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Jump To   Indications  ·  Intervention  ·  Communication Modes  ·  Messages  ·  Alerts  ·  Data Review  ·  Citations

Intervention Details


EpxMedicationTracking is a proactive text messaging system that can track if patients are taking their prescribed medications.

Any patient taking a medication regularly that should not miss many (or any) of their daily medications.

Communication Modes

Daily OR Weekly

Default Messages
  • You will be receiving reminders from us about your _____. Please take it as scheduled and we'll check up with you during the day!
  • Did you take your [medication]?
  • Why did you miss your dose? Did you forget, feel sick, run out of meds, other?

Text or phone based alert notifying physician that patient is not taking their medication.


Patients will be directed to call 911 if they are experiencing an emergency. You may designate a care provider to be acutely notified in the event of a defined critical value.

Data Review

Medication non-compliance is a very large problem in the US. It is estimated to be a major factor in 125,000 deaths per year, cause approximately 10% of total hospital admissions, and results in an estimated cost to the healthcare system of $100-289 billion annually (Viswanathan). Studies have shown that SMS text-based medication reminders can result in significantly higher levels of medication adherence, fewer hospital admissions, and lower mortality rates (Khonsari and Vervloet).


Viswanathan M, Golin CE, Jones CD, Ashok M, Blalock SJ, Wines RC, et al. Interventions to Improve Adherence to Self-administered Medications for Chronic Diseases in the United States: A Systematic Review. Ann Intern Med. 2012;157:785-795.

Khonsari S, Subramanian P, Chinna K, Latif LA, Ling LW, Gholami O. Effect of a reminder system using an automated short message service on medication adherence following acute coronary syndrome. Eur J Cardiovasc Nurs. 2015 Apr;14(2):170-9. doi: 10.1177/1474515114521910. Epub 2014 Feb 2. PubMed PMID: 24491349.

Vervloet M, van Dijk L, de Bakker DH, Souverein PC, Santen-Reestman J, van Vlijmen B, van Aarle MC, van der Hoek LS, Bouvy ML. Short- and long-term effects of real-time medication monitoring with short message service (SMS) reminders for missed doses on the refill adherence of people with Type 2 diabetes: evidence from a randomized controlled trial. Diabet Med. 2014 Jul;31(7):821-8. doi:10.1111/dme.12439. Epub 2014 Apr 11. PubMed PMID: 24646343.

Intervention Team