<qa>  What is the goal of the study?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. 