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Conferences WPQC The Journal

Resources for Your Practice

Webinar Series on Medication Adherence 

This 3-part webinar series will guide pharmacists though step-wise processes that foster development of essential skills necessary to conduct an effective medication adherence encounter. Pharmacists will learn and leverage motivational interviewing principles to connect with patients in a meaningful, impactful manner. If you are interested in earning CE credits for these webinars, please register here

Pharmacist-led Interventions

How to Motivate Your Patients

Motivational Interviewing: A patient-centered process used to gauge a patient's readiness to act on a target behavior and to apply specific skills and strategies that respect the patient's autonomy and facilitate confidence and decision-making.

[Download this tip sheet here]

Additional Resources

  1. ACCP motivational interviewing document complete with a general review, further reading suggestions, and self-assessment questions. A good resource for pharmacists that what to learn more about the general principles of MI and apply them to specific examples.
  2.  Pharmacist Letter Online CE course on Using MI to Create Change. Another good resource for pharmacists wanting to learn more. Also includes specific examples.
 

How to Help Your Patients with Financial Barriers

When patients have financial barriers to medication adherence, the financial hardship can be due to a number of medication reasons: being uninsured, