Archive for the ‘Medication Management’ Category

Infographics: Leveraging Data To Improve Medication Compliance

October 26th, 2016 by Melanie Matthews

Some 75 percent of patients admit to not taking prescription medication as directed, according to a new infographic by SCIOInspire, Corp.

The infographic examines the extent of medication non-adherence, the impact on care quality and outcomes and how data can be used to reduce non-adherence.

2016 Healthcare Benchmarks: Medication ManagementMedication management is the standard of care that ensures each patient’s medications (whether prescription, nonprescription, alternative, etc.) are individually assessed for appropriateness, effectiveness, safety given the individual's comorbidities, other medications and ability to be taken as intended, according to a 2012 Patient-Centered Primary Care Collaborative definition. And while medications represent only a fraction of overall medical cost, they wield considerable influence over patients' chronic condition outcomes, utilization, cost and care experiences.

2016 Healthcare Benchmarks: Medication Management compiles actionable data on the infrastructure, challenges and outcomes of medication management initiatives, based on responses from 101 healthcare organizations to the August 2016 Medication Management survey by the Healthcare Intelligence Network. Click here for more information.

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Engage a Pharmacist and 12 More Prescriptions for Medication Management

October 20th, 2016 by Patricia Donovan

Half of medication management programs engage retail or community pharmacists in 2016.

When should a pharmacist be brought in for a medication management consultation?

When the patient requests a consult, experiences general medication adherence issues, or suffers complications from medications, say respondents to the 2016 Medication Management survey by the Healthcare Intelligence Network.

The 101 respondents to the August 2016 survey also indicated that as a general medication management guideline, and with or without a pharmacist's involvement, polypharmacy patients, individuals taking high-risk medications, those registering frequent ER or inpatient stays and those transitioning between care sites should receive priority.

Drilling down to clinical red flags for medication management, a diagnosis of diabetes is a key indicator, say 84 percent, followed by congestive heart failure or hypertension, say 81 percent of respondents.

Despite the inclusion of pharmacists in 90 percent of medication management programs, 42 percent of respondents say pharmacists are not currently reimbursed for medication management-related tasks.

Other medication management metrics documented by the survey include the following:

  • The three most common components of medication management programs are education and health coaching (71 percent), a medication needs assessment (69 percent) and pharmacist counseling (68 percent).
  • A pharmacist-driven clinical assessment is the most reliable standard for measuring medication management, say 63 percent of respondents.
  • E-prescribing and aids such as medication event monitoring system (MEMS) caps, pillboxes and calendars are the most common medication management tools, according to 49 percent of participants.
  • Patient-reported medication data is the information most commonly assessed for medication management, say 78 percent, closely followed by medication refill patterns (75 percent) and claims data (53 percent).
  • Half of responding medication management programs engage a retail or community pharmacist.
  • Fifty-eight percent of respondents not currently engaged in medication management plan to launch a program in the coming year.
  • Forty-four percent of respondents share electronic health records for medication management purposes.
  • Beyond a pharmacist-driven assessment, the Medication Possession Ratio (MPR) is the key measure of medication management for 31 percent of respondents.

Click here to download an executive summary of survey results: Medication Management in 2016: Polypharmacy, Diabetes Patients Priorities for Pharmacist-Led Interventions.

Infographic: The Impact of Medication Reconciliation on Readmission Rates

July 18th, 2016 by Melanie Matthews

Medication reconciliation programs, in which pharmacists review patients' medication regimens and provide adherence counseling during the patient's transition from hospital to home, reduced ths risk of hospital readmission by 50 percent and helped avoid unnecessary healthcare costs, according to a new study from the CVS Health Research Institute.

A new infographic by CVS highlights the survey findings, including details on the impact of medication non-adherence on readmission rates and how a pharmacist intervention reduced readmission risks.

Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk PatientsA clinical pharmacist-driven medication management effort at Novant Health identifies patients at high-risk for readmissions or ED visits related to adverse drug events. Using a combination of medication reconciliation, pharmacotherapy review, and patient education, Novant Health's clinical pharmacists are working to reduce preventable readmissions by optimizing medication regimens and removing barriers to adherence among these high-risk patients.

During Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients a 45-minute webinar on February 3rd, now available for replay, Rebecca Bean, director, population health pharmacy, Novant Health, shares her organization’s medication management approach and why a clinical pharmacist is key to the program’s success.

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Infographic: Connected Technology Improves Medication Adherence

June 10th, 2016 by Melanie Matthews

The use of a connected medication dispensing technology can greatly benefit patients with chronic conditions, helping them better comply with long-term therapy, according to a new study from Philips. Over the span of one year, user data from more than 1,300 patients in the Netherlands was analyzed, showing 96 percent of patients using Philips Medido, a connected medication dispensing solution, were adherent to their medication schedule.

A new infographic by Philips looks at the impact of medication non-adherence, demographic data of the study's patients and the impact on medication adherence and cost savings from the intervention.

