Customized alerting for medication changes

Purpose

1.1. Ensure real-time, actionable notification of all medication changes for residents in adult foster care.
1.2. Prevent missed or delayed medication adjustments by alerting staff, family, providers, and care teams upon any update.
1.3. Support compliance with healthcare regulations through documented alert trails.
1.4. Reduce risk of adverse drug events by ensuring all relevant parties have instant, multi-channel updates for every medication change incident.
1.5. Enable escalation workflows if medication changes are not acknowledged within set timeframes.
1.6. Facilitate audit-readiness by storing alert logs and communication evidence aligned to each resident's record.

Trigger Conditions

2.1. Electronic Health Record (EHR) update for medication start, discontinue, or dosage modification.
2.2. Manual entry by staff in medication management platform.
2.3. New physician prescription or order upload.
2.4. API call from integrated pharmacy system marking dispense or change.
2.5. Approval event from responsible medical officer.
2.6. Scheduled medication review completed and adjustment recorded.

Platform Variants

3.1. Twilio SMS
• Feature/Setting: Programmable Messaging API; configure webhook to send SMS to predefined care team numbers on medication changes.
3.2. SendGrid
• Feature/Setting: Transactional Email API; set up dynamic template for medication alerts triggered via API call.
3.3. Slack
• Feature/Setting: Incoming Webhook or Bot API; configure alert message to dedicated medication-alerts channel on record update.
3.4. Microsoft Teams
• Feature/Setting: Microsoft Graph API – create message in specific Teams channel based on medication activity webhooks.
3.5. PagerDuty
• Feature/Setting: Events API – trigger incident alert and escalate if medication change not acknowledged within defined SLA.
3.6. Jira Service Management
• Feature/Setting: REST API – auto-create a ticket for every medication change, assign to care coordinator.
3.7. Salesforce Health Cloud
• Feature/Setting: Platform Events; publish custom medication change event, subscribe relevant users.
3.8. Health Gorilla
• Feature/Setting: FHIR Webhooks; listen for MedicationStatement changes, push to alert workflow.
3.9. DocuSign
• Feature/Setting: Connect Webhooks; generate notification and confirmation receipt after signing new medication orders.
3.10. Google Workspace (Gmail, Chat)
• Feature/Setting: Apps Script/Google Chat API – auto-send personalized medication update emails and chats to user groups.
3.11. Apple Push Notification Service (APNS)
• Feature/Setting: Send push to designated iOS caregiver app endpoint on change event via FHIR server.
3.12. Firebase Cloud Messaging (FCM)
• Feature/Setting: Configure FCM for Android/iOS mobile apps to broadcast medication change push alerts.
3.13. HubSpot
• Feature/Setting: Workflow Automation; trigger internal notification emails/tasks when contact medication property changes.
3.14. Zapier
• Feature/Setting: New record or update in source app triggers multi-channel alerts including SMS, call, or email.
3.15. Okta
• Feature/Setting: Identity triggered alert—if medication update is made by non-authorized user, notify admins.
3.16. Microsoft Outlook
• Feature/Setting: Graph API for creating calendar events/alerts for medication administration times post-change.
3.17. Amazon SNS
• Feature/Setting: Publish topic on medication change to broadcast SMS, email, HTTP for enterprise-scale notifications.
3.18. Cisco Webex
• Feature/Setting: Webex Bots API; post interactive card alerts for confirmation and acknowledgement tracking.
3.19. ServiceNow
• Feature/Setting: Flow Designer; create incident and notify workflow on EHR medication updates.
3.20. Trello
• Feature/Setting: REST API; auto-create/assign cards to track medication changes and required caregiver actions.
3.21. Asana
• Feature/Setting: Rules & API; generate new task and notify assigned worker for every resident medication update.
3.22. Monday.com
• Feature/Setting: Automations; create pulses for medication changes, notify assigned team, and track completion.

Benefits

4.1. Near-instantaneous communication to mitigate medication errors.
4.2. Streamlined, verifiable alert histories aid in regulatory compliance.
4.3. Multi-channel approach ensures no key party is missed.
4.4. Customizable escalations when action is urgent or time-bound.
4.5. Improved family/provider communication transparency.
4.6. Reduced administrative burden and manual notification risk.
4.7. Enhanced resident safety and service quality.