MedLifeCard in real-life scenarios

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• MedLifeCard in real-life scenarios
• Cost Saving
• Improved Patient Care

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MedLifeCard Demonstrations

• The following scenarios are based upon actual
  patients seen in the ER.
• Each clinical course is described as it occurred
  (without a MedLifeCard), then contrasted with the
  difference a MedLifeCard would have made.
• Direct cost comparison using figures provided by
  Medical Management Specialists, PC.
• Photographs are used with the consent of the
  subjects.

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Case 1- Ashley S.

• Ashley is an otherwise healthy 2 year-old who
  presents to the ER with a fever of 102.6. Her
  physical exam is unremarkable except for her
  fever and fussiness. Urinalysis reveals an
  uncomplicated urinary tract infection. Her mother
  thinks she might have an allergy but is
  uncertain. Her physician starts her on Bactrim
  and discharges her home.

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(Ashley S. without MedLifeCard, continued)

• 2 hours later Ashley is rushed back to the ER
  with her mother after she develops a severe rash,
  itching, and difficulty breathing. She is quickly
  diagnosed as having an allergic reaction to the
  Bactrim. An IV is started, steroids and
  diphenhydramine are administered through the IV,
  and she is admitted to the hospital overnight for
  observation and monitoring.

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(Ashley S. without MedLifeCard, continued)

• The next day Ashley is discharged on oral
  steroids, a different antibiotic, and
  diphenhydramine. She must follow up with her
  Pediatrician the following day for a recheck.

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How might this have been prevented with the
MedLifeCard?

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Ashley S. with the MedLifeCard

• When Ashleys mother mentions that she might
  have a medication allergy, the Emergency
  Physician uses Ashleys MedLifeCard to download
  her file.

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Ashley S. with the MedLifeCard, continued

• The file documents a previous allergy to
  sulfa-based medications. Realizing that Bactrim
  is actually trimethoprim- sulfamethoxazole, he
  instead prescribes amoxicillin for her infection.

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Ashley S. with the MedLifeCard, continued

• The next day Ashley is feeling much better
  with the amoxicillin and spends the day at the
  beach with her mother instead of at the hospital.

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Direct Cost Comparisons for Ashley S.

• Without MedLifeCard
• First ER visit 240
• Antibiotic 20
• Second ER visit 540
• Overnight on Pediatric ward 950
• Second antibiotic plus medications for allergic
  reaction 40
• Follow up with Pediatrician 60

• With MedLifeCard
• First ER visit 240
• Antibiotic 20
• No further follow up needed.

Total 1, 850
Total 260

• Direct cost comparison using figures provided by
  Medical Management Specialists, PC

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Further benefits of MedLifeCard for Ashley S.

• Prevent avoidable potentially life-threatening
  complications such as allergic reactions.
• Eliminate return visits to the ER and possible
  hospitalizations by treating conditions properly
  the first time.
• Resume normal activities more quickly.