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Pharmacy Solutions, LLC

Medication Management for Optimal Patient Outcomes

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Medication Adherence
 
Medication Adherence for Life" - Rx MEDAL: A Pharmacy Solution

 

A unique approach to improving medication adherence incorporating motivational interviewing techniques with medication therapy management services.

 

Medication Adherence Defined - "The extent to which a person's behavior - taking medication, following a diet, and/or executing life style changes, corresponds with agreed upon recommendations from a health care provider." (WHO, 2003)

As medication adherence rates associated with diabetes management increase, total healthcare costs and hospitalization rates decrease.

Source: Michael C. Sokol, MD, MS, Kimberly A. McGuigan, PhD, Robert R. Verbrugge, PhD,and Robert S. Epstein, MD, MS, Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost, Medical Care • Volume 43, Number 6, June 2005.

Our value proposition provides for reduced total healthcare costs and optimal outcomes - view our Overview and Value Proposition Proposal for a description of our program.

For more information about improving Medication Adherence and Patient Outcomes please Contact Us.

 


 

The Challenges

Medication Adherence
Medication Errors
Adverse Drug Events
 
 
What is Medication Adherence? Its Simple. If patients do not take their medications as directed their conditions cannot be effectively treated and managed. This leads to poor outcomes, hospitalizations, and increased health care costs. Medication adherence rates are low, averaging only 50-65%. Furthermore, this chart illustrates the magnitude of the problem at various stages of medication adherence (CMAG, 2006).
 
 
 

 

Medication Errors - Up to 40% of patients discharged from hospitals will experience a medication error. The causes of medication errors is the result of fractionated information systems, insufficient patient education and understanding, and non-adherence. The Institute of Medicine and the American Medical Association have reported an alarming number of deaths attributed to medication errors and adverse drug events.
Adverse Drug Events - Defined as any injury resulting from medical intervention related to a drug whose outcome is unexpected and unacceptable to the patient and health care provider. ADEs are responsible for 17 million emergency department visits and 8.7 million hospital admissions in the United States each year, costing payors and tax payers over $177.4 billion. Cardiovascular agents are the most common drug class associated with ADEs (37.4%).
 
The Solution

Pharmacy Solutions provides medication therapy management services whereby medication therapy can be reviewed, screened, and monitored for problems such as contraindications, duplications, interactions. Pharmacy Solutions provides an additonal feature to effectively measure and monitor medication adherence. Our programs currently focus on Behavioral Health, Polypharmacy, Congestive Heart Failure, COPD, Diabetes, and Hypertension.
 
 In acute care settings, the medication adherence process starts with the admitting medication reconciliation and continues through the hospital stay. Our Transition of Care program focuses on post discharge medication adherence and monitoring with the goal of improving outcomes and reducing 30 day readmission rates.

A patient’s adherence is evaluated to target areas where additional education or motivational interviewing may be required; or if a change in their health regimen may need to be considered. Thus, this is a powerful program that can change the dynamics of patient health related outcomes and reduce total health care costs.