The impact of mobile technologies on the Specialty Pharmacy Industry - Monday, October 14th 12:00pm-1:30pm

The impact of mobile
technologies on the Specialty
     Pharmacy Industry
       Monday, October 14th
         12:00pm-1:30pm

Session       Mobile Health or ‘mHealth’ offers the industry an opportunity to
              engage in multi-layered personalized solutions that will support
Information   patients in the real world. Through these adaptive solutions
              pharmaceutical companies can not only improve medication
              adherence, but also facilitate patients to change behavior, thus
              improving health outcomes and overall quality of life.

              Universal Activity#0761-9999-13-337-L04-P; 1.5 contact hours;
              Knowledge-based activity

              Faculty:
              Thomas Morrow M.D.
              Medical Director at Genentech, Inc.

              Jennifer (Longhurst) Cretu, MBA
              Vice President, Information Technology & Marketing at Diplomat
              Specialty Pharmacy

              Serge Loncar, MBA
              Founder & CEO, CareSpeak Communications

   The information within this CME/CE activity is for
DISCLAIMER       continuing education purposes only, and is not
                 intended to substitute for the medical judgment
                 of the healthcare provider. Recommendations
                 for use of any particular therapeutic agents or
                 methods are based upon the best available
                 scientific evidence and clinical guidelines.
                 Reference in this activity to any specific
                 commercial products, process, service,
                 manufacturer, or company does not constitute
                 its endorsement or recommendation.

Faculty Biography

Thomas Morrow, MD
Medical Director Genentech
Birmingham, Alabama

   I do not intend to discuss an off-label
DISCLOSURES       use of a drug during this activity.

                 I currently have the following relevant
                  financial relations to disclose:
                           Full time employee of Genentech
                           Genentech (Roche) stock holder

                           The opinions and comments of the
                            speaker are his alone and do not
                            necessarily represent those of his
                            employer

Redefining the High-
Touch Specialty Pharmacy
         Model
  Interactive, real-time, 24/7 patient connections will change the
     way patient care is delivered and offer new ways of doing
                  business for specialty pharmacy
           Specialty Pharmacy Times: July/August 2013

OBJECTIVES
             1. Discuss Implications of Apps And Wearables

             2. Define the new “Self-Service” Personalized

                Mobile Medicine paradigm

             3. “Blow up” the current High-Touch SP Paradigm

                with technology

The “Pocket Doctor” Reality: Imagining the Future of Healthcare

 “The future of healthcare is allowing the consumer to become the
 CEO of their own health…”

  “….a future in which what’s going on in your body is constantly
 being monitored and analyzed, and the results are provided to you
 so you can make intelligent decisions….”

 “AI, cloud computing, digital imaging, lab on a chip, etc. can
 effectively [do this] for a fraction of the cost”
                              Excerpts from an interview with Peter Diamandis
                   Doctor, Entrepreneur, & Founder of the X PRIZE Foundation.

Convergence of Technologies:

Smart Phone
Apps
Internet
Microchips
Artificial Intelligence and Natural Language

Micro Chip in a Jersey!
Tampa Bay Promotion to
  Track Sales During
  Games
The promotion worked! —
twofold increase in season
  ticket sales

Defense Advance
Research Project
    Agency

Imbedded a Microchip in a Candy Bar with a $10,000 prize
         Nestle Chocolate contest in England

Implantable Chips
             The VeriTeQ system fulfills the FDA’s
 Direct Marking and Automatic Identification and Data Capture

                                      First Customer: Breast
                                       Implant Manufacturer
                                      in the European Union

Future Applications:

Blood Oxygen,
Glucose
Medication
Pulse
Temperature

Ingestion Event Marker

                         Camera

Medicine in a Microchip
                Implant Holds up to 400 doses
http://medcitynews.com/2012/09/medicine-in-a-microchip-company-testing-an-
           implantable-wireless-drug-delivery-system/#ixzz2fFeTXFYb

Automated Hovering

Patient-Generated Health
Data
Disease management
Adherence protocols
Side effect management
Health literacy
Quality of Life Metrics
Motivational Interviewing
Virtual coaching
Setting appointments
Pharmacovigilance
Caregiver needs
Personal life

Bringing it all together with natural language virtual health assistants

    A specialized form of
    artificial intelligence that
    combines the ability to
    understand natural – or
    everyday – language with a
    variety of data sets including
    your assets and user profile
    data to characterize intent
    and orchestrate action.

Will patients embrace the “digital” touch?

Can a Virtual Health Assistant bring this all together and
facilitate better outcomes?

Timothy Bickmore, PhD
Associate Professor
College of Computer and Information Science
Northeastern University

“Relational Agents are computer agents designed to
form long-term, social-emotional relationships with
their users...”

“...human-agent relationships actually improve task
outcomes, such as in coaching, counseling,
psychotherapy and healthcare.”

Clinical Results
A Virtual Discharge Nurse reduced hospital readmissions at the 30 day mark,
by 30 percent

Timothy Bickmore, Intelligent Caring Machines: FHTI Virtual Healthcare Workers Initiative fhti.org

Patients Preferred the Virtual Discharge Nurse
74% of pilot-study hospital participants would rather interact
with an Intelligent Virtual Assistant than an actual human being.

VHA Facilitated Adherence
 Anti-psychotic medication adherence increased to 89% from the
 historical rate of 50%

   Bickmore, T. & Pfeifer, L. (2008) Relational Agents for Antipsychotic Medication Adherence

The VHA Doubled Exercise Activity!!!
…and No Demographic is off limits
Ages
   62 – 84
Low Reading Literacy
   86%
Never Used a Computer
   36%
Used a Computer “a few times”
   27%
African-American
   73%
Obese or Overweight
   77%

Specialty Pharmacy Applicability

                                        VHA Touch Points Throughout the Model

                           Portal

How to Transform REMS Into an Opportunity to Develop a More Successful Drug Launch
Craig Kephart, Centric Health Resources | Pharmaceutical Commerce | January 02, 2011

Opportunities and Implications

• REMs and Registries
  • Robust platform for managing strong patient relationships, support,
    and training related to issues and side effects needed for a REMS
    program
• FDA
  • Does this all roll up to become a medical device
  • Can this actually become a Pocket Doctor or Nurse
      o Can a VHA emulate judgment and intuition