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Home > HIN Case Studies
Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations
Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations
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When it comes to medication management for Medicare beneficiaries, there are more than 25 different factors that can complicate proper use of prescribed medicines—from affordability issues, even among the insured, to fear of a drug's side effects to potential dangers from high-risk medications or health conditions.

Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations examines Novant Health's deployment of pharmacists as part of its five-pronged strategy to deliver healthcare value through medication management services. 

In this 25-page resource, Rebecca Bean, Novant Health's director of population health pharmacy, outlines the risk-stratification process of newly discharged patients that flags high-risk individuals for a pharmacist referral. Ms. Bean also details how the integrated health system layers its pharmacists as an additional resource to improve quality performance in both the inpatient and outpatient arenas.

Throughout Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations, Ms. Bean provides details on the following:

  • Novant Health's motivation for enlisting pharmacists to reduce the number of adverse drug events (ADEs) in the Medicare population;
  • Patients' high-risk red flags that trigger a pharmacist referral;
  • Seven ways Novant Health pharmacists impact comprehensive medication management services;
  • The dozen benefits of incorporating pharmacists into its patient-centered medical homes (PCMH);
  • Strategies to improve the accuracy of medication management lists;
  • Thirteen critical program success factors;
  • Novant Health's early financial gains from pharmacist interventions, particularly in the areas of medication reconciliation, therapeutic monitoring and warfarin review;
  • Future plans for the health system's medication management model;
and much more.

Table of Contents

  • Using Clinical Pharmacists to Complete Comprehensive Drug Therapy Management Post-Discharge in High-Risk Patients
    • Novant Health’s Medication Management Approach
    • Program Goals: Delivering Value through Medication Management Services
    • What Happens When a Patient is Discharged
    • Factors That Place Patients At-Risk for ADEs
    • Patient Conversations During Medication Review
    • Pharmacist Referral Criteria
    • Medication Therapy Problems
    • Comprehensive Medication Management Services
    • Maintaining an Accurate Medication List
    • Program Success Factors
    • Integrating Pharmacists into the Medical Home Model
    • Staff Development
    • Preliminary Results
  • Q&A: Ask the Experts
    • Criteria for Pharmacist Referral
    • Confirming Patients’ Understanding of Medications
    • Post-Discharge Touch Points
    • Technology’s Role in Medication Management
    • Coordination with Post-Acute Care Providers
    • Home Visits for Medication Management
    • Measuring Patient Engagement and Satisfaction
    • Quality Metrics
    • Medication Adherence Estimators
    • When to Embed Pharmacists within a Physician Practice
    • Pharmacist Training Requirements
    • Funding for Staff Hiring and Training
    • Planned Program Enhancements
    • Provider Response to Pharmacist Advice
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: June 2017
Number of Pages: 25
ISBN 10: 1-943542-60-0 (Print version); 1-943542-61-9 (PDF version)
ISBN 13: 978-1-943542-60-4 (Print version); 978-1-943542-61-1 (PDF version)
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