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About Medicomb UK

"Medicomb UK - better medicine information, better decisions."

Medicine is one of the major blessings of our time. Though not every problem may be cured by medicine most diseases may be treated and many prevented by the use of medicine. The extensive use of medicine, however, has a downside. One symptom is treated with one medicament, more symptoms with more medicaments and if done without the right tools to notify the prescriber about possible adverse effects of other drugs; this could lead to a prescribing cascade and go from appropriate polypharmacy to problematic polypharmacy.

The potential problems of polypharmacy is known and recognised issue in all Western countries, facing an ageing population, and a growing use of preventive medicines. In England the 60+ population represents 20% of the population but consume 56% of dispensed drugs which costs around 40% of NHS drug budget. Adverse Drug Reaction may cause hospital admission cost to NHS of £466 million a year.

We are not on a quest to fight medicine or polypharmacy - we are on a quest to help deliver the right and only the right drugs to the right patient. Making sure appropriate polypharmacy does not evolve into problematic polypharmacy.

Our Team

MediComb UK is owned and run by the following persons:

Henrik Reiche

60 år, CEO, MSc. Polit. Prior to Medicomb UK; 17 years as IT-project Manager in Codan insurance, since 2002 freelance consultant specializing in information management, document management, content management and knowledge management. Among others, worked as a informationarchitect for the European parliament on the creation of a very complex, multilingual content management system.

Jesper Reiche

28 år, CTO, Prior to Medicomb UK; freelance consultant for the EU-commission, 6 years as a programmer in CSC DK. Had a key role in SAS' integration towards Amadeus on the revenue management account.

Showcase

Case 1:

Patient consults a GP or is sent to hospital.

The GP/doctor should now examine whether the main complaint may be caused by the patient’s medicine. Without the system it would mean several look-ups for each individual drug, which is quite time consuming.

The Healthcare professional receives an overview of all the adverse reactions and the number of drugs having the reaction, alongside all other available medicine information. With this overview it is possible for the GP/Doctor to prevent inappropriate prescribing, avoid the prescription cascade and adjust the patient’s medicine. This reduces errors, prevent hospitalisation and may reduce public spending and improve the quality of life for the patient.

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Medicomb Screenshot

Case 2:

Pharmacist or nurse performing a Medicines Use Review for an elderly citizen.

Based on a list of the citizen’s drugs the pharmacist/nurse/care person receives an executive summary of all the information concerning the citizen’s drugs. Without the system it would mean several look-ups for each individual drug, which is quite time consuming.

The healthcare professional may now select details or simply remove unnecessary types of information (either setup in the user profile, or individually) but will also see different types of alerts, notifications and guidelines.

The final outcome may be printed as a report and compared to health records or discussed with the citizen in order to optimize the medical treatment.

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Medicomb Screenshot

Case 3:

Elderly or social care staff visits a chronic ill citizen using several drugs.

In the immediate preparation of the visit the staff person examines the citizen’s care or health record. The current medication is copied to the “MediComb” system and the staff person receives a special care-overview displaying care relevant information. The dispense method, nourishment and herbal medicine interactions and the most likely and also most serious adverse reactions are displayed.

With this overview the care person is able to administer the medicine and nourishment. Care staff may also keep a watchful eye on the citizen’s symptoms and prevent serious problems or even hospitalisation, improving the quality of life for the citizen.

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Medicomb Screenshot

Case 4:

Filtering out less relevant information according to patient properties.

Medicinal information is usually quite extensive with large amount of details. The system is designed to only present “net” information so menu’s are only appearing if relevant information concerning “surgery”, lab-test, special observations etc. actually exist.

Even then some information may be less relevant for a specific patient or citizen. It is then possible to single out specific information related to the patient's sex, age, weight and type, like impaired renal function or impaired liver function.

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Medicomb Screenshot

Case 5:

Interactions, alerts, external medical guidelines.

The system will alert on mutual interactions from the selected drugs, but will also display possible food or herbal medicines interactions. The alerts are grouped according to importance and displays recommendations. To avoid “alert fatigue” the user is able to setup which types of alerts to receive.

GP's and other healthcare professionals receive and store a large number of external guides on management or treatment with specific drugs. These are usually document based and the healthcare professional needs to rely on the memory of such interventions. MediComb makes such guidance operational by displaying specific advice concerning the selected drugs.

