An Introduction to Medication Adherence
|
|
- Gilbert Carr
- 8 years ago
- Views:
Transcription
1 An Introduction to Medication Adherence Medication Adherence Project (MAP) A project of the Cardiovascular Prevention & Control Program and the Fund for Public Health in New York
2 Drugs don t work in patients who don t take them. C. Everett Koop
3 Epidemiology of Nonadherence 50% of the US population is prescribed medication for chronic conditions Of those prescribed medication, only 50% are taking it as directed Sources: Angell SY et al. City Health Information. 2009;28:1-8; Haynes RB. Compliance in Health Care. Johns Hopkins University Press;1979.
4 MAP Approach to Improving Adherence Promotes patient-provider communication Encourages self-management support Based on evidence Grounded in quality improvement principles
5 Adherence Improves Outcomes
6 Proportion with subsequent cardiovascular (CV) event (myocardial infarction, stroke, or coronary heart disease Adherence death) by the percentage of and time in the CVD past month Events when participants reported taking medications as prescribed (P =.20 for proportion with events across all 4 adherence categories; P =.03 for proportion with events in patients with adherence <=75% vs >75% of the time) CVD = cardiovascular disease. Source: Gehi AK et al. Arch Intern Med. 2007;167: Copyright restrictions may apply.
7 Survival after Heart Attack Adherent Nonadherent Source: Ho PM et al. Arch Intern Med. 2006;166: Copyright restrictions may apply.
8 Adherence and HbA1c HbA1c = hemoglobin A1c. Source: Rhee MK et al. Diabetes Educ. 2005;31;
9 Mean, Median, and Interquartile Range of the Proportion of Days Covered (PDC) by Statin for Each Interval Adherence Diminishes Over Time* *Data shown is for adherence to statins Source: Benner JS et al. JAMA. 2002;288: Copyright restrictions may apply.
10 Adherence Rates of medication to CV use for Medications the entire cohort Source: Ho PM. et al. Arch Intern Med. 2006;166: Copyright restrictions may apply.
11 Starting Early Patients receiving brief in-office medication counseling after a new statin prescription were 17% more likely to continue filling prescriptions at 6 months Casebeer L et al. BMC Fam Pract Jun 30;10:48.
12 Non-adherence Costs Nonadherence is linked to higher medical costs for patients with diabetes, high cholesterol, or hypertension Source: Sokol MC et al Med Care. 2005;43(6);
13 Total Costs and Adherence* *total healthcare costs for one year for patients with diabetes Source: Sokol MC et al Med Care. 2005;43(6);
14 Barriers to Adherence
15 Patient Barriers Complexity: There are so many pills, I can t keep them straight! Cost: I can t afford my medicine so I will only take half a pill today. Difficulty remembering: I forget to take them. Lack of understanding: Why do I need them? Not feeling sick: I feel fine. I don t need them. Side effects: The yellow pills make me feel sick. Embarrassment/Stigma: I don t want my friends to know. Depression: I don t care What s the point? Health literacy: I can t understand these instructions! Belief systems: My sister took insulin then had her leg amputated.
16 Provider Barriers Lack of time: The 15 minutes I have does not allow enough time to talk to my patients. Lack of resources and training: I m afraid to ask don t want to open up Pandora s Box! Lack of understanding: Why don t my patients just do what I tell them to do? Lack of reimbursement: I don t get paid to tell them how to take their medications and therefore cannot afford to make time. Unaware of how to simplify regimens: How can I simplify especially when my prescribing options are limited? Unaware of options for lower-cost medicines: I don t know what to tell patients if they don t have the money I can t tell them to take half a pill.
17 Pharmacist Barriers Difficulty communicating with the prescriber: It s hard to reach the prescribers to recommend changes in medication in a timely manner. Language barriers: As a small business owner, I cannot afford to staff my pharmacy with translators for all of the different languages my clients speak. Lack of time to remind patients to pick up medications: There are systems in place to flag patients who don t pick up, but not enough time to call them all.
