Posts Tagged ‘medication adherence’

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.

Guest Post: 10 Medication Adherence Facts to Know in 2015

January 22nd, 2015 by Troy Hilsenroth

medication adherence

$105 billion of avoidable U.S. healthcare costs is due to medication non-adherence.

With 50 percent of Americans suffering from at least one chronic condition in their lifetime, medication management affects nearly everyone at some point. Whether an individual takes multiple medications or cares for a family member who is, the importance of taking medications as prescribed is highly undervalued. While missing a pill one day may seem insignificant, the effects of these habits can be highly detrimental and far-reaching, as guest blogger Troy Hilsenroth explains.

Not taking medication as prescribed, or medication non-adherence, can result in costly hospital bills, declines in patient wellness, and medical complications among other outcomes. Due to these very real risks, additional awareness about this serious public health issue is crucial moving into 2015.

Pharmacists already possess the patient care tools necessary to help with this problem. Patients need to access available tools to improve their medication adherence and educate themselves about their meds. The first step in reversing these trends is to promote education around the severity of medication non-adherence.

The following are ten medication adherence statistics to know in 2015:

  • In the United States, avoidable healthcare costs add up to $213 billion, of which $105 billion is due to medication non-adherence, according to the Express Scripts 2013 Drug Trend Report.
  • Non-adherence causes 30-50 percent of treatment failures and 125,000 deaths annually. 1
  • 64 percent of readmissions within 30 days are due to medication issues, according to HIN’s 2010 Benchmarks in Improving Medication Adherence.
  • Medications are not continued as prescribed in about 50 percent of cases, according to a 2013 Centers for Disease Control and Prevention (CDC) presentation.
  • Nearly 50 percent of Americans have one or more chronic conditions that require prescription medications, according to the CDC.
  • Medication adherence is higher among patients who see the same healthcare provider each time they have a medical appointment. In this group, the average adherence is 81 percent, according to “Medication Adherence in America: A National Report Card,” a recent report from the National Community Pharmacists Association.
  • Non-adherent patients are 17 percent more likely to be hospitalized than adherent patients, with a cost that exceeds that of an adherent patient by $3,575. 2
  • Generic medications have higher rates of adherence than name brand prescriptions, with 77 percent of patients adhering to generics as opposed to 71 percent with the name brand. 3
  • For some classes of medication, up to 30 percent of prescriptions are never filled by the patient, according to the Network for Excellence in Health Innovation (NEHI).
  • Patients receive 3.4 more refills per prescription in a 12-month period when their refills are synchronized, according to the National Community Pharmacists Association.

Medication non-adherence poses a very real risk for patients and their providers. A collaborative care team including physicians, pharmacists, and the patient is crucial to continuing education on this issue and establishing a medication management strategy to stay healthy and out of the hospital.

About the Author: Troy Hilsenroth has been with Omnicell for over six years, and currently serves as its vice president of the non-acute care division. In this role, he develops and delivers solutions to help organizations develop new and better ways of doing business and cultivates programs that change healthcare dynamics. Throughout his 22-year career in healthcare, his mission has been to deliver higher clinical quality at a lower cost. Prior to working at Omnicell, Troy served as a licensed clinical pharmacist for 14 years in a broad range of pharmacy environments, while also working as a firefighter and paramedic.

HIN Disclaimer: The opinions, representations and statements made within this guest article are those of the author and not of the Healthcare Intelligence Network as a whole. Any copyright remains with the author and any liability with regard to infringement of intellectual property rights remain with them. The company accepts no liability for any errors, omissions or representations.


1. Smith D, Compliance Packaging; a patient education tool, American Pharmacy, Vol. NS29, No 2, February 1989.
2. A. Dragomir et al. (May 2010.). Impact of Adherence to Antihypertensive Agents on Clinical Outcomes and Hospitalization Costs. Medical Care, 48 (418-425). doi: 10.1097/MLR.0b013e3181d567bd
3. O’Riordan, Michael. (2014, September 15). Generics Beat Brand-Name Statins for Patient Adherence and Improving Outcomes. Medscape. Retrieved from http://www.medscape.com/viewarticle/831707

Infographic: Medication Non-Adherence’s Impact

November 12th, 2014 by Melanie Matthews

Medication Adherence

Medication Adherence

Medication non-adherence negatively impacts patient health and drives increases in healthcare costs, according to an infographic by NextIT.

