 Overall, this study aims to determine whether an electronic intervention system, which sends SMS text messages or phone calls proactively can improve medical care outcomes in a variety of healthcare settings. Specifically, the two aims are: 1 To test if Epharmix reminders will improve adherence to physician requested actions, such as appointments, medications, etc. 2 To test if the Epharmix platform can be used to collect clinical data e.g. weight, blood sugar, disease specific events over time for later physician analysis. 