medicalert summary presentation

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MedicAlertSummary

2008

MedicAlert Copyright 2008

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Canadian MedicAlert Foundation

• Not for profit organization, providing emergency medical information services for Canadians with medical conditions and special needs since 1961

• Largest member-based charity in Canada with over one million members of all ages.

• 65+ employees, trained to record and interpret medical information.

• MedicAlert® name and logo in Canada, one of the best recognized registered trademarks and service marks

• Endorsed by the Canadian Association of Emergency Physicians (CAEP) and the National Emergency Nurses Affiliation (NENA)


Presenter

Presentation Notes

Ileana – current # languages

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“MedicAlert Speaks for You”

Emergency Conditions…• Diabetes emergency, asthma attack, seizures, anaphylaxis

• Communication impairments: deaf, mute, too young, too old, language barriers

But do you know about…


Instant Access

Emergency Responders

MedicAlert® 24-Hour

Emergency Response Centre

Emergency Departments

Family Notification

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John Doe’s

Family Contacts3

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Bracelet

Card


Record Summarization

• Medical record is prioritized and summarized for engraving to ensure the most critical information is engraved for first responders.

• Medical Data Includes: Conditions/Surgeries/Transplants, Medications, Allergies, Devices and Special Needs

Raw Information ReceivedVia Mail, Phone, and Web

Reviewed for Completeness and Recorded with Standardized Terminology

Prioritized and Summarized For First Responders

6MedicAlert 2008 ©

Sample Summary View

7MedicAlert 2008 ©

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Who Needs MedicAlert?

As of May 2008, membership data included:

• 6269 unique allergies• 3443 unique medical conditions• 365 unique implants or devices• 5240 unique medications


Who Needs MedicAlert?

Individuals with chronic medical conditions, allergies, implanted devices or special needs that should be known in medical emergencies.

* As per Health Canada 2006 census data, 1 in 5 Canadians have a chronic medical condition, allergy, or special need.


* Health Canada Census 2006 Report

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1M member database by medical condition*

Members by Medical Condition

Health Care Challenges in Adults

Diabetes: • * An estimated 246 million people worldwide are affected by diabetes. More than 2 million Canadians are living with diabetes. With a further 7 million people developing diabetes each year, that number is expected to hit 380 million by 2025.

(*Canadian Diabetes Association, 2008)

Hypertension :• **High blood pressure affects one in five Canadians. It is the number one risk factor for stroke and a major risk factor for heart disease, so it is very important that it is properly controlled. Yet 43% of Canadians with high blood pressure don't even know they have it because there are no symptoms

(**Heart and Stroke Foundation. 2008)*Members may have more than one chronic condition or allergy

2%

2%

2%

2%

3%

3%

3%

4%

3%

6%

3%

10%

12%

2%

2%

2%

2%

2%

5%

7%

5%

2% 5%

0% 2% 4% 6% 8% 10% 12% 14%

Osteoporosis

IDDM

Epilepsy

Osteoarthritis

Arthritis

Coronary Artery Bypass (CAB)

Angina

Myocardial Infarction(s) (MI)

Atrial Fibrillation (Afib, AF)

Hypercholesterolemia

Hypothyroidism

Anticoagulated

Asthma

Diabetes

Hypertension (HBP/HTN)

ChildrenYouthAdultsSenior


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* As of August, 2007

Member Distribution

AB8%

BC10%

MB4%

NB2%

NL2%

NS4%

ON52%

PE1%

QC13%

SK4%

Members by Province

Typical members are engaged and proactive (signed up with MedicAlert), and have taken steps to minimize their risk in an emergency.


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Membership Benefits


Membership profile: age 0.2 to 100+; 87% have multiple conditions; update 2x/year

MedicAlert bracelet, wallet card• Unique patient identifier• Key emergency data• Summarized record

Membership record• Detailed data• Historical view

Cor

e S

ervi

ces

Add

ition

al s

ervi

ces

Print and e-newslettersAdvance directivesEMS education Reminders, alerts, recalls

24-hour hotline• Emergency call• Family notification

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Patient Safety:1. The reduction and mitigation of unsafe acts within the health-care system, as well

as through the use of best practices shown to lead to optimal patient outcomes.Canadian Patient Safety Dictionary, 2003

Adverse Event:1. An unexpected and undesired incident directly associated with the care or

services provided to the patient;2. An incident that occurs during the process of providing health care and results in

patient injury or death;3. An adverse outcome for a patient, including an injury or complication.

