PictureRx: Improving Medication Safety in Health Disparity Populations

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 2R44MD004048-03
Agency Tracking Number: R44MD004048
Amount: $1,172,564.00
Phase: Phase II
Program: SBIR
Solicitation Topic Code: NIMHD
Solicitation Number: EB12-001
Timeline
Solicitation Year: 2013
Award Year: 2013
Award Start Date (Proposal Award Date): 2013-09-25
Award End Date (Contract End Date): 2016-03-31
Small Business Information
340 FRAZIER AVE, Chattanooga, TN, 37405-4050
DUNS: 969152206
HUBZone Owned: N
Woman Owned: Y
Socially and Economically Disadvantaged: N
Principal Investigator
 DANE BOYINGTON
 (423) 309-3667
 dane@thinkingmedia.com
Business Contact
 SHEILA BOYINGTON
Phone: (423) 266-2244
Email: sheila@thinkingmedia.com
Research Institution
N/A
Abstract
DESCRIPTION provided by applicant Medication safety is an important concern in hospital Emergency Departments EDs which provide approximately million patient visits annually in the US and are a common site of care for health disparity populations In more than one third of ED visits patients are unable to provide an accurate list of their medications Discrepancies and other errors in the documented medication list affect diagnostic and treatment decisions in the ED and increase the risk of harmful adverse drug events Taking an accurate medication history and performing medication reconciliation though required by regulatory agencies remains a challenge in this time pressured environment and new approaches are needed PictureRx is an internet based technology that was developed to improve medication management in vulnerable populations The project team has successfully completed development and feasibility studies supported by two Phase I SBIR awards from NIMHD The current platform allows subscribers to manually maintain structured medication lists and print evidence based patient centered illustrated medication lists in English or Spanish These were shown in a randomized controlled trial to improve medication understanding The goals of this Phase II research and development proposal are to expand the capabilities of the PictureRx platform by linking to other electronic health data sources to test its effectiveness in improving medication reconciliation in Emergency Departments and to enhance its commercial potential as a technology to improve the care of health disparity populations In Aim we will develop a process for importing patient prescription data from Surescripts the nationandapos s largest clinical information network into the PictureRx platform where it will be automatically filtered and structured using language processing rules In Aim we will further develop the current PictureRx user interface to facilitate review verification and editing of this information by eiter the patient or a health care professional We will also build in a series of prompts to gather a more complete medication history from the patient which the user will input into the PictureRx platform to augment the medication data that can be obtained through automated means In Aim we will test the effectiveness of the PictureRx technology in enhancing medication safety in clinical practice where we expect it will improve the accuracy and efficiency of obtaining a medication history from patients in the ED Patients will also be provided PictureRx medication instructions upon discharge which we expect to improve understanding This work involves clinical partnerships with health systems that serve disparity populations This work will be performed by an experienced team of software engineers business developers and academic physicians who have successfully completed many other projects in technology development and medication safety The PictureRx technology has very high potential as an effective affordable and appropriate intervention to improve care in disparity populations PUBLIC HEALTH RELEVANCE Relevance Emergency Departments ED serve as an important safety net in the United States particularly for vulnerable populations Having an accurate list of the patientandapos s medications is important for treatment decisions in the ED and subsequently yet more than one third of medication lists documented in the ED contain potentially harmful errors This research seeks to develop implement and evaluate an internet based technology PictureRx to improve providersandapos ability to efficiently obtain an accurate medication list in this setting

* Information listed above is at the time of submission. *

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