vitality introduction 2010
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V I T A L I T Y
vitality™
Dramatically improves medication adherence, through wireless packaging, reminders, reports, and rewards.
vitality™
GlowCaps are recognized as important and innovative
This is what non-adherence looks like... Each row is person, each column is a day. Red indicates a missed dose.
Control groups=70%
This is what adherence looks like with GlowCaps
Over 95%
Existing studies have quantified the cost-savings of high medication adherence:
cost effective
ConditionLow adherence
care costsHigh adherence
care costssavings per
year
Diabetes $8,867 $4,570 $4,297 48%
High
Cholesterol$6,888 $3,924 $2,964 43%
High Blood
pressure$10,916 $6,752 $4,164 38%
Multiple
ailments$16,498 $8,886 $7,612 46%
Medical Care, 2005, vol. 43, no6, pp. 521-530 SOKOL Michael C. ; MCGUIGAN Kimberly A. ; VERBRUGGE Robert R. ; EPSTEIN Robert S.
Source: IMS Health
V I T A L I T Y
Chronic disease a!ects 25% of adults in the US, yet most take medication 50% of the time.
Simple to use
• Plug it in to connect
• No PC, phone, or Internet required
• One-button refill
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 you forget, Vitality can call to remind you.
5) Weekly emails show which days you did, or didn’t, take a medication.
6) Every month you receive a printed progress report in the mail.
7) Cap embeds a “Push to refill” button
Patent pending
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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
Poor Education 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
Low Motivation Rewards motivate via loss aversion
Adherence Issue Vitality’s Approach
V I T A L I T Y
Vitality addresses each of the root causes of non-adherence
2) Program Support• Dedicated IT administrative portal• eMail and printed reports customization• Customer surveys (periodic)
3) Access to Real-Time Reports• Sort by condition, medication, member number, MPR, mean refill frequency, demographics, etc.• Consolidated physician reporting across patients
• Wireless GlowCaps and Reminder light (cellular gateway)• Missed-dose calls• Weekly email summaries• Monthly printed reports mailed to patients’ homes
1) GlowCaps and Services
Working with Vitality: What you receive
An unprecedented, secure data feed updates daily.
Vitality radarpharmaciesCVS 145Walgreens 93Walmart 22Express Scripts 3RiteAid 1
physiciansRose 1Smith 3Goldblatt, 8
conditionsHypertension 65Asthma 3Diabetes 22
medicationsDiovan 34Liptor 13Gleevec 5
adherence>80%60-80%40-60%<40%
V I T A L I T Y
Vitality™
Contact:
David Rose
617 517 6037
One Broadway, 14th floor
Cambridge, MA 02142
APPENDIX Patents pending
Medicine Bottle Cap with Embedded Curved Display
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Medicine Bottle Cap with Embedded Trigger for Refilling
Network Operations Center (NOC)
Medication Container
Cap
Connector
PatientDatabase
S106112
104
108
110
102
Local End(e.g., Patient’s home)
Back end ExternalEntities
Rules / Escalation
engine
Messaging Platform
Doctor(s)
Pharmacies
External messaging
Messaging device(s)
System manager
116
118
122
114
LearningAlgorithm
120
Feedback Indicator
Container
PeripheralSensors
Other(s)
115
107
I
111
2694-0002
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Medication Compliance System, Method and Devices with
Configureable and Adaptable Escalation Engine
Our patented learning engine adapts to the motivational
profile of each GlowCap owner to tailor services.
1. Enroll 2. Ingest 3. Survey 4. Observe Intervention plans
Vitality Programs
Profiles dB
Patients via pharmacy partner
Demographic features.
Attitudinal features (ongoing)
Patterns of behavior Programs to motivate behavioral change. Each intervention activates a specific personalty type, and has an associated $ and duration.
Financial incentive
Social incentives
Strong social norming message
Modality preference: SMS, paper
Doctor information sharing
Each individual is prescribed a tailored plan.
People features and usage history is stored
Bayesian classifier statistically matches interventions to people, minimizing price while optimizing behavioral outcomes.
APPENDIX
Market details
Vitality targets chronic asymptomatic conditions worth billions in drug sales
Pharma
Vitality targets chronic asymptomatic conditions worth billions in drug sales
Pharma
The market opportunity for a 25% lift in adherence amounts to over $24B.
Pharma
The pharma market opportunity in heart disease alone is over $24B.
Pharma