The infographic examines one of the top reasons for medication non-adherence, eliminating health risk factors, and the role of virtual health assistants in helping patient manage chronic conditions.

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 Adherence42 Metrics for Improving Medication Adherence 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.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

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Infographic: The Growing Industry, Effects of mHealth

April 11th, 2014 by Jackie Lyons

mHealth is currently a $1.3 billion industry that is expected to reach $20 billion by 2018, according to a new infographic from Mobile Future and Infield Health.

This infographic shows savings attributed to remote patient monitoring and medication adherence resulting from mHealth. It also assesses how mobile tools are transforming healthcare as more Americans, including healthcare providers, adopt mobile devices and wireless connectivity, and more.

Learn more about mHealth in 2013 Healthcare Benchmarks: Mobile Health, which delivers a snapshot of mHealth trends, including current and planned mHealth initiatives, types and purpose of mHealth interventions, targeted populations and health conditions, and challenges, impact and results from mHealth efforts. This 50-page resource provides selected metrics on the use of mHealth for medication adherence, health coaching and population health management programs.

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Infographic: Technology Poised to Change Future of Nursing

April 4th, 2014 by Jackie Lyons

Healthcare reform is not the only change that will affect the nursing profession, evolving technology is likely to alter the future of nursing as well.

Among emerging healthcare technologies is barcode medication administration, which allows medications to be scanned before being administered. This enables nurses to check that the medication is correct, for the right patient and in the right dosage, according to a new infographic from Norwich University Online.

This infographic outlines other technologies that will change the nursing industry in years ahead, as well as how healthcare reform and education will affect the nursing profession.

Looking for other ways to increase medication adherence? You may also be interested in 2013 Healthcare Benchmarks: Improving Medication Adherence. This 56-page resource provides actionable information from more than 100 healthcare organizations on efforts to improve medication adherence and compliance in their populations.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

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Infographic: Timeline of the Patient Experience

March 24th, 2014 by Jackie Lyons

From the first encounter on a benefits enrollment website to hospital discharge, the healthcare industry is looking to improve care quality and patient satisfaction.

However, 83 percent of Americans do not follow treatment plans given by their doctor as prescribed, according to a new infographic from Codebaby. This infographic chronicles the average experience of Americans, from making an appointment to follow-up treatment and everywhere in between.

Looking to enhance the patient experience and better coordinate care? You may also be interested in this webinar replay: Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results. Improving care coordination improves the overall patient experience and satisfaction. During this webinar, Gail Miller, the vice president of telephonic clinical operations in Humana’s care management organization, Humana Cares/SeniorBridge, shared details of their telephonic care management program and how these remote monitoring pilots will enhance their care coordination efforts.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

3 Reasons Home Visits Critical During Care Transitions

February 20th, 2014 by Cheryl Miller

As far back as 2010, home visits were a vital component of the Durham Community Health Network (DCHN), a primary care case management program for Medicaid recipients who live in Durham County, NC, explains Jessica Simo, program manager with Durham Community Health Network (DCHN) for the Duke Division of Community Health. Conducted in three-month increments, and designed initially to better address Medicaid recipients’ needs and link them to their medical homes, the face-to-face visits helped establish a level of trust between case manager and patient, eventually leading patients to better outcomes, including improving medication reconciliation.

Why are home visits so important? Number one, it is very challenging to observe problems that individual patients may have with adhering to their medication regimens if providers can’t see the medicines in the bottle in the patient’s home. You need to be available to count the medicines and ascertain definitively that they are not missing. Trying to do medication reconciliation over the phone is nowhere near as effective as being in a patient’s home.