Canadian Patient Safety Dictionary, 2003

An adverse event is an unintended injury or complication which results in disability, death or prolonged hospital stay, and is caused by healthcare management rather than the patients underlying disease process.

Baker & Norton, Canadian Adverse Events Study, CMAJ, 2004

References


2.5 Million Canadians are admitted to acute care hospitals annually

– 7.5% will have one or more adverse events• 185,000 adverse events per year in Canada • 38% or 70,000 preventable • 5%-13% or 9,000 - 24,000 preventable AE deaths in Canada

Baker & Norton, Canadian Adverse Events Study, CMAJ, 2004

– 67% are likely to have at least one error in their prescription-medication-history taken during hospital admission

• 11% to 59% of these errors will be clinically important• 27% of all hospital prescribing errors – can be attributed to incomplete medication

histories at the time of admissionTam et al, Frequency, type and clinical importance of medication

errors at admission to hospital, CMAJ, 2005

– 32% of Emergency Dept Visits had an information gap identified, resulting in an average increased stay of 1.2 hours

• 58% related to Medical history• 49% essential to patient care

Steill et al, Information Gaps in the ER, CMAJ, 2003

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Safety Issues in Acute Care


– 68% of specialists did not receive patient information prior to visit– 74% of primary care physicians often do not include medication

informationGandhi et al, Communication Breakdown in the

Outpatient Referral Process, JGIM, 2000

– Study of 168 traditional medical records - 81% didn't have the information required for patient care decisions

Tang et al, Traditional Medical Records as a Source of Clinical Data in the outpatient setting,

Symposium on Computer Applications in Medical Care, 1994

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Safety Issues in Out-patient Care


Percentage of Patients reporting Errors by Number of Doctors Seen

2007 Commonwealth Fund International Health Policy Survey.

Percentage of Patients Reporting Errors by Number of Chronic Conditions

Safety Issues Continue…


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Value to Health Care providers

Health care professionals across the country understand the value of MedicAlert and recommend it to their patients:

• 78% of pediatricians surveyed recommend MedicAlert to their patients(Survey conducted with delegates at Canadian Pediatric Society conference 2001)

• 94% of nurses surveyed have recommended MedicAlert to their patients(National Emergency Nurses Affiliation survey 2001)

Emergency medicine professionals find MedicAlert useful in their practice.

Those that use MedicAlert regularly (64% of total surveyed) said that the medical information provided:

• saves them time 88.5% • helps them establish diagnosis 81%• helps them determine course of treatment 78%

(Combined surveys of paramedics, emergency physicians and emergency nurses conducted between 2000-2002)


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Why Partner with MedicAlert?

• 45+ years experience collecting patient-provided information

• MedicAlert® 24-Hour Emergency Hotline call centre, availability of medically trained staff (RN, MD, Health Record Technicians)

• State-of-the-art technology infrastructure, secure systems

• Established Web-based patient portal for self-report


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• Overall MedicAlert service seen as incentive for patient participation in studies

• Reach out to marginalized patients (multicultural / language challenges) 13+ languages in Toronto customer service call centre

• Unique patient identifiers, capability to link with other databases

• Ability to record, analyze and report on co-morbidity, medication use, adverse events data (aggregate, non-patient identifiable)

• Affinity programs to members of partner organizations.MedicAlert Copyright 2008

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www.medicalert.ca

Robert Ridge, President & CEO [email protected]

Ileana Ciurea, Interim Vice President Operations; Senior Consultant Medical

Affairs [email protected]

Laura King Hahn, Manager of Education Programs [email protected]

Michael Nemeth, National Pre-Hospital Education Program Advisor

[email protected]

Contacts


http://www.medicalert.ca/

mailto:[email protected]




medicalert summary presentation

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