AI-Powered Medication Adherence & Patient Engagement Framework
How OrbDoc transforms medication adherence through ambient AI capture at discharge, continuous monitoring, and targeted interventions based on risk stratification.
OrbDoc's 4-Phase Adherence Framework
Phase 1: AI Capture
Ambient AI documents discharge conversations, capturing medication education and patient concerns in real-time.
Phase 2: Risk Analysis
AI analyzes patient data, pharmacy records, and SDOH factors to stratify adherence risk levels.
Phase 3: Targeted Intervention
Personalized outreach strategies based on individual risk factors and adherence barriers.
Phase 4: Outcome Tracking
Continuous monitoring and measurement of adherence improvements and clinical outcomes.
Real-World Patient Journey: Maria's Story
Discharge: AI-Captured Education
Maria, 58, with Type 2 diabetes, discharged after DKA. OrbDoc captures entire medication education conversation.
Captured: "That Metformin makes me feel sick sometimes. I usually skip it when my stomach is upset... My daughter picks up medications but she's working double shifts lately."
30 Days Post-Discharge: Risk Analysis
AI aggregates pharmacy records, patient app data, and clinical indicators to assess adherence risk.
Risk Factors Detected:
- • 40% missed Metformin doses
- • Delayed insulin refill (5 days)
- • Transportation barriers confirmed
- • Elevated A1C trend
AI Classification:
HIGH RISK
Immediate intervention required
Targeted Intervention: Personalized Support
Case manager receives AI-generated talking points and intervention recommendations.
3-Month Outcomes: Measurable Improvement
Integrated Technology Platform
Ambient AI Capture
- Real-time conversation capture during discharge
- Automatic SDOH barrier identification
- Patient comprehension scoring
- Structured discharge documentation
Risk Analytics Engine
- Multi-source data integration
- Predictive adherence modeling
- Real-time risk stratification
- Care team alert prioritization
Patient Engagement Tools
- Smart medication reminders
- Symptom tracking and alerts
- Direct care team messaging
- Personalized education content
Advanced Implementation Scenarios
Predictive Analytics: COPD Patient Risk Identification
Robert, 72, with COPD shows perfect pharmacy adherence but OrbDoc's AI identifies concerning patterns:
- • Discharge conversation captured frequent mentions of "forgetting" inhaler techniques
- • Historical data shows seasonal adherence drops during winter months
- • Recent widowhood noted; social isolation risk factors present
Proactive Intervention: Respiratory therapy refresher scheduled and COPD support group connection made before adherence issues manifest clinically.
Multi-Condition Coordination: Diabetes + Heart Failure + Hypertension
Eleanor manages multiple chronic conditions with complex medication schedules. OrbDoc provides:
- • Unified medication schedule incorporating all prescriptions
- • Condition-specific education and monitoring reminders
- • Coordinated reporting to endocrinologist, cardiologist, and PCP
- • Emergency protocols for concerning symptom combinations
Care Team Dashboard: Case Manager Optimization
Sarah, a case manager, logs in Monday morning to find her dashboard optimized by AI:
- • High-risk patients automatically prioritized at top of queue
- • Specific talking points generated for each patient interaction
- • Community resource recommendations based on SDOH factors
- • Success tracking for previous interventions and adjustments
Result: Caseload increased from 50 to 75 patients with improved outcomes due to AI-powered prioritization.
Implementation Roadmap
Foundation Setup (Weeks 1-4)
EHR integration, staff training, patient enrollment system, care protocol development
Pilot Launch (Weeks 5-8)
High-risk patient cohort enrollment, dashboard optimization, patient app beta testing
Scale & Optimize (Weeks 9-16)
Population expansion, predictive analytics, community resource integration
Full Deployment (Month 5+)
System-wide rollout, advanced AI features, quality metric integration
Expected Transformation Outcomes
Clinical Quality
Operational Efficiency
Financial Impact
Ready to Transform Medication Adherence?
See how OrbDoc's AI-powered framework can revolutionize patient engagement and adherence outcomes
Specialized implementation support for medication adherence initiatives