“JITAS" The just in time alert system from the Hearst Healthcare Incubator Team “Reporting Patient Safety Events Challenge” Submission, August 2012

Ominous Trends: More Medications, an Aging Population, and Less Care Capacity

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1 Med 5+ Meds

No Meds

Patient Reported Medications Taken in

Last Week

§  Frail patients with chronic conditions taking more medications §  Less patient-physician face to face time §  More side effects and accidental dosing errors §  More avoidable visits to the emergency room

Shift in Population Demographics:

Number of “Older” Adults (in millions)

Fewer Healthcare

Dollars

Fewer & Distant Points of Care

Vision: Detect & Report Adverse Events Early − Detect signs and symptoms of medication side effects & dosage errors − Help patients to communicate symptoms quickly to their providers,

avoiding telephone waits and unneeded visits to the emergency room − Provide patients with immediate feedback to their concerns,

even when the clinician’s office is closed − Collect population scale data regarding medication outcomes,

adherence, interactions, and satisfaction − Create patient safety messages in AHRQ common formats directly from

the source data

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Drive Patients to the Clinic Early, Before Hospitalization is Needed

“JITAS” System

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•  Mobile & web-based system used by multiple stakeholders including home health providers responsible for multiple patients or by patient’s family members

•  Focused on patient-specific medications and conditions •  Configurable for populations, customizable by physicians •  Integration with the patient’s EMR via standard interfaces

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Drug Side Effects & Interactions

Diagnosis Related

Symptoms

24x7

Symptom Side-Effect Matching Symptom Cluster Matching

Severity Scoring Notification (including SMS)

Simplified Patient Record and Provider Patient Relationships

Nurse & Physicians Console

Mobile app used by Patient or Caregiver

HIT EMR System

Patient Safety

Org

JITAS Key Features • Knowledge engine draws upon side effects and interactions from

industry-proven First Databank clinical decision support • Patient oriented mapping of technical to “lay” terms • User configurable links between ICD9 codes and symptoms, symptom

clusters, “urgency” thresholds, and message escalation rules • Clear linkage between patient, physician and home health providers • Automatic generation of SMS messages to designated physician • Generation of CDA patient safety message •  . • We invite you to view the complete feature tour at

http://www.youtube.com/watch?v=ZnOVEvsYCmY

Note: The application is currently in an alpha release and is deployed without standard web encryption. There is no actual patient data on this site.

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