In the previous sections we discussed several types of DATs mainly from the perspective of a patient. All DATs have in common that a record of medication intake is generated digitally. In order to store, manage and use the digital data in a structured and meaningful way, you need a platform with an user interface. With technologies like VOT - Video Supported Treatment , the technology is embedded in a platform, but for other DATs like EMM - Sleeve and EMM - Box, the technology used by patients is by design separated from the platform. Adherence platforms are primarily focused on providing meaningful information to health care workers in order to provide optimal care to their patients.
A user interface can be configured and accessible through a desktop application, web-based application, mobile application or through messaging protocols (e.g. SMS or USSD).
Goals - After reading this section, you will know:
Main functionalities and modules of an Adherence Platform
Adherence platforms commonly have the following modules:
Dashboard: to provide an overview of most indicators based on the user level. E.g. A health care worker can see the total number of patients enrolled in their clinic and today’s dosing information.
Patient registration: A module to register a patient on the platform and link a DAT to a patient (e.g. a EMM box)
Patient adherence calendar: To provide adherence information over time at an individual level.
Management module: A module for system administrators to manage users and DAT devices. And for users to manage their account settings e.g. contact information and password reset.
Reporting module: A module to view and extract reports. Often including a standardized set of reports for periodical reporting and the creation of customizable reports based on a selection of variables.
Everwell hub, is a platform with a web-based interface and a mobile Android app to manage patients using diverse adherence technologies. The platforms has evolved from the 99DOTS platform, focused on patients using 99DOTS adherence technology, to a overarching platform which is used to manage patient on a variety of adherence technologies (e.g. 99DOTS EMM sleeves, evriMED EMM boxes and sureAdhere VOT).
The Everwell Hub adherence platform has been tested with over 200,000 TB and HIV patients for 99DOTS and evriMED devices in India over the past four years. In India, the same platform supports over 5 million patients for monitoring and support throughout treatment, though only a subset of the patients are on DAT. The system is tested, robust, and scalable. In smaller settings, the same infrastructure has been set up to support over 5,000 patients across seven additional countries, starting in 2016. More information on the Everwell hub can be downloaded from the Tools and Resources section below.
evriMED Sense 3.0, the web-based adherence platform developed by Wisepill to manage patients and evriMED EMM boxes. Every time a pill dispenser is opened, the evriMED500 stores the date and time of the opening. Adherence data and reports can be viewed on the Wisepill Cloud Server and on the mobile friendly browser application. The evriMED dispenser must be configured by the evriMED PC Application which can be downloaded from the Wisepill website. More information on the evriMED Sense 3.0 can be downloaded from their website in the table above.
SureAdhere web portal, includes the a simple, secure mobile application and a HIPAA compliant cloud-hosted web interface for healthcare providers to securely log in and review patient videos, enter data regarding medication adherence to prescribed regimens and generate (individual or aggregate) compliance reports. Healthcare providers can then view the date and time stamped videos on the web portal to document each medication dose taken. The smartphone app is icon-driven, so literacy and language preference is never a barrier for patients.
The mobile application is Apple iOS and Android compatible, so patients may use their own device or one supplied by their healthcare provider. The platform features include; Exportable treatment records and analytics reports; Patient SMS and email medication reminders; Providers notified when doses are missed; Time- and date-stamped videos; Symptom and side-effect tracking; Supports split dosing and dosing outside of traditional business hours schedules; Support for multiple languages. More information on the SureAdhere web portal can be downloaded from their website in the table above.