6. “The system shall provide information to medical staff which reduces the probability of over-prescription of medication” (MHCPMS Case Study, 2014)…
5. Any problems with the administration of medication should be recorded on the MAR chart and Manager informed immediately, who is responsible for informing the individual’s General Practitioner and, if applicable, their social worker. The refusal should also be recorded in the daily log…
Once Apex begins to acquire the Mental Healthcare facilities, providing and maintaining optimal service will be key to developing a lasting partnership with these facilities. The operations management plan for this project will consist of providing the medication needs of the Mental Healthcare facilities through a cooperative effort from the pharmacist and pharmacy techs. This entails filling prescription orders, making sure refills are automatically queued so that they are filled on time, resolving any insurance issues, and delivering medication to the proper location. Providing personalized patient care is a top priority for Apex Care Pharmacy, and the pharmacy intends to do so for the clients of the Mental Healthcare…
Electronic medication administration records (MAR) are useful in displaying medications due at specific times. Not only is it possible to sort the medications due at one time, the MAR will also alert the nurse to potential drug interactions. Late medications will be displayed in red to be easily seen. If bar coding is implemented, medication errors can be reduced by a range of 60%-97% (Hunter, 2011).…
The cost of nonadherence is estimated to cost the US healthcare system $100 to $300 billion a year (Phrma, 2015). This figure includes the cost of hospitalization, premature death and nursing home admission. Adding an additional $2,000 to the annual per patient cost, 40% of the nursing homes admission has been associated with non-adherence (Phrma, 2015). The consequences of nonadherence are significant, they include transplant failure, acute rejection, decrease quality of life, which all leads to an increase in health care cost and potential longer term hospitalization (Tanriover, Stone, Mohan, et al, 2013). Nonadherence cause approximately 13%-35% of the transplant loss. Kidney recipients who do not adhere to their treatment regimen die at…
In interacting with your discussion I realized that some of the health factors that interfered with medication adherence in my experience, is the stress of health care visits with some patients, in some instant it is because, they don't have the mean to get to the provider office and have to use public transportation that add to a very stressful situation. Other time is because, some feel discomfort in asking providers questions, because these are in a rush to speak with patient that they in turn sometimes can remember what they really want to ask about the medication so this get in the way of patient belief or understanding.…
OBJECTIVES: This dissertation employs a three empirical research papers approach to study the following aims: (1) the prevalence and patterns of medication nonadherence to essential chronic medications in Medicare super-utilizers with chronic conditions, and to identify the factors associated with medication nonadherence, with special emphasis on factors including mental illness and use of opioid medications, (2) examine associations between medication nonadherence, and inpatient and ED use, and to evaluate other risk factors associated with health care utilization in Medicare super-utilizers with chronic conditions, and (3) examine the impact of the SafeMed Program, a care transitions program with a focus on medication management, on medication use and adherence among publicly insured super-utilizers with chronic conditions.…
* Participated in the implementation of ClinDoc, Inpatient EpicCare, Ambulatory EpicCare, MedRec, CPOE, NoteWriter, ASAP, Willow, and ADT with hospital systems throughout the country…
Background Super-utilizers place a substantial burden on the U.S. healthcare system and have become the focus of policy initiatives aimed at reducing their disproportionate inpatient and emergency department (ED) visits. Medication management is a critical component for these patients since nonadherence to medications is associated with poor health outcomes, and higher health care utilization and costs.…
This intervention is especially key to those who struggle with SMI. All health promotion material and medication education must be on a level easy to understand. Having patients repeat back the information or even teach the nurse what they were taught is an effective way to evaluate their knowledge of the information present to them. As previously mentioned, social factors should be taken into account when distributing medications to this population. It may not be feasible for a person to take certain types of medication depending on their living conditions.…
Patient education, along with prompt treatment with medications and interventions can contribute to saving someone’s life. Patients should be educated on compliance with the medications he/she is discharged home with from the hospital (ex. Aspirin, Statin, Beta-blocker). Compliance with the medication regimen will help in preventing another…
Along with the role of the pharmacy technician changing, the role of the pharmacist is taking a turn towards better patient care. In some pharmacies the pharmacist does all the dispensing and there are no technicians involved, but with the automated dispensing system performing these duties, pharmacists will be inclined to spend more time with patients to discuss their medications with them and to monitor their drug therapy in order to provide optimal pharmaceutical care. By spending more time with patients and getting…
Noncompliance is a common problem in many clinical settings. This barrier may be very frustrating for the APN. The patient may choose not to adhere to the recommendations of their primary care providers. Some reasons for noncompliance may not be the patient’s choice such as literacy issues, lack of funds, lack of resources, or inadequate communications. These are issues that may be addressed by the case manager or social worker who are involved in the…
Medication non-adherence is a serious public health issue, leading to increased health care costs, morbidity and mortality among conditions. Medication non-adherence is also one of the main obstacles for effective hypertension care, as between 20%-50% of the patients do not follow their prescribed medication regimen. Despite the large body of empirical evidence available, relatively little is known about the potential differences between the determinants underpinning intentional versus unintentional non-adherence. Shedding light on the factors of medication non-adherence is crucial to develop interventions and health campaigns addressing the issue. Thus, the present study quantitatively examines the patient-related factors of medication non-adherence…
National Institute for Health and Clinical Excellence (2009). NICE Clinical Guideline 76: Medicines adherence. Available at : www.nice.org.uk/CG76FullGuideline. (Assessed: 20 November, 2012).…