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New Tools to Address Medication
 Compliance, Adherence and Safety

 Dave Walker, RPh
 Vice President USA
 Med Time Compliance Corp.

 Barbara Crawford
 Columbia Medical Alarm, Inc.




Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Medication non-adherence is a costly
problem for the U.S. healthcare system:

• annual costs of well over $300 billion per year in the U.S. alone
• 1 in 10 hospital admissions of seniors due to medication misuse
• 40% of nursing home admissions associated with non-adherence

Additional medication safety issues put
seniors at higher risk:

• seniors more likely to take multiple medications
• medication regimen becomes more complicated / complex
• other factors (i.e. cognitive function) lead to adverse drug events

Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Pharmacists need to be actively involved:
• Studies show pharmacy medication adherence
programs can improve Rx regimen compliance
from below 60% to 97% or more with increased
patient safety.

• Improved compliance leads to improved disease
state management - i.e. reduced BP, LDL, A1C, etc.

• Reduced risk factors results in reduced
healthcare costs and improved patient outcomes.

• The technology to improve Rx compliance is
available to pharmacists today.

 Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Medication
  Organizer
  Reminder
  Systems
                                               M.O.R.S.
Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Secure
  Medication
  Organizer
  Reminder
  Systems
                                            S.M.O.R.S.
Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Medication Adherence Devices:
The Big Picture
The FDA approved Phillips PMD Medication
Dispensing System has a long track record of
improving medication safety and boosting Rx med
compliance to 98.6% among registered users.

But there are many other new medication adherence
devices available today. And more products are
currently being developed and brought to market.




  Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
Transitions in Pharmacy and Healthcare:
There are many new opportunities for pharmacists to
utilize this new technology for improving patient
medication compliance and safety. Doing so will result
in improved patient outcomes, improving lives and
saving healthcare dollars.

Oregon BOP rules need to allow pharmacists to
participate in programs utilizing this technology
designed to improve medication delivery, Rx
adherence/compliance, patient safety, etc.

Pharmacists should be allowed to take the
lead role as medication adherence specialists!

Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
“It's not enough to commit to change,
you must commit to always changing”
                      ~ Steve Adkins, PharmD
                 Healthpark Pharmacy, Raleigh, NC
                quoted in Pharmacy Times 4/12/2013




              DaveWalker.RPh@gmail.com
Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013

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Pmd bop 4-17-13

  • 1. New Tools to Address Medication Compliance, Adherence and Safety Dave Walker, RPh Vice President USA Med Time Compliance Corp. Barbara Crawford Columbia Medical Alarm, Inc. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 2. Medication non-adherence is a costly problem for the U.S. healthcare system: • annual costs of well over $300 billion per year in the U.S. alone • 1 in 10 hospital admissions of seniors due to medication misuse • 40% of nursing home admissions associated with non-adherence Additional medication safety issues put seniors at higher risk: • seniors more likely to take multiple medications • medication regimen becomes more complicated / complex • other factors (i.e. cognitive function) lead to adverse drug events Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 3. Pharmacists need to be actively involved: • Studies show pharmacy medication adherence programs can improve Rx regimen compliance from below 60% to 97% or more with increased patient safety. • Improved compliance leads to improved disease state management - i.e. reduced BP, LDL, A1C, etc. • Reduced risk factors results in reduced healthcare costs and improved patient outcomes. • The technology to improve Rx compliance is available to pharmacists today. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 4. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 5. Medication Organizer Reminder Systems M.O.R.S. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 6. Secure Medication Organizer Reminder Systems S.M.O.R.S. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 7. Medication Adherence Devices: The Big Picture The FDA approved Phillips PMD Medication Dispensing System has a long track record of improving medication safety and boosting Rx med compliance to 98.6% among registered users. But there are many other new medication adherence devices available today. And more products are currently being developed and brought to market. Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 8. Transitions in Pharmacy and Healthcare: There are many new opportunities for pharmacists to utilize this new technology for improving patient medication compliance and safety. Doing so will result in improved patient outcomes, improving lives and saving healthcare dollars. Oregon BOP rules need to allow pharmacists to participate in programs utilizing this technology designed to improve medication delivery, Rx adherence/compliance, patient safety, etc. Pharmacists should be allowed to take the lead role as medication adherence specialists! Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013
  • 9. “It's not enough to commit to change, you must commit to always changing” ~ Steve Adkins, PharmD Healthpark Pharmacy, Raleigh, NC quoted in Pharmacy Times 4/12/2013 DaveWalker.RPh@gmail.com Phillips PMD presentation -- Oregon Board of Pharmacy -- April 17th, 2013

Editor's Notes

  • #3: Cost of lack of adherence is about = total cost of Rx drugs dispensed Increase in healthcare costs from non-adherence – does not include $$ lost revenue to #pharma from non-adherencePatient safety issues increase healthcare costs – ER visits, hospitalizations, LTC admissionsa broad range of stakeholders, including 3rd party payers, governments, pharmaceutical companies, pharmacists, and drug wholesalers.
  • #4: Medication adherence/compliance as low as 55% - 60% depending on studyMedication adherence tools can be used with MTM consultation services
  • #6: Medication adherence/compliance as low as 55% - 60% depending on studyMedication adherence tools can be used with MTM consultation services
  • #7: Medication adherence/compliance as low as 55% - 60% depending on studyMedication adherence tools can be used with MTM consultation services
  • #8: Many automated medication reminder/dispensing devices available DOmedic, MedMinder, MedELert, ePill devices, various other automated medication dispensers Several connected devices – phone line and wireless to track and report compliance