18 Provider Solutions Normalize nonadherence Ask about adherence at every visit Reconcile medications Simplify dosing and administration Prescribe long-lasting supply (90 vs 30 days) Ask about costs, prescribe generics and refer to prescription assistance programs
19 Simplify Schedules Rate of Adherence (%) Adherence decreases with increasing dosage frequency Once a day Twice a day Three times/day Four times/day Medication Schedule Sources: Osterburg L, Blaschke T. NEJM. 2005;353: ; Claxton AJ et al. Clin Ther. 2001;23:
20 Prescribe Longer-Lasting Supply Patients receiving 60-day supply (vs 30-day) of statins were 1.4 times more likely to be adherent Increasing prescription drug supply by 30 days was associated with a 5.7% increase in mean adherence Sources: Batal et al. BMC Health Services Research 2007; 7: 175, Schectman et al. Medical Care 2002; 40:
21 Pharmacist Solutions Use systems that flag patients who missed refills Use stickers on bottles to identify patients who are late picking up refills. Speak to them about adherence Synchronize refill timings Suggest to patients to use one pharmacy for all of their medications Communicate with patients health care providers directly
22 Conclusions Medication adherence improves health outcomes and results in lower healthcare costs Nonadherence is widespread There are numerous barriers to adherence Regularly assessing patient adherence, improving communication, and addressing identified barriers can improve adherence
23 This slide set complements the Medication Adherence Project (MAP) Training Manual and Toolkit. For these and other resources related to medication adherence, go to
It s in the Stars: What are Medicare Star Ratings?
It s in the Stars: CMS Star Ratings and How Pharmacies are Affected What are Medicare Star Ratings? CMS Star Ratings Tracks patient outcomes Ratings range from 1 to 5 stars Overall score as a whole Individual
More informationPharmacy and the Medicaid Accountable Care Organization
RCCO Pilot Project CDC Grant Increase engagement of non-physician team members (ie., pharmacists) in Hypertension (HTN) and Diabetes Mellitus (DM) management in health care systems; Increase the proportion
More informationDiabetes and Blood Pressure PIP Care Coordinator Toolkit. Provided by: - 1 -
Diabetes and Blood Pressure PIP Care Coordinator Toolkit Provided by: - 1 - Project Summary MSHO/MSC+/SNBC Community & Institutionalized Blood Pressure Control for Members with Diabetes 2010 Performance
More informationThe B-SMART Medication Adherence Checklist
The B-SMART Medication Adherence Checklist A Tool to make it easier for Physicians and Providers to do the right thing when addressing America s other drug problem Medication Non Adherence Elizabeth Oyekan,
More informationThe Medication Adherence Project (MAP)
Improving Outcomes for Patients With Chronic Disease: The Medication Adherence Project (MAP) Toolkit and Training Guide for Primary Care Providers and Pharmacists June 2010 Bronwyn Starr, MPH Rachel Sacks,
More informationStatins and Risk for Diabetes Mellitus. Background
Statins and Risk for Diabetes Mellitus Kevin C. Maki, PhD, FNLA Midwest Center for Metabolic & Cardiovascular Research and DePaul University, Chicago, IL 1 Background In 2012 the US Food and Drug Administration
More information10/31/2014. Medication Adherence: Development of an EMR tool to monitor oral medication compliance. Conflict of Interest Disclosures.
Medication Adherence: Development of an EMR tool to monitor oral medication compliance Donna Williams, RN PHN Carol Bell, NP MSN Andrea Linder, RN MS CCRC Clinical Research Nurses Stanford University SOM
More informationMedication Adherence: Rx for Success
Medication Adherence: Rx for Success Medication Adherence: Rx for Success Introduction Universal concern about rising health care costs combined with historic health care legislation has created an unprecedented
More information4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH
METABOLIC SYNDROME AN INTEGRATIVE APPROACH AN OPPORTUNITY FOR PHARMACISTS TO MAKE A DIFFERENCE Mike Rizo, Pharm D, MBA, ABAAHP THE EVOLUTION OF THE PHARMACIST 1920s 1960s 2000s THE PHARMACIST OF THE FUTURE?
