaction• Communication /

collaboration across healthcare continuum

• Patient adherence• Health outcomes• Healthcare costs


Stay Connected

Rebecca M. Shanahan, Esq.CEO of Avella

linkedin.com/pub/rebecca-shanahan/7/100/262

[email protected]

@AvellaRx

avella specialty market access presenation - mobile technology

Health & Medicine