Medication Therapy Management

What are the costs of Medication Non-Compliance?

Half of all patients do not take their medications as prescribed(¹); adherence is lowest among patients with chronic illnesses (²). Researchers have estimated that up to 19 percent of discharged patients experience an adverse event after discharge, of which roughly two-thirds are attributable to medications(³). One study found that one-third of adverse drug events resulting in a hospital admission were related to non-adherence (¹). The aggregate cost of hospital admissions related to medication adherence has been estimated to be roughly $100 billion per year and estimates of the share of hospital admissions related to non-adherence are as high as 10 percent (²)(³).

PCCM documents Physician’s Patient’s medication self-management, reviews the Patient’s  medication list, reconciles it, assesses their adherence with prescribed medication regimen(s) and reviews for potential interactions and allergies as a part of its Care Plan Personalization process for all new CCM Patients. At the election of Physicians and Patients, PCCM also offers a pharmacy management program, Simplify My Meds. This service, provided in partnership with Primary Care Pharmacy, is of no cost to Patients and includes free home delivery of all prescriptions and over the counter medications.

What is Simplify My Meds?

Its Medication Synchronization, Multi-Dose Packaging, and Medication
Reminder Calls.

Medication Synchronization

Is the process of setting up all of a Patient’s medication refills to come
due on the same day of the month through a one- time process of “short
filling” (Re-filling only the quantity of each medication required to be
dispensed to bring all medications in-line with one refill date).

Multi-Dose Packaging

Provides for up to 90-days’ supply of a Patient’s medications to be broken down into morning, noon, evening and bedtime dosages so Physicians and Patients know the right medications are being taken at the right time every time.

Medication Reminder Calls

Are available from an automated system that calls Patients at each dosing time daily to inquire if they have taken their medication. They can reply simply by entering “1” on their key pad for yes or “2” for no. The Primary Care Pharmacy system provides a morning, noon and evening report of any non- reply or “2” and PCCM Care Coordinators perform same day follow-up calls to Patients to address any issues driving their medication non-compliance.

What will Simplify My Meds do for your practice?

Your Patients will avoid many of the adverse effects of medication non-compliance and your staff time spent tracking and facilitating refills will be significantly minimized; as refills can be facilitated by PCCM staff and using the CCM portal.

(1)Fischer MA, Stedman MR, Lii J, et al. “Primary Medication Non-Adherence: Analysis of 195,930 Electronic Prescriptions.” J. Gen. Intern. Med., 2010 New Engl.J. Med., Aug 4, 2005, 2-Foster, A.J., Murff, H.J., Peterson, J.F. et al. (2003). (2) Sokol MC, McGuigan KA, Verbrugge RR, Epstein RS. “Impact of Medication Adherence on Hospitalization Risk and Healthcare Cost.” Med Care. Jun 2005 ;43(6):521-30.(3)The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med, 2003 Feb 4; 138(3): 161-7., (1) McDonnell PJ, Jacobs MR. Hospital admissions resulting from preventable adverse drug reactions. Ann Pharmacother. 2002 Sep;36(9):1331-6. PubMed PMID: 12196047. (2) Osterberg, L., Blaschke, T. (2005). Adherence to medication. N Engl J Med, 353(5), 487-497.5-Berg JS, (3)Dischler J, Wagner DJ, Raia JJ, Palmer-Shevlin N. Medication compliance: a healthcare problem. Ann Pharmacother. 1993 Sep;27(9 Suppl):S1-24. Review)