More informationMedical Regimen Adherence in the Management of Diabetes: What Psychologists Need to Know
Medical Regimen Adherence in the Management of Diabetes: What Psychologists Need to Know Suzanne Bennett Johnson Distinguished Research Professor Florida State University College of Medicine 2012 President,
More informationHealth Care System. Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer
Creating a More Connected Health Care System Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer Agenda Our Role in the Changing Health Care System CVS/minuteclinic: Growth and
More informationMedication Utilization. Understanding Potential Medication Problems of the Elderly
Medication Utilization Understanding Potential Medication Problems of the Elderly NICE - National Initiative for the Care of the Elderly WHAT ARE MEDICATION UTILIZATION PROBLEMS AMONG THE ELDERLY? A useful
More informationMedication Adherence: Making the Case for Increased Awareness
Medication Adherence: Making the Case for Increased Awareness Co-authored by Hayden B. Bosworth, Ph.D., Duke University Medical Center; and the National Consumers League Medication adherence defined Over
More informationFULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES Niteesh K. Choudhry, MD, PhD Harvard Medical School Division of Pharmacoepidemiology and Pharmacoeconomics
More informationIntroducing... Active Pharmacy service SM. Innovative new ways to enhance benefits and reduce costs
Introducing... Active Pharmacy service SM Innovative new ways to enhance benefits and reduce costs Did you know... that healthcare costs in Canada have doubled in the last decade?* Added value and cost
More informationBritish Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Medication Adherence Services
British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Introduction Medication adherence can be generally defined as the extent to which a patient takes medication as prescribed by his
More informationParisa Vatanka, PharmD Pharmacy Strategic Alliances Manager Assistant Clinical Professor, UCSF. Stan Leung, PharmD Clinical Division Lead
Parisa Vatanka, PharmD Pharmacy Strategic Alliances Manager Assistant Clinical Professor, UCSF Stan Leung, PharmD Clinical Division Lead April 13, 2015 ! PrevenFve Care Immuniza(ons (aligned with ACIP
More informationAssessing the Impact of a Community Pharmacy-Based Medication Synchronization Program On Adherence Rates
Assessing the Impact of a Community Pharmacy-Based Medication Synchronization Program On Adherence Rates I. General Description Study Results prepared by Ateb, Inc. December 10, 2013 The National Community
More informationOverview Medication Adherence Where Are We Today?
Overview Medication Adherence Where Are We Today? This section covers the following topics: Adherence concepts and terminology Statistics related to adherence Consequences of medication nonadherence Factors
More informationImproving drug prescription in elderly diabetic patients. FRANCESC FORMIGA Hospital Universitari de Bellvitge
Improving drug prescription in elderly diabetic patients FRANCESC FORMIGA Hospital Universitari de Bellvitge High prevalence, but also increases the incidence. The older the patients, the higher the percentages
More informationUnderstanding Your Health Insurance Plan
Understanding Your Health Insurance Plan Slide Catalog for Assisters Updated May 6, 2015 Health Insurance Costs Terms to Know: Premium Premium: The monthly bill you pay to your health insurance company.
More informationRobert Okwemba, BSPHS, Pharm.D. 2015 Philadelphia College of Pharmacy
Robert Okwemba, BSPHS, Pharm.D. 2015 Philadelphia College of Pharmacy Judith Long, MD,RWJCS Perelman School of Medicine Philadelphia Veteran Affairs Medical Center Background Objective Overview Methods
More informationThe importance of adherence and persistence: The advantages of once-daily dosing
The importance of adherence and persistence: The advantages of once-daily dosing Craig I. Coleman, PharmD Professor, University of Connecticut School of Pharmacy Storrs, CT, USA Conflicts of interest Dr
More informationRoadmap for Medicare Navigating Medicare Part D. A guide for seniors and caregivers
Roadmap for Medicare Navigating Medicare Part D A guide for seniors and caregivers Roadmap for Medicare: Getting Oriented This Guide offers information and advice for choosing a Medicare Part D prescription
More informationQuantifying Medication Adherence: Practical Challenges and an Approach to Linking Alternative Measures
Quantifying Medication Adherence: Practical Challenges and an Approach to Linking Alternative Measures Christine Poulos, PhD, RTI Health Solutions Jay P. Bae, PhD, Eli Lilly and Company Sean D. Candrilli,
More informationA reliable and convenient way to optimize your prescription drug benefit
Introducing... Pharmacy Benefit Management and the Express Scripts Canada Pharmacy SM A reliable and convenient way to optimize your prescription drug benefit Did you know... that healthcare costs in Canada
More informationFULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION NEW ENGLAND JOURNAL OF MEDICINE 2011; DOI: 10.
