Home visits are becoming the rule rather than the exception for organizations seeking to improve medication adherence rates. Nearly half (47 percent) of the respondents to HIN’s Medication Adherence in 2013 survey in January 2013 said they checked in with patients after an inpatient stay to reconcile any medication discrepancies and forestall any complications.
Efforts by 2013’s survey respondents to improve medication adherence in their respective populations underscore four key trends that have emerged since the Healthcare Intelligence Network first launched the survey in 2010. These four key trends are identified in 57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement, a new HIN resource. The first is that the cost of medications is a major impediment to adherence. Health plans seem to be taking the lead in reacting to the cost factor, reducing prescription costs and suggesting lower-priced alternatives.
Secondly, transitions in care have emerged as a prime opportunity to confirm the patient’s and caregiver’s understanding of prescribed medications. Hospitals, for their part, are amping up patient education efforts during the hospital stay and during the key discharge period, enlisting the pharmacist to reconcile medications and answer questions during this vulnerable period.
The fact that home visits are conducted by 47 percent of the population, a new metric identified by this year’s survey, means organizations are checking in with patients after an inpatient stay to reconcile medication use. Follow-up by phone and in person, often by a pharmacist, was noted by many respondents as their most successful MA strategy to date.
Through’ open-ended responses, HIN also discerned that poor communication hinders medication adherence: communication between provider and patient to confirm understanding and medication use; information exchange between providers on medications prescribed; and data transfer to home health agencies and pharmacists.
57 Population Health Management Metrics: Assessing Risk to Maximize Reimbursement delivers performance benchmarks in six key areas of population health management, based on feedback by hundreds of healthcare organizations, including population health management, health risk assessment, medication adherence, health coaching, care coordination, reducing readmissions and emergency department (ED) use.