Tailored Pharmacy-Based Interventions to Improve Medication Adherence - PowerPoint Presentation

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Tailored Pharmacy-Based Interventions to Improve Medication Adherence

Breaking Down the Evidence: Implementation Resource for Community Preventive Services Task Force Findings.

Division for Heart Disease and Stroke Prevention

National Center for Chronic Disease Prevention and Health Promotion

Disclaimer: The contents of this presentation do not necessarily represent the official position of the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy

MEDICATION nonadherence

Prevents the patient from taking or following prescribed medicationsIncludes barriers at the patient, provider, and

health system levelsCan cause negative health outcomes

Tailored pharmacy-based interventions

Tailored pharmacy-based interventions aim to help patients who are at risk for cardiovascular disease take their medications as prescribed.The Community Preventive Services Task Force recommends interventions that include the following:

Assessment—Interviews or assessment tools are used to identify adherence barriers (things that get in the way of patients taking their medications as prescribed).Tailored guidance and services—Pharmacists use the results of the assessment to develop and deliver tailored guidance and services that aim to reduce patients’ barriers.

Guidance includes focused medication counseling or motivational interview sessions.Services include one or more of the following: patient tools such as pillboxes, medication cards, and calendars; medication refill synchronization; and enhanced follow-up.

Tailored pharmacy-based interventions (cont.)

Tailored pharmacy-based interventions mayBe set in community or health system pharmaciesInclude additional components, such as communication between the pharmacist and the patient’s primary care provider or patient education materials

Be used alone or be part of a broader intervention to reduce patients’ cardiovascular disease risk

For more information, visit

thecommunityguide.org.

Strategies that Support the

Pharmacists’ Patient Care Process and tailored pharmacy-based interventions

Medication Therapy Management

Appointment-Based Model

Collaborative Practice Agreements

Text Messaging

Implementation tools & Resources

Interactive Atlas of Heart Disease and Stroke Website

: This CDC interactive mapping resource provides data and filter options, including social and economic data, county-level blood pressure medication nonadherence, the number of pharmacies and drug stores, and the number of Medicare beneficiaries with heart disease.

Calculating Proportion of Days Covered (PDC) for Antihypertensive and Antidiabetic Medications Website: This CDC evaluation guide is for state recipients and data analysts to help them assess and calculate PDC. PDC is the preferred method to calculate medication adherence. This guide provides information on how to identify a data analyst with the appropriate skills, obtain access to data, prepare analyses, calculate the PDC, and report results.

Methods and Resources for Engaging Pharmacy Partners Website

: This CDC guide describes how health departments can establish or expand pharmacy services. Information is also summarized in the coffee break webinar.

Implementation tools & Resources (cont.)

Using the Pharmacists’ Patient Care Process to Manage High Blood Pressure Website

: This CDC guide provides information about current resources and emerging practices, as well as tools and examples that pharmacists can use to help them improve health outcomes associated with cardiovascular disease.

Pharmacy’s Appointment-Based Model Website: This American Pharmacists Association (APhA) implementation guide has 5 modules: Introduction, Gaining Organizational Support, Developing an Operational Plan with Example Documents, Integrating Technology, and Data Monitoring. Stories from the field are also provided.

Advancing Team-Based Care Through Collaborative Practice Agreements Website

: This CDC resource and implementation guide defines collaborative practice agreements, provides information about state laws and other factors to consider, and provides a template for drafting a sample agreement.