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION NEW ENGLAND JOURNAL OF MEDICINE 2011; DOI: 10.1056/NEJMSA1107913 Niteesh K. Choudhry, MD, PhD, 1 Jerry Avorn, MD, 1 Robert J. Glynn,
More informationTruth or Consequences, Best Medication List Practices to Deliver Best Care. Leaning & Action Network Session
Truth or Consequences, Best Medication List Practices to Deliver Best Care Leaning & Action Network Session Introduction David Cook (5 minutes) Housekeeping: - In event of a fire? - Restrooms? David R.
More informationHealth System Strategies to Improve Chronic Disease Management and Prevention: What Works?
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Michele Heisler, MD, MPA VA Center for Clinical Practice Management Research University of Michigan Department
More informationAssessment of Medication Adherence in Rheumatoid Arthritis Patients
J.J. Appl. Sci. Vol. 10, No. 2 (2008) Assessment of Medication Adherence in Rheumatoid Arthritis Patients Kholoud Z. Qoul, Ikbal N. Thuheerat & Imad Al-Dogham Royal Medical Services, Amman, Jordan Received:
More informationDrug Adherence in the Coverage Gap Rebecca DeCastro, RPh., MHCA
Drug Adherence in the Coverage Gap Rebecca DeCastro, RPh., MHCA Good morning. The title of my presentation today is Prescription Drug Adherence in the Coverage Gap Discount Program. Okay, to get started,
More informationThe Honorable Alphonso Maldon, Jr. Chairman Military Compensation and Retirement Modernization Commission P. O. Box 13170 Arlington, Virginia 22209
The Honorable Alphonso Maldon, Jr. Chairman Military Compensation and Retirement Modernization Commission P. O. Box 13170 Arlington, Virginia 22209 Dear Chairman Maldon: The National Association of Chain
More informationIMPROVING PRESCRIPTION MEDICINE ADHERENCE IS KEY TO BETTER HEALTH CARE
IMPROVING PRESCRIPTION MEDICINE ADHERENCE IS KEY TO BETTER HEALTH CARE Taking Medicines as Prescribed Can Lower Costs and Improve Health Outcomes Successful treatment of disease with prescription medicines
More informationNew Cholesterol Guidelines: Carte Blanche for Statin Overuse Rita F. Redberg, MD, MSc Professor of Medicine
New Cholesterol Guidelines: Carte Blanche for Statin Overuse Rita F. Redberg, MD, MSc Professor of Medicine Disclosures & Relevant Relationships I have nothing to disclose No financial conflicts Editor,
More informationResearch Skills for Non-Researchers: Using Electronic Health Data and Other Existing Data Resources
Research Skills for Non-Researchers: Using Electronic Health Data and Other Existing Data Resources James Floyd, MD, MS Sep 17, 2015 UW Hospital Medicine Faculty Development Program Objectives Become more
More informationEnsuring adherence to prescribed oral anticoagulant intake Γεώργιος Σ. Γκουμάς MD, PhD, FESC
Ensuring adherence to prescribed oral anticoagulant intake Γεώργιος Σ. Γκουμάς MD, PhD, FESC Αν. Διευθυντής Καρδιολογικής Κλινικής, Ευρωκλινική Αθηνών ΔΗΛΩΣΗ ΣΥΓΚΡΟΥΣΗΣ ΣΥΜΦΕΡΟΝΤΩΝ Τα προηγούμενα δύο χρόνια
More informationProvider Community Pharmacist Team Management of Hypertension and Diabetes
Provider Community Pharmacist Team Management of Hypertension and Diabetes William R. Doucette, Ph.D. University of Iowa College of Pharmacy Iowa Background Provider pharmacist team management of hypertension
More informationTelemonitoring Blood Pressure by Secure Message on a Patient Portal: Use, Content, and, Outcomes
Telemonitoring Blood Pressure by Secure Message on a Patient Portal: Use, Content, and, Outcomes Frederick North, William Ward, Muhamad Elrashidi, Paul Takahashi, Karen Ytterberg, Sidna Tulledge-Scheitel
More informationThe Commonwealth Fund International Health Policy Surveys
THE COMMONWEALTH FUND The Commonwealth Fund International Health Policy Surveys November 17, 2011 Robin Osborn Vice President and Director International Program in Health Policy and Innovation Commonwealth
