Twilio Case Studies Axis Streamlines Medication Management in Japan with Twilio’s Programmable SMS Platform
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Axis Streamlines Medication Management in Japan with Twilio’s Programmable SMS Platform

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In Japan, managing patients’ medication records is a daunting task due to the country's population of over 126 million people. The challenge is to keep track of numerous medications for each patient with utmost precision. The situation was further complicated in September of the previous year when the Pharmaceutical Affairs and Medical Device Act enacted a revision requiring patient follow-ups after specific medications were dispensed. This increased the workload of pharmacists, necessitating an efficient communication solution. Previously, medication guidance was primarily given over the phone, requiring the pharmacist to keep a record of the conversation with the patient. However, many patients didn’t answer their phones, making it difficult to conduct necessary follow-up calls. The revision to the September Act presented an opportunity to re-examine communication tools that could help reduce the burden on pharmacists while ensuring patients received the necessary medication guidance.
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Axis, Inc. is a technology company based in the Asia-Pacific region, specifically Japan. It is a small-sized company that operates in the healthcare industry, providing solutions to streamline and improve the management of patients' medication records. The company developed Medixs, a cloud-based, cost-efficient, electronic medication record system that is easy to implement. The system supports patients’ safety while helping to streamline pharmacists’ guidance and communications post the administration of certain medications, especially those with high-risk and potential interactions. Axis is committed to leveraging the potential of IT and healthcare to further reduce burdens on pharmacists and patients.
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Axis, Inc., under the direction of Kazuma Kondo, identified SMS as a viable platform to address these challenges. Given that the majority of patients are in the older age groups, SMS text messaging was determined to be the most effective and cost-efficient method for reaching the widest group of patients. Axis evaluated several options for building a messaging platform and chose Twilio’s Programmable Messaging for Medixs, its cloud-based electronic medication record solution. Twilio provided many value-add features as part of its standard Programmable Messaging offering, while other companies’ basic plans had limitations, such as the number of characters and carrier support, hence having to pay extra. The Medixs service based on Twilio’s Programmable Messaging platform eased the process of conducting follow-ups and properly keeping records. Axis is also looking at extending pharmacists’ ability to connect with patients anytime, anywhere by implementing Twilio Studio.
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The implementation of Twilio’s Programmable Messaging for Medixs has significantly eased the process of conducting follow-ups and properly keeping records. This has been particularly beneficial during the Covid-19 pandemic when many patients’ 30-day prescriptions were turned into 90-days, making it difficult to monitor missed doses and provide guidance. The solution has also proven effective in reaching out to patients with chronic conditions who are hesitant to visit medical facilities during the pandemic. Looking ahead, Axis envisions a future in which all prescriptions can be dispensed and delivered in a worry-free manner for both pharmacists and patients.
In a survey of over 900 pharmaceutical employees, nearly 50% had successfully provided medication guidance remotely.
The solution is expected to benefit as many as 20 million patients with chronic diseases in Japan.
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