What's the cost of medication non-adherence? As high as $290 billion annually, according to one frequently cited estimate. An equally bitter pill to swallow is the dismal C+ grade in medication adherence earned in 2013 by Americans with chronic medical conditions, according to the first National Report Card on Adherence from the National Community Pharmacists Association (NCPA).

Fortunately, the healthcare industry is striving to improve performance in this area. 42 Metrics for Improving Medication Adherence: Interventions, Impacts and Technologies provides convincing evidence of the impact of nine key interventions on medication non-adherence—from the presence of pharmacists in patient-centered medical homes to medication reconciliation conducted during home visits.

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Novant Health Pharmacists Dispense Healthcare Value in the Discharge Space

February 25th, 2016 by Patricia Donovan

Novant Health's team of 12 clinical pharmacists supports medication management across the care continuum.

It's a statistic healthcare organizations know well: 20 percent of Medicare beneficiaries are readmitted to the hospital within 30 days.

Factor adverse drug events (ADEs) into this trend, and the picture becomes more dire.

Enlisting pharmacists to reduce the number of ADEs in the Medicare population is just one goal in a five-point program by Novant Health to deliver healthcare value through medication management services.

"We've focused on adverse drug events because we feel they are an opportunity," explained Rebecca Bean, Novant Health's director of population health pharmacy. "Many ADEs are potentially preventable, and we know they are a contributor to hospitalizations. We believe pharmacists have a role in reducing risk for ADEs."

The list of ADE risks is extensive. By the end of Ms. Bean's February 2016 presentation on Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, now available for replay, she had identified more than 25 different factors that can complicate medication management— everything from a patient's affordability issues, even among the insured, to fear of a drug's side effects to potential dangers from high-risk medications or health conditions.

In the Novant Health model, an RN care coordinator risk-stratifies the newly discharged, combing real-time hospital discharge notifications for red flags, such as patients taking high-risk medications or having high-risk conditions, signaling the need for a pharmacist referral.

Once referred, pharmacists conduct a comprehensive drug therapy review, keeping an eye out for adverse effects, newly prescribed medications and polypharmacy as well as general medication adherence issues.

"There could be financial barriers to getting their medications. There could be health literacy issues. Those are the sorts of things we want to make sure we're directing pharmacist resources toward," noted Ms. Bean.

Aware its providers have limited time to spend with patients, the integrated health system layers its pharmacists as an additional resource to improve quality performance, to incorporate protocols and evidence-based guidelines such as the all-important medication reconciliation. In an era of electronic health record use, the medication list has become dynamic, with many providers editing the list, Ms. Bean notes.

"We're also utilizing our pharmacy team both on the inpatient and outpatient sides to gather that best possible medication history, and then teach other clinical team members how to best reconcile medications."

Ms. Bean shared seven ways Novant Health pharmacists impact comprehensive medication management services, including the dozen benefits of incorporating these clinicians into its patient-centered medical homes (PCMH).

Encouraged by early financial gains from pharmacist interventions, particularly in the areas of medication reconciliation, therapeutic monitoring and warfarin review, Novant Health is committed to staff development to further its medication management program, exploring certification programs and even pharmacy resident programs.

"We feel it's really valuable in the discharge space to be able to get a pharmacist involved with taking care of patients," Ms. Bean concluded.

Listen to an interview with Rebecca Bean in which she offers ideas to improve the accuracy of medication lists.

Infographic: Medication Management

December 28th, 2015 by Melanie Matthews

Serious medication errors occur in 3.8 million inpatient admissions each year, according to a new infographic by Sentri7.

The infographic reviews how medication errors and adverse drug events affect patients and hospitals.

A clinical pharmacist-driven medication management effort at Novant Health identifies patients at high-risk for readmissions or ED visits related to adverse drug events. Using a combination of medication reconciliation, pharmacotherapy review, and patient education, Novant Health's clinical pharmacists are working to reduce preventable readmissions by optimizing medication regimens and removing barriers to adherence among these high-risk patients.

During Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, a 45-minute webinar on February 3rd at 1:30 p.m. Eastern, Rebecca Bean, director, population health pharmacy, Novant Health, will share her organization’s medication management approach and why a clinical pharmacist is key to the program's success.

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Infographic: mHealth Improves Medication Adherence, Lowers Costs

November 16th, 2015 by Melanie Matthews

Fifty percent of medications are not taken as prescribed, according to a new infographic by MediSafe.

The infographic also looks at the impact of three chronic conditions on the U.S. healthcare system and results from an IMS study on how MediSafe's medication management platform increased medication adherence.

mHealth Improves Medication Adherence, Lowers Costs

What's the cost of medication non-adherence? As high as $290 billion annually, according to one frequently cited estimate. An equally bitter pill to swallow is the dismal C+ grade in medication adherence earned in 2013 by Americans with chronic medical conditions, according to the first National Report Card on Adherence from the National Community Pharmacists Association (NCPA).