More informationRe: Medicare Chronic Care Policy Recommendations. Dear Chairman Hatch, Ranking Member Wyden, Sen. Isakson, and Sen. Warner:
June 19, 2015 Senate Committee on Finance 219 Dirksen Senate Office Building Washington, DC 20510-6200 Re: Medicare Chronic Care Policy Recommendations Dear Chairman Hatch, Ranking Member Wyden, Sen. Isakson,
More informationTestosterone; What s all the hype? KRISTEN WYRICK, LTCOL,USAFR, MC USUHS, FAMILY MEDICINE JOINT BASE LANGLEY-EUSTIS
Testosterone; What s all the hype? KRISTEN WYRICK, LTCOL,USAFR, MC USUHS, FAMILY MEDICINE JOINT BASE LANGLEY-EUSTIS The faces of Low Testosterone What your patients are seeing Pharmacy Industry Testosterone
More informationConnected drug delivery systems : Increase patient compliance and enable comprehensive, coordinated treatments
Connected drug delivery systems : Increase patient compliance and enable comprehensive, coordinated treatments Eric Dessertenne, PharmD, MBA Head of Business Development & Commercial Operations edessertennne@biocorp.fr
More information(PHARMACISTS & TECHNICIANS) 4:30-5:30PM
D5. MAINTAINING ACCESS TO LIVES FOR RETAIL PHARMACIES BY PROVIDING QUALITY CARE (PHARMACISTS & TECHNICIANS) 4:30-5:30PM ACPE UAN: 0107-9999-14-045-L04-P 0.1 CEU/1.0 hr 0107-9999-14-045-L04-T 0.1 CEU/1.0
More informationFollow-Up Visits after Heart Failure Hospitalizations: Impact of a Medication Reconciliation Clinic
Follow-Up Visits after Heart Failure Hospitalizations: Impact of a Medication Reconciliation Clinic Sherry K. Milfred-LaForest, PharmD, BCPS Clinical Pharmacy Specialist, Cardiology and Organ Transplantation
More informationHow Can We Get the Best Medication History?
How Can We Get the Best Medication History? Stephen Shalansky, Pharm.D., FCSHP Pharmacy Department, St. Paul s Hospital Faculty of Pharmaceutical Sciences, UBC How Are We Doing Now? Completeness of Medication
More informationPRESCRIPTION MEDICINES: COSTS IN CONTEXT
PRESCRIPTION MEDICINES: COSTS IN CONTEXT 2015 Since 2000, biopharmaceutical companies have brought MORE THAN 500 NEW TREATMENTS AND CURES to U.S. patients In the last 100 years, medicines have helped raise
More informationImpact of Clinical Education as Part of a Multichannel Sales Strategy
Impact of Clinical Education as Part of a Multichannel Sales Strategy June 13, 2012 Copyright 2012 Quintiles Topics Impact of Clinical Education as part of a Multichannel Sales Strategy -Introduction to
More informationACTIVELY MANAGED DRUG SOLUTIONS. for maintenance and specialty medication. Actively Managed Drug Solutions is not available in the province of Quebec
ACTIVELY MANAGED DRUG SOLUTIONS for maintenance and specialty medication Actively Managed Drug Solutions is not available in the province of Quebec ARE YOU UNDERESTIMATING THE IMPACT OF CHRONIC DISEASE?
More informationYour Medicine: Play It Safe
Your Medicine: Play It Safe Learn more about how to take medicines safely. Use the Medicine Record Form at the back of this booklet to keep track of your medicines. Keep this guide with your medicines
More information3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only)
3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only) Objective: To support implementation of evidence-based best practices for disease management in medical
More informationPharmacist involvement in managing patients with chronic
RESEARCH Pharmacist-Coordinated Multidisciplinary Hospital Follow-up Visits Improve Patient Outcomes Jamie J. Cavanaugh, PharmD, CPP, BCPS; Kimberly N. Lindsey, PharmD; Betsy B. Shilliday, PharmD, CDE,
More informationFORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR HYPOGLYCEMICS, INSULIN LONG-ACTING
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Health Care Access and Accountability Wis. Admin. Code DHS 107.10(2) FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR HYPOGLYCEMICS,
More informationc. determine the factors that will facilitate/limit physician utilization of pharmacists for medication management services.
