Medicalert Overview Presentation

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MedicAlertOverview

2008

MedicAlert Copyright 2008

2MedicAlert Copyright 2008

Canadian MedicAlert FoundationSnapshot

• 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.

• Ongoing education program and training for paramedics and first responders in Canada.

• 65+ employees, most 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).

MedicAlert Copyright 2008 3

Core Membership Services


Core Service Components

• Customized medical identification product (bracelet or neck let).

• Personal Health Record (PHR).

• MedicAlert card with key medical information.

• MedicAlert® 24-Hour Emergency Hotline accessible from anywhere in the world.

• Fully bilingual customer service.

• High security database storing member medical information, in-house information technology specialists.


Core Service Components Cont…

• Staff trained in medical terminology:

o Medical Editors;

o Medical Advisors.

• Member medical information can be updated as needed

by phone, web site, fax, and mail.

• Member information is completely protected and never

sold or released to other organizations.

Sample Size: 61,495 (May 2008)MedicAlert Copy Right 2008

6

2%3%3%4%4%5%5%5%5%6%6%

11%18%

22%

0% 3% 6% 9% 12% 15% 18% 21% 24%

GlaucomaOsteoporosisOsteoarthritis

ArthritisCoronary Artery Bypass (CAB)

AnginaMyocardial Infarction(s) (MI)

AsthmaAtrial Fibrillation (Afib, AF)

HypothyroidismHypercholesterolemia

AnticoagulatedDiabetes

Hypertension (HBP/HTN)

Top Medical Conditions Amongst Older Adult Members(Age 60 years +)

7

2%2%3%3%4%5%5%5%6%7%

16%16%

24%

0% 3% 6% 9% 12% 15% 18% 21% 24%

Steroid DependentMyocardial Infarction(s) (MI)

DepressionMigraines

ImmunosuppressedIDDM

EpilepsyHypercholesterolemia

AnticoagulatedHypothyroidism

AsthmaHypertension (HBP/HTN)

Diabetes

Top Medical Conditions Amongst Adult Members(Age 19 - 60 years)

Sample Size: 66,395 (May 2008)MedicAlert Copyright 2008

8

2%2%2%2%2%2%2%3%3%3%

6%11%

16%43%

0% 6% 12% 18% 24% 30% 36% 42%

EczemaSeizures

HypothyroidismSeizure Disorder

ImmunosuppressedDiabetes Mellitus

AutismSteroid Dependent

Malignant HyperthermiaADHD

EpilepsyIDDM

Type 1 DiabetesAsthma


Top Medical Conditions Amongst Youth Members(Age 13 - 19 years)

9

1%2%2%2%2%2%3%3%4%4%4%7%

10%55%

0% 6% 12% 18% 24% 30% 36% 42% 48% 54% 60%

Steroid DependentNon‐Verbal

Allergy‐induced AsthmaSeizure Disorder

Cold‐Induced AsthmaMalignant Hyperthermia

AnaphylaxisEczemaIDDM

AutismEpilepsyADHD

Type 1 DiabetesAsthma


Top Medical Conditions Amongst Children Members(Age 0 - 12 years)

10

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%

OsteoporosisIDDM

EpilepsyOsteoarthritis

ArthritisCoronary Artery Bypass (CAB)

AnginaMyocardial Infarction(s) (MI)Atrial Fibrillation (Afib, AF)

HypercholesterolemiaHypothyroidismAnticoagulated

AsthmaDiabetes

Hypertension (HBP/HTN)

Children

Youth

Adults

Senior

Summary of Top Medical Conditions Amongst Members at MedicAlert



Summary of Top 15Medical Conditions

Condition Total Senior Adults Youth Children1 Osteoporosis 2% 2%2 IDDM 2% 2%3 Epilepsy 2% 2%4 Osteoarthritis 2% 2%5 Arthritis 2% 2%6 Coronary Artery Bypass 2% 2%7 Angina 3% 3%8 Myocardial Infarction 3% 3%9 Atrial Fibrillation 3% 3%10 Hypercholesterolemia 5% 4% 2%11 Hypothyroidism 6% 3% 2%12 Anticoagulated 8% 6% 2%13 Asthma 14% 3% 5% 2% 5%14 Diabetes 17% 10% 7%15 Hypertension 17% 12% 5%

Total Top 15 86% 53% 27% 2% 5%


Speaks for You…

Emergency Conditions…

• Diabetes emergency

• Asthma attack

• Allergies / Anaphylaxis

• Confusion, Alzheimer’s

• Seizures

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


Special Conditions

But did you also know…


How It Works

• Member information is recorded in a centralized database

• Members receive customized ID products (engraved with key medical data, unique ID number and tel. number of 24-hour Emergency Response Centre) and MedicAlertcard

• Members and/or their health care providers update the information whenever needed


Information Recorded

Medical

• Detailed medical conditions• Medical history, surgeries• List of medications• List of allergies (allergen,

type & severity of reaction)• Implants, devices

(pacemaker, prostheses, lens implants, VP Shunt, etc.)