Fortunately, the healthcare industry is striving to improve performance in this area. 42 Metrics for Improving Medication Adherence: Interventions, Impacts and Technologies provides convincing evidence of the impact of nine key interventions on medication non-adherence—from the presence of pharmacists in patient-centered medical homes to medication reconciliation conducted during home visits.

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Infographic: Curbing Healthcare Costs

July 17th, 2015 by Melanie Matthews

The U.S. healthcare system could save $213 billion annually if medicines were used properly, according to a 2013 study by IMS Institute for Healthcare Informatics. An article in Health Affairs echoed this sentiment and found that just an extra $1 spent on medicines for adherent patients with congestive heart failure, high blood pressure, diabetes and high cholesterol can generate $3 to $10 in savings on emergency room visits and inpatient hospitalizations.

A new infographic by PhRMA looks at the impact of medicine on healthcare costs.

Pharmacists and Medication Adherence: Brief Interventions, Motivational Interviewing and TelepharmacyThese three misconceptions are at the heart of medication non-adherence, says Janice Pringle, Ph.D., of the University of Pittsburgh School of Pharmacy — misconceptions that pharmacists can help to clear up.

Dr. Pringle, named as an Innovations Advisor by the Centers for Medicare and Medicaid Services, is one of three contributors to Pharmacists and Medication Adherence: Brief Interventions, Motivational Interviewing and Telepharmacy. This 50-page resource describes a number of interventions in which pharmacists help to guide patients and health plan members to higher levels of medication adherence — programs that take place in the pharmacy, in the physician practice, or virtually.

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Infographic: Medication Adherence

June 29th, 2015 by Melanie Matthews

Seventy-five percent of physician visits involve drug therapy, according to a new infographic by Anthem.

The infographic also looks at the percent of Americans taking prescription medications, the public health cost of medication non-adherence and how to improve adherence.

42 Metrics for Improving Medication Adherence: Interventions, Impacts and Technologies What's the cost of medication non-adherence? As high as $290 billion annually, according to one frequently cited estimate. An equally bitter pill to swallow is the dismal C+ grade in medication adherence earned in 2013 by Americans with chronic medical conditions, according to the first National Report Card on Adherence from the National Community Pharmacists Association (NCPA).

Fortunately, the healthcare industry is striving to improve performance in this area. 42 Metrics for Improving Medication Adherence: Interventions, Impacts and Technologies provides convincing evidence of the impact of nine key interventions on medication non-adherence—from the presence of pharmacists in patient-centered medical homes to medication reconciliation conducted during home visits.

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ROI and 12 More Rewards from Stratifying High-Risk, High-Cost Patients

May 21st, 2015 by Patricia Donovan

Health risk stratification—for example, grouping diabetics in a single physician practice or drilling down to an ACO's subset of medication non-adherent diabetics with elevated HbA1cs—followed by risk-appropriate interventions can significantly enhance a healthcare organization's clinical and financial outlook.

For 9.4 percent of respondents to HIN's 2014 Health Risk Stratification Survey, risk stratification resulted in program ROI of between 3:1 and 4:1, while 6.3 said return on investment was greater than 5:1.

Stratification and targeted interventions also generated a healthy drop in healthcare cost, nursing home stays, ER utilization and time off work while boosting quality ratings, patient engagement levels and care plan adherence.

Survey respondents further quantified successes achieved from health risk stratification in their own words:

  • "„„Decreased readmissions and decreased skilled nursing facility (SNF) utilization."
  • "Improved treat-to-target for diabetes, blood pressure, and depression care."
  • "Reduction in readmissions by 20+ percent."
  • "Reducing heart failure, pneumonia, acute myocardial infarction (AMI) and chronic obstructive pulmonary disorder (COPD) Medicare readmissions."
  • "Patient compliance to care plan."
  • "Patient health outcomes, quality of life, and satisfaction with services."
  • "Member satisfaction."
  • "More referrals to patient-centered medical homes and fair retention with limited resources."
  • "Decreased primary care-sensitive ED visits and increased quality metrics."
  • "One-on-one interaction w/members to promote behavior change."
  • "A reduction of costs in the range of 6 to 8 percent of target spend."
  • "Lower readmission rates for those patients on AIM 2.0 program with home health and more compliance with meds. We meet with FQHCs every other month and discuss issues and case management."

Source: 2014 Healthcare Benchmarks: Stratifying High-Risk Patients

http://hin.3dcartstores.com/2014-Healthcare-Benchmarks-Stratifying-High-Risk-Patients_p_4963.html

2014 Healthcare Benchmarks: Stratifying High-Risk Patients captures the tools and practices employed by dozens of organizations in this prerequisite for care management and jumping-off point for population health improvement — data analytics that will ultimately enhance quality ratings and improve reimbursement in the industry's value-focused climate.