Consumer, Physician, and Payer Perspectives on Primary Care Medication Management Services with a Shared Resource Pharmacists Network Marie Smith, PharmD and Michlle Breland, PhD University of Connecticut,
More informationHeart information. Cardiac rehabilitation
Heart information Cardiac rehabilitation Contents 2 What is cardiac rehabilitation? 3 What are the benefits of cardiac rehabilitation? 4 Who should take part in cardiac rehabilitation? 4 When does cardiac
More informationGlycemic Control of Type 2 Diabetes Mellitus
Bahrain Medical Bulletin, Vol. 28, No. 3, September 2006 Glycemic Control of Type 2 Diabetes Mellitus Majeda Fikree* Baderuldeen Hanafi** Zahra Ali Hussain** Emad M Masuadi*** Objective: To determine the
More informationDCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study
DCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study National Diabetes Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What
More informationAdherence and persistence associated with an appointment-based medication synchronization program
RESEARCH Adherence and persistence associated with an appointment-based medication synchronization program David A. Holdford and Timothy J. Inocencio Abstract Objective: To assess the impact of an appointment-based
More informationSIMPLIFY MY MEDS APPOINTMENT-BASED MEDICATION SYNCHRONIZATION PILOT STUDY REPORT PREPARED FOR NATIONAL COMMUNITY PHARMACISTS ASSOCIATION
SIMPLIFY MY MEDS APPOINTMENT-BASED MEDICATION SYNCHRONIZATION PILOT STUDY REPORT PREPARED FOR NATIONAL COMMUNITY PHARMACISTS ASSOCIATION David Holdford RPh, MS, PhD Professor of Pharmacoeconomics and Health
More informationAbout NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs.
1 Aaron McKethan PhD (amckethan@rxante.com) About NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs. In partnership
More informationManaging Your Medications
Managing Your Medications Table of Contents Managing Your Medications Handout 1 Personal health goals & medications... 4 Handout 2 Pharmacists can help you... 6 Handout 3 Managing your medications... 7
More information4. Does your PCT provide structured education programmes for people with type 2 diabetes?
PCT Prescribing Report Drugs used in Type 2 Diabetes Discussion Points 1. Does your PCT have a strategy for prevention of type 2 diabetes? Does your PCT provide the sort of intensive multifactorial lifestyle
More informationSUMMARY INFORM MEDICATION ADHERENCE IN THE UNITED STATES. the CDC study constituted 66.6% of the total patient population. 2
INFORMATION DRIVES SOUND ANALYSIS, INSIGHT AND ACTION. IMPROVING MEDICATION ADHERENCE: A CRITICAL TASK TO IMPROVING OUTCOMES AND CONTAINING OVERALL HEALTHCARE COSTS SUMMARY Medication non-adherence is
More informationClinical pathway concept - a key to seamless care
SECTION 5: PATIENT SAFETY AND QUALITY ASSURANCE 1 Clinical pathway concept - a key to seamless care Audrey Janoly-Dumenil, Hôpital Edouard Herriot, CHU Lyon Marie-Camille Chaumais, Hôpital Antoine Béclère,
More informationPATIENT CENTRIC MODEL P I LOT DATA ANALYSIS R EPORT
PATIENT CENTRIC MODEL P I LOT DATA ANALYSIS R EPORT PREPARED FOR THE ALLIANCE FOR PATIENT MEDICATION SAFETY April 2011 D A V I D A. H O L D F O R D R P H, P H D A S S O C I A T E P R O F E S S O R T I
More informationCedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation?
Management Case Study: Transitions Trifecta Calibrating the Severity of Drug Related Problems, dherence, and Literacy in a High Risk Population Tuesday, December 10, 2013 2:00 p.m. 2:30 p.m. Management
More informationCauses, incidence, and risk factors
Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,
More informationDiabetes in the elderly. Chris MacKnight April 2, 2011
Diabetes in the elderly Chris MacKnight April 2, 2011 Disclosure I have no conflict of interest to report Show of Hands 87 yo woman with diabetes and multiple other comorbidities, on multiple medications.
