These 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, recently named one of 73 Innovations Advisors 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.
It also answers more than 30 questions on the role of the pharmacist in reducing non-adherence.
In the first intervention, community pharmacists apply the principles of motivational interviewing to screen customers for risk of non-adherence. Dr. Pringle outlines an innovative pilot in which Highmark, the University of Pittsburgh School of Pharmacy, and Rite Aid pharmacies train pharmacists to use motivational interviewing techniques with patients at risk of medication non-adherence. Dr. Pringle directs the program evaluation research unit (PERU) at the University of Pittsburgh School of Medicine and is an associate professor at the University of Pittsburgh School of Pharmacy.
This report also explores the rationale for placing pharmacists in the patient-centered medical home. Beth Chester, PharmD, MPH, FCCP, BCPS, senior director of pharmacy clinical operations and quality for Kaiser Permanente Colorado, sketches out the roles of the physician practice staff and pharmacist in medication management, the use of tele pharmacy call centers and key financial incentives and reimbursement strategies that can improve payoffs from medication compliance.
And finally, Jan Berger, MD, chief medical officer for Silverlink Communications, Inc., offers a team-based model for medication adherence improvement in patients with diabetes that places the pharmacist squarely on the care team.
Don't wait to order your organization's copy of Pharmacists and Medication Adherence: Brief Interventions, Motivational Interviewing and Telepharmacy and begin reducing healthcare utilization costs associated with medication non-compliance.
- Project Background
- Keys to Improving Medication Adherence
- Phases of the Pennsylvania Collaborative Project
- Project Partners and Initial Training
- Development of ASPIRE
- Components of Intervention and Screening Methods
- Detailed Steps of a Brief Intervention
- Steps to Program Implementation
- Measuring and Evaluating Results
- Lessons and Next Steps
Medication Therapy Management in the Patient-Centered Medical Home
- Argument for Pharmacist-Led MTM
- Responsibilities of the Clinical Pharmacy Team
- Virtual Pharmacy Team Members
- Cardiac Care Program Results
- Safe Transitions SNF Discharge Program
- Safe Transitions Results and Challenges
Achieving Medication and Care Plan Adherence through an Integrated Care Team
- Provider-Patient Communications
- Polk County's Team-Based Approach
- Clinical and Cost Improvements
- Impact on Medication Adherence
Q&A: Ask the Experts
- Three Key Elements of Adherence
- Phase II Target Population
- Pharmacy Private Consulting Areas
- Protecting Patient Privacy
- Defining and Measuring BIs
- Key Performance Indicators
- Implementation in Other Pharmacies
- Pharmacist Training
- Sharing Medication Adherence Data
- Program Outcomes and Benefits
- Measuring Adherence
- Targeting Patients for Intervention
- Prescription Wait Time
- Pharmacist Incentive
- The Impact of Packaging on Medication Adherence
- Reimbursing Pharmacists for MTM
- Role of the Community Pharmacist in MTM
- Physician Time Freed Up by Pharmacist
- MTM Delivery Methods
- MTM Session Frequency and Duration
- Porting the Integrated System Model to a Network Model
- First Steps to Program Launch
- Dedicated Pharmacist Services
- Measuring Effectiveness of MTM
- MTM Data Management Software
- ROI from MTM
- Nurse Communication Methods
- When to Involve the Community Pharmacist
- Technology-Based Interventions
- Community Partnerships
- Measuring Medication Adherence
- Care Team-Patient Communication Strategies
- Boosting Patient Compliance
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About the Presenters