• Special needs (clinical studies, developmental delays, living will, hearing/visual impairment, scuba diver, etc.

• Organ donor status

Demographic

• Name• Age• For children:

parent/guardian• Address, telephone, fax, e-

mail• Emergency contacts (min. 2

next-of kin)• Physicians- FP, specialist

(name, address, phone number) or other e.g. transplant coordinators

• Member Consent


Access to Information

Membership Information Updates: • Customer service centre (Monday – Saturday) 1-800 lines, fully bilingual.

• Fully secured individual member access via Web 24/7 My MedicAlert.

• Mail, fax, and walk-in.

In Emergencies – Member Record Accessible Via:• 24-Hour Emergency Response Centre (hotline) – Information can be provided

verbally, e-mailed, faxed.

• MedicAlert Card.

• Print-out of Web-based record (member might carry).

• Individual members can download their records to portable devices: PDA, USB

Key, etc.


Members have 24/7 Access their Personal Medical Record

24/7 Access Via My MedicAlertLaunched in Mar 2005 - Currently over 49,000 users


Easy to Use Interface for Members to Update Online


About Data Security & Privacy

• Canadian MedicAlert Foundation (CMAF) has over 47 years of experience, protects health records for over 1M Canadians.

• Detailed Information Security & Privacy Policies

• Database hosted at Canadian MedicAlert Foundation (CMAF) Secured Data Centre with 24/7 monitoring:

o 7 full time systems professionals, including Network/Security Administrator with CISSP accreditation.

• Web Security features include: Port Restrictions, IPSec, HTTPS – 128 bitX509 separate certificates for public and internal traffic, and both client and server side parameter validation; Intrusion Prevention System detects and automatically blocks unauthorized users or traffic.


About Data Security & Privacy Cont…


About Data Security & Privacy Cont…

• External security meets RCMP, CES (Communications Security Establishment) & Gov of Ontario Standards, certified to Payment Card Industry Standards.

• Very clear statements on where data is stored and used.

• Each member provides consent to release medical data in emergencies; provide members with the ability to opt-in to research studies, and opt-out of print and/or email mailings.

Instant Access

Emergency Responders

MedicAlert® 24-Hour

Emergency Response Centre

Emergency Departments

Family Notification

2

John Doe’s

Family Contacts3

1

Bracelet

Card



Emergency Responders Say…

Survey Questions *EMS **CAEP

Saves me time 90% 87%

Helps me establish diagnosis 94% 68%

Helps me determine treatment 83% 73%

Helps me provide treatment more 84% 80%quickly in a life-threatening situation

Canadian MedicAlert Foundation - National Survey on Medical Emergencies 1998-2001*Emergency Medical Services (EMS)**Canadian Association of Emergency Physicians (CAEP)


Hotline: Emergency Response Centre

• 24-hour operation

• Phone number engraved on the bracelet / necklace / ID product (209) 634-4917

• Collect call accepted worldwide

• North America Emergency Call Centre in Turlock, California

• 100 different languages supported


Medical Calls to the Emergency Response Centre

0%

10%

20%

30%

40%

50%

60%

Proportion of medical calls

199819992000

• No statistical differences are seen in each group (Chi-square, p>0.05)

Justin Kim April 2001. Research project, U of T “Analysis of the Hotline Program at the Canadian MedicAlert® Foundation”


Health Care Professionals Callers Breakdown

0%

5%

10%

15%

20%

25%

30%

35%

40%Proportion of all Callers Breakdown

199819992000

Justin Kim April 2001. Research project, U of T “Analysis of the Hotline Program at the Canadian MedicAlert® Foundation”

» Differences not statistically significant (Chi-square, p>0.05)


Origin of Calls

0%

10%

20%

30%

40%

50%

60%

Hospital ER Hospital Other*

Clinics* Dental Office Paramedics Others

Proportion of Calls

199819992000

• Hospital OtherHospital setting except ER

• Clinics: Physician’s offices• Others: passerby, relatives,

life guards, police, managers, secretaries

• Statistically significant*


Value-addMembership Services


Value Add

• Newsletters and E-Newsletters:o MedicAlert Connectso E-newsletter E-Connectso My MedicAlert

• Reminders: updates for medical condition, demographics, and medications.