More informationPopulation Health Management Program
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
More informationJournal Club: Niacin in Patients with Low HDL Cholesterol Levels Receiving Intensive Statin Therapy by the AIM-HIGH Investigators
Journal Club: Niacin in Patients with Low HDL Cholesterol Levels Receiving Intensive Statin Therapy by the AIM-HIGH Investigators Shaikha Al Naimi Doctor of Pharmacy Student College of Pharmacy Qatar University
More informationEvaluating the Effectiveness of Physician and Clinical Pharmacist Patient Education and Disease Management in Diabetes Mellitus
Evaluating the Effectiveness of Physician and Clinical Pharmacist Patient Education and Disease Management in Diabetes Mellitus Sotheavy Vann Jackson-Hinds Comprehensive Health Center Jackson, MS Introduction
More informationWhat You Need to KnowWhen Taking Anticoagulation Medicine
What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.
More informationENGAGING PHARMACISTS IN 1305
ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based
More informationAchieving Quality and Value in Chronic Care Management
The Burden of Chronic Disease One of the greatest burdens on the US healthcare system is the rapidly growing rate of chronic disease. These statistics illustrate the scope of the problem: Nearly half of
More informationChronic disease places a significant financial burden on
Value-Based Benefit Design: Using a Predictive Modeling Approach to Improve Compliance John J. Mahoney, MD, MPH ABSTRACT BACKGROUND: Increased medication compliance rates have been demonstrated to result
More informationThrifty White Pharmacy 9/5/2014. Specialty Pharmacy. Specialty Pharmacy: The Opportunities and the Challenges
Specialty Pharmacy: The Opportunities and the Challenges MPhA Annual Conference September 12, 2014 Justin Heiser, PharmD Senior Vice President, Pharmacy Operations Specialty Pharmacy High cost and/or high
More informationeprescribing Information to Improve Medication Adherence
eprescribing Information to Improve Medication Adherence January 2014 This white paper was funded by the Pharmaceutical Research and Manufacturers of America. About Point-of-Care Partners Point-of-Care
More informationMedication Management: A Family Caregiver s Guide
Family Caregiver Guide Medication Management: A Family Caregiver s Guide Types of Medications You should make sure all of your family member s doctors and the home care nurse know all the overthe-counter
More informationUniversity of Warwick institutional repository: http://go.warwick.ac.uk/wrap
University of Warwick institutional repository: http://go.warwick.ac.uk/wrap This paper is made available online in accordance with publisher policies. Please scroll down to view the document itself. Please
More informationImpact of a nurse telephone intervention among high cardiovascular risk health fair participants. Lisa H. Jensen, BSN, RN Colorado Prevention Center
Impact of a nurse telephone intervention among high cardiovascular risk health fair participants Lisa H. Jensen, BSN, RN Colorado Prevention Center Co-authors Bonnie Leaman-Castillo PhD, Behavioral Scientist
More informationThis training document
1 Why is this training important? Training curriculum for health coaches Tom Bodenheimer May 2008 tbodenheimer@fcm.ucsf.edu This curriculum (a work in progress) can be accessed at the UCSF Center for Excellence
More informationHow do community cardiovascular networks foster improvements in health and system outcomes
How do community cardiovascular networks foster improvements in health and system outcomes Beatrice McDonough, BScN, MScN, MSc, PhD(c); Lisa Dolovich, BScPhm, PharmD MSc; Larry Chambers, PhD, FACE, HonFFPH(UK);
More informationPromoting Medication Adherence in Older Adults... and the Rest of Us
In Brief C. Everett Koop, MD, said, Drugs don t work in patients who don t take them. There is a lot of evidence that patients are not taking their medications as prescribed. Lack of medication adherence
More informationMedication Adherence. [Primary care educators may use the following slides for their own teaching purposes] CDC s Noon Conference March 27, 2013
Medication Adherence [Primary care educators may use the following slides for their own teaching purposes] CDC s Noon Conference March 27, 2013 Overview of This Educational Module Medication adherence
More informationPromoting CVD Prevention in Your Practice: A New Medicare Reimbursable Service
