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Return patients generate approximately 80 percent of clinic's revenue. Patient Relationship Management (PRM, also known as CRM, for Customer Relationship Manageme

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

nt outside of healthcare) can enhance financial performance of the clinic by helping retain current and attract new patients. Effective PRM uses integrated data u

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

sing patient travel card (SOAP notes), frequency recommendations (care plan), and billing (charges, payments, and balance).

PRM is a data-driven and patient-focus

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

d methodology to strategic practice building and effective patient relationship development. PRM helps identifying new service needs and then designing care progr

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ams and office and billing processes to meet the needs.

PRM also helps providing timely, patient centered, and efficient care, emphasizing preventive instead of r

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

active care. A basic PRM system captures patient information during entire period of the care plan in terms of functional health improvement, care plan implementa

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

tion, and billing.

Patient Relationship Management Principle

PRM includes a travel card (TC), treatment frequency measures, and billing balance. PRM sy

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

stem tracks changes in the travel card, in Frequency Recommendation summary, and in billing balance, and generates reports to alert office management about lists o

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

patients reaching important thresholds. The office manager or the doctor can review such reports and respond according to practice development strategy, using c

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

all centers, Internet, direct mail, or personal conversations during office visits.

Electronic Travel Card

An electronic equivalent of a paper travel c

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

rd (Electronic Travel Card, or ETC) contains complete information about patient's health and care history. It is similar to electronic medical record and subject

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

to same HIPAA compliance regulations. ETC includes:

Numbers and dates of visits
SOAP notes for each visit
ICD-9 and CPT code

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

Care frequency recommendation summary

X-rays and posture images

Frequency Recommendation

Frequency recommendatio

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

summary presents an interpretation of patient's compliance with doctor's recommendation in concise form and allows specification of PRM thresholds. Specifically,

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

it has four parts:

Weekly treatment frequency recommendation, typically a single digit between 1 and 3
The number if weeks when the patien

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

complied with the recommendation

The total number of weeks for a given recommendation

Care plan start date

Number of missed a

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

ppointments along with documented reasons for missing an appointment

For instance, a frequency recommendation summary [3X: 3/13] means that treatmen

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

t is recommended three times per week for thirteen weeks, and the patient complied three weeks out of thirteen.

A treatment plan then is a list of such frequency

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

ecommendation summaries, for instance, [3X: 3/13], [2X: 15/15], [1X: 4/12].

In summary, Patient Relationship Management (PRM) can become a major differentiating

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

factor in building successful and competitive chiropractic clinics. It requires integrated systems combining data about patient's health, care plans, and billing

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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