Duke Pillbox: A FHIR-Powered Model to Improve Medication Management and Care Transitions

The app teaches patients the skills for medication management and patient-provider communication for medication reconciliation and medication adherence. The app teaches patients skills required to identify and organize pills in a daily and weekly med-dosing schedule. The design features appropriate strategies to overcome health literacy barriers and optimize patient opportunities to communicate questions, concerns and misunderstandings regarding medication management with providers. Developed by DUHS in collaboration with MedAppTech, Duke Pillbox improves self-management through patient learning, communication and user-satisfaction outcomes in hospital, clinic and home settings. The Duke Pillbox solution captures and manages data from patient interactions in a continuous, reportable feedback loop to improve 1) communication for medication changes; 2) patient-reported side effects; 3) education for medication misses; 4) health literacy for medication management; 5) data capture for medication management and adherence over time.