Promoting CVD Prevention in Your Practice: A New Medicare Reimbursable Service Richard Josephson, MD, MS, Professor of Medicine, Case Western Reserve University; Medical Director, CICU, UH Case Medical
More informationBACKGROUND. ADA and the European Association recently issued a consensus algorithm for management of type 2 diabetes
BACKGROUND More than 25% of people with diabetes take insulin ADA and the European Association recently issued a consensus algorithm for management of type 2 diabetes Insulin identified as the most effective
More informationABC S OF MEDICATION THERAPY MANAGEMENT SERVICES. Eric Crumbaugh, PharmD
ABC S OF MEDICATION THERAPY MANAGEMENT SERVICES Eric Crumbaugh, PharmD Look familiar? Objectives Discuss the effects of the aging population on the current practice of community pharmacy. Identify current
More informationPrinciples on Health Care Reform
American Heart Association Principles on Health Care Reform The American Heart Association has a longstanding commitment to approaching health care reform from the patient s perspective. This focus including
More informationStatistics of Type 2 Diabetes
Statistics of Type 2 Diabetes Of the 17 million Americans with diabetes, 90 percent to 95 percent have type 2 diabetes. Of these, half are unaware they have the disease. People with type 2 diabetes often
More informationMedicines: Use Them Safely
National Institute on Aging AgePage Medicines: Use Them Safely When Jerry, age 71, came home from the drug store with his latest medication, he placed all his pill bottles on the kitchen counter and counted
More informationPills for Type 2 Diabetes. A Guide for Adults
Pills for Type 2 Diabetes A Guide for Adults December 2007 Fast Facts on Diabetes Pills n Different kinds of diabetes pills work in different ways to control blood sugar (blood glucose). n All the diabetes
More informationMaximizing Limited Care Management Resources to Improve Clinical Quality and Ensure Safe Transitions
Maximizing Limited Care Management Resources to Improve Clinical Quality and Ensure Safe Transitions Scott Flinn MD Deborah Schutz RN JD Fritz Steen RN Arch Health Partners A medical foundation formed
More informationApril 28, 2014. Submitted electronically via www.regulations.gov
April 28, 2014 Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2015 Edition EHR Standards and Certification Criteria Proposed Rule
More informationPrescription Drug Plan
Prescription Drug Plan The prescription drug plan helps you pay for prescribed medications using either a retail pharmacy or the mail order program. For More Information Administrative details and procedures
More informationEvidence-Based Secondary Stroke Prevention and Adherence to Guidelines
Evidence-Based Secondary Stroke Prevention and Adherence to Guidelines Mitchell S.V. Elkind, MD, MS Associate Professor of Neurology Columbia University New York, NY Presenter Disclosure Information Mitchell
More informationMaking Sense of Medicare Advantage and Part D Open Enrollment
Making Sense of Medicare Advantage and Part D Open Enrollment By Stephen L. Cohen, MD Austell, GA About this presentation: We know that a lot of material is presented here. Please go to www.medicaredrugsavings.org
More informationHow to Create a Pill Card
How to Create a Pill Card Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. 290-00-0011
More informationMed Sync YOUR STEP-BY-STEP QUICK REFERENCE GUIDE
Med Sync YOUR STEP-BY-STEP QUICK REFERENCE GUIDE Med Sync: Your Step-by-Step Quick Reference Guide The Med Sync Guide provides a simple, five-step process to implement a medication synchronization program
More informationDIABETES. I can do all things through Christ who gives me strength Eduardo Macias MD PGY3
DIABETES I can do all things through Christ who gives me strength Eduardo Macias MD PGY3 INITIAL REACTION Traumatic prior event Initial type 2 DM diagnosis Kubler-Ross phases. Confusion I am not the typical
More informationImpact of Part D Coverage Gap on Adherence to Diabetes Medications Feng Zeng, Ph.D.
Impact of Part D Coverage Gap on Adherence to Diabetes Medications Feng Zeng, Ph.D. Good morning. Welcome to my presentation. So today I m going to talk about the impact of coverage gap reforms on adherence
More informationFrom Concept to Rapid Visualization a Data Analytics Case Study
From Concept to Rapid Visualization a Data Analytics Case Study Gregory Wozniak, PhD Director of Outcomes Analytics Health Outcomes Group American Medical Association The Journey Objectives Share experiences
More information