• Affiliate partnerships: special member discounts for online pharmacy, safe travel, publications, and organizational memberships.


Value Add Cont…

• Advance Directives

• Educational messages /alerts /recalls.

• Special membership subscriptions rates to Consumer

Reports on Health Journals and Allergic Living.


Products


Medical ID Products

Types of MedicAlert® Identification


Comparisons

MedicAlert®

• A registered trade mark and service mark.

• Ordering must take place through the MedicAlert

contact centre, website, or brochure mail-in program.

• Emblems are assembled and engraved in Canada,

subject to strict federal standards regarding materials

(e.g. lead, nickel), and each product is vigorously

stress-tested to make sure that it doesn’t break.


Comparisons Cont…

Competitors:• Multiple imitations available in jewelry stores, pharmacies

or on the Internet.

Problems with the look-alike products:• Accuracy of data questionable• Information often outdated• No 24-hour telephone call centre access• No database for health care providers• No world-wide access. • No translation available• No emergency responder education programs

http://www.hahoriginals.com/catalog/product_info.php?cPath=66_68&products_id=216&osCsid=53a299c3b01eb4efdd0e5da09a62ad37

http://n-styleid.com/merchant/merchant.mv?Screen=PROD&Store_Code=NI&Product_Code=LOSN


Initiatives and Partnerships


Points of Interests

• Personal medical health record. Availability of personal medical information in emergencies

• Identification of children with medical conditions in schools

• Patient Safety

• Charitable initiatives in support of people who need medical identification

• Research (prospective disease monitoring, public health surveillance, post-marketing drug surveillance)


Some of our Partners

• Canadian Association of Emergency Physicians (CAEP)

• National Emergency Nurses Affiliation (NENA)

• Government of Canada

• Canadian Lions Club

• Health Canada (NIHB – First Nations)

• British Columbia Ministry of Health

• British Columbia Ambulance Service and British Columbia Medical Association (No CPR program)

• Anaphylaxis Canada

• Canadian Diabetes Association

• AQAA (Allergy Association of Quebec)

• Ontario Pharmacists Association

• Canadian School Board Association – Emergency Medical Information Protocol


Sample: Specific Initiatives onAsthma and Allergy

Partnership with Anaphylaxis Canada• Education and awareness programs

Education resources for health care providers• Educator’s kit for Asthma Centres;

• Efforts to include MedicAlert information in curriculum

for Certified Asthma Education (e.g. Michener Institute)


Sample: Specific Initiatives onAsthma and Allergy

Education programs for members• e.g. targeted compliance program for MedicAlert

members with asthma (supported in part by educational

grants from industry).

Line of products specific to members with anaphylaxis• allergy kit; epinephrine holders / auto-injector belts, etc.


Communications• e.g. advertising in Allergic Living magazine, CFRB

health show about MedicAlert and Sabrina’s law; Alert

messages via e-mail.

Sample: Specific Initiatives onAsthma and Allergy Cont…


Specific Initiatives for Children and Youth

Children’s Programs:• No Child Without® program • Students First program

Product Lines for Children and Youth• Sport bracelets, sport necklets with rubber chains, dog

tags• Kid-specific website (currently being updated)• Special considerations for privacy of information

(guardians)


Value to Partners

• Close Affiliation with MedicAlert organizations around the world (worldwide membership of over 4,000,000)

• Strong brand equity – recognized by public and health professionals, international reach and recognition

• Well established communication channels and community presenceo strong network of over 15,000 healthcare providers; o 22,000 unique visits / montho Over 2 million web pages viewed annually


• Leader in protecting Canadians with health conditions for 45 years

• MedicAlert is a trusted and registered national charity

• Many existing partnerships with major Canadian health related organizations and numerous active affiliations

Value to Partners


www.medicalert.cawww.medicalert.ca

Contacts:

Robert Ridge, President & CEO [email protected]

Ileana Ciurea, Chief Medical Officer [email protected]

Sharron Fry, Director, Marketing and Communications [email protected]

Deborah Legrove, Director, Advancement [email protected]

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

Michael Nemeth, National Pre-Hospital Education Advisor

[email protected]

http://www.medicalert.ca/

http://www.medicalert.ca/

mailto:[email protected]






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Medicalert Overview Presentation

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