Another reason home visits are more effective is that you can physically see what activities of daily living (ADL) or instrumental activities of daily living (IADL) deficits the patient may be experiencing in their natural environment. This is something you can’t directly observe within the confines of an exam room.

The engagement of family or other support persons is also important. Home visits are an excellent way to see somebody in their natural environment, find out who the support people are for the patient, have a comfortable discussion in their home about an individual plan of care and get the people who can assist with that on board.

For all of the previous reasons, home visits were critical to the DCHN pilot. It’s especially important in a medically complex patient population where there are frequent transitions, whether they be from the acute care setting, from any emergency department (ED) visit or back into the home from an assisted living facility.

Excerpted from 2013 Healthcare Benchmarks: Home Visits.

Healthcare Business Week in Review: Oncology PCMH; Medication Management; Seniors on FB

November 29th, 2013 by Cheryl Miller

As families gathered this week to celebrate Thanksgivikkuh, (which won’t happen again for 77,000 years!) we offered several stories that demonstrate the strength of partnerships.

To begin, a first-of-its-kind patient-centered medical home (PCMH) model for oncology from Aetna and Consultants in Medical Oncology and Hematology, PC (CMOH).

The collaboration combines evidence-based decision support in cancer care with enhanced personalized services and realigned payment structure and is designed to increase treatment coordination and improve quality outcomes and costs for cancer patients. Researchers found that more than half of all new cancer patients are 65 or older, and most have one or more health conditions in addition to cancer. Given their frequency of contact with patients, oncologists are well positioned to help their patients coordinate care for multiple conditions.

Physician-led, team-based models of care are the future of healthcare, according to the AMA, which has issued a set of recommendations for implementing these models, including a report for the development of payment mechanisms that promote satisfaction and sustainability of team-based models in various practice settings. Among the recommendations: establishing payment distribution models that foster physician-led team based care, and reimbursing those physicians who lead these teams accordingly.

High-risk heart failure patients receiving nursing interventions were four times as likely to take their medication, but their hospital readmission rates were not impacted, according to a new study at Duke Medicine.

Patients who were tutored about managing their symptoms, taking their pills on schedule, and developing an action plan for addressing their symptoms were more likely to take their prescribed medications. They were encouraged to use doctors’ offices and clinics rather than the emergency department.

But when the researchers looked at the hospital readmission rate, they found that readmissions were not significantly different between the two groups. Medication management is just one of many issues facing patients most at risk for their conditions to worsen, researchers found, and redesigning care to confront the issues that are keeping the vulnerable from regaining their health has to be addressed.

Developing a communication hub, virtually and in person, is critical to a successful care coordination plan for dual eligibles, says Timothy C. Schwab, MD, FACP, former chief medical officer of SCAN Health Plan. It ensures that all members of the immediate and long-term support team are in sync with each other.

Seniors want to stay connected. According to a new Accenture survey, more than half of seniors 65 years and older are seeking digital options for managing their health services remotely. In fact, researchers found that at least three-fourths of Medicare recipients access the Internet at least once a day for e-mail (91 percent) or to conduct online searches (73 percent) and a third access social media sites, such as Facebook, at least once a week.

And lastly, a way for you to communicate with us: participate in our fourth comprehensive online survey, Reducing Hospital Readmissions Benchmark Survey, and we will send you a free e-summary of the results once they are compiled.

Infographic: Influential Health Entrepreneurs of 2013

September 11th, 2013 by Jackie Lyons

Medical and technological advancements are crucial to lowering healthcare costs, providing satisfactory patient care and improving the overall healthcare industry. Health entrepreneurs are often the source of these advancements.

For example, Drchrono provides cloud and web-based electronic health record (EHR) platform access via iPads and iPhones to streamline doctor-patient relations, according to a new infographic presented by Health-Science-Degree.com. This infographic details Drchrono and the other four most influential health entrepreneurs of 2013, including their achievements and their specific effects on healthcare.

Influential Health Entrepreneurs of 2013

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You may also be interested in this related resource: Healthcare Trends & Forecasts in 2013: Performance Expectations for the Healthcare Industry.