Polypharmacy / Deprescribing Screener
Patients on 8+ medications7 flagged
Beers Criteria violations detected3 patients
Duplicate therapy alerts2 instances
High anticholinergic burden (ACB ≥ 3)4 patients
Drug-drug QT prolongation risk1 critical
Deprescribing reviews completed (30d)5
Automatic screening for all patients 75+ with 8+ medications. Cross-references AGS Beers Criteria, STOPP/START, and Anticholinergic Cognitive Burden scale.
Critical-Window Timing Monitor
Patients on timing-critical meds12
Within 2-hour window (last 7 days)89%
Mean timing deviation42 min
Consecutive missed critical doses1 alert active
Provider emergency alerts (30d)2 (both resolved)
Caregiver escalations triggered (30d)8
Monitors tacrolimus, apixaban, warfarin, and other narrow-therapeutic-index drugs. Escalating alerts: dose time, +15 min, +30 min, +60 min, +90 min (caregiver), +120 min (provider).
Self-Discontinuation Detector
Medications self-stopped (30d)2 detected
Late refills (7+ days overdue)4 medications
Prophylactic medication gaps1 (CMV prophylaxis)
Provider alerts for self-DC2 sent
Distinguishes missed doses (sporadic) from self-discontinuation (3+ consecutive days zero adherence to specific medication). Critical for transplant, psychiatric, and anticoagulant medications.
Social Determinants Screening
Cost-correlated non-adherence detected3 patients
Transportation barrier signals1 patient
Food insecurity indicators2 patients
Insurance gap alerts1 active
PAP enrollments initiated (30d)2
Automated pattern analysis: expensive meds low adherence + cheap meds good adherence = cost barrier. Late refills preceding adherence drops = financial strain. Meal-dependent medications skipped = food insecurity screen.
Caregiver Sustainability Monitor
Active caregivers tracked24
Engagement declining (2+ weeks)3 caregivers
Burnout risk score 7+/102 caregivers
Single-point-of-failure patients5 (no backup caregiver)
Respite care recommendations sent1 this month
Tracks caregiver app engagement, alert response times, and monthly wellness surveys. Declining engagement precedes burnout by 4-6 weeks. Automatic respite care referral when stress scores exceed threshold for 2 consecutive months.
Behavioral Pattern Intelligence
Mood-adherence correlation alerts4 active
Sleep pattern disruptions detected2 patients
Prodromal psychiatric alerts0 active
Recovery stability monitoring1 patient (stable)
Pain/function score tracking2 patients
eGFR-triggered safety alerts1 (CKD patient — metformin review)
Longitudinal tracking: mood scores predict adherence drops 1-2 weeks in advance. Sleep disruption precedes psychiatric relapse by 2-4 weeks. Craving scores and adherence patterns monitor dual-diagnosis recovery stability. eGFR thresholds trigger automatic contraindication reviews.