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Medicomb Screenshot

Patient empowerment

The focus on "Patient Empowerment" keeps increasing.

The patient wants in on the decisions, concerning their use of medicine. They want to be a part of the decision process and assess whether the effect of the treatment is worth the potential risk of adverse effects.

In order to make informed decisions, the patient needs the best and most understandable medicine information available.

We strongly believe that we can deliver this - and relieve the patient of mile long confusing leaflets.

Information as a service

We are able to tailor our information and deliver it to you as a service. So whether you are an app-company serving special patient-groups and wants to deliver information about adverse reactions or treatment advice, or you serve any other market that could be interested in either the combined information of several drugs or very specific information about a single – we can deliver.

Please contact: info ( @ ) medicomb.dk

Clinical decision support

See showcases for actual examples

Decision support has by numerous studies been recommended to help GP’s make better decisions. Time constraints, general workload and complexity of a patients drug regimen, can all be factors that makes it hard for GP’s to make the best objective decision. The system is capable of delivering a unique overview, even tailored for the individual GP, nurses or other health professional – giving them all the needed information to make the optimal decisions and leave more time for the individual patient.

Symptom as an adverse reaction can be overlooked by a GP – not because of lack of skill or knowledge, but because of the limited amount of time they have for each patient. If they were to suspect a symptom being an adverse effect of existing medicine the patient is consuming, then they would have to look-up each individual drug, look for the symptom among all the adverse effects and try to find it among the x number of drugs the patient is prescribed. There simply is not time for this during a consultation and keeping up appearance of the knowledgeable authority might be difficult if going from one to second to third etc. in order to try and find an answer. Therefore the most obvious solution is to prescribe yet another drug for this new symptom. Having our information available enables the GP to make a single look-up and then have all the available information to decide whether this symptom should be treated with a new drug or a change of existing medication.

Breaking the prescribing cascade is a complex and difficult task, underscored by the explanation above. But our system will enable the GP to break this cascade of always treating one symptom with one drug, then the next symptom with yet another etc. Apart from the health of the patient who is the one that suffers the most from problematic polypharmacy, the national health service, paying the largest bill for the drug expenses, are the ones who would be very interested in any intervention that might limit inappropriate prescribing.

Minimizing errors is something all GP’s are very concerned about. Primarily to secure the health of their patients, but in some instances also to keep them from being sued or persecuted by law. The system will provide them with the most complete overview of drug information available, user-defined alerts and treatment advice to give them the best foundation for not making medicine-related errors.

Medicine Use Reviews

See showcases for actual examples

Medicine Use Reviews are very complex and time consuming. The majority of the time is spent gathering information about each drug the patient has been prescribed. This comprises several searches and look-ups in either books or on the web, browsing through textual documents of drug information, writing notes and comparing each drug to see patterns and remember distinct features of each individual drug to get a somewhat complete overview of all available information. All this can be replaced by a single look-up in our system.

This saves a lot of time that can be used talking to the patient and getting their full view of how they experience their drug regimen.

E-leaflet

Most people have had an encounter with leaflets from medicine. Few have walked away from such encounter feeling even slightly informed.

The consequence of this is that almost noone reads the leaflets. Of course not all information in these vast documents are of utmost importance, but absorbing the important information or finding what you are looking for is impossible.

With the use of our system it would be possible to easily find any information that might interest you, whether it would be dispensing, nourishment interactions or any other part of information. Furthermore it would give a quick overview and highlight the important information you should not miss.

In short making the mile-long leaflets redundant.

Location

Medicomb A/S
Egevej 10, 4720 Praestoe
Denmark

CVR: 35 52 74 00
Tlf: +45 40 45 27 32
Fax: +45 55 94 11 09
E-mail: info@medicomb.dk

Vores afdeling

Customer Service:

Freephone: +1 800 559 6580
Telephone: +1 800 603 6035
FAX: +1 800 889 9898
E-mail: mail@companyname.com

Risk management dept:

Freephone: +1 800 559 6580
Telephone: +1 800 603 6035
FAX: +1 800 889 9898
E-mail: mail@companyname.com

Network planning service:

Freephone: +1 800 559 6580
Telephone: +1 800 603 6035
FAX: +1 800 889 9898
E-mail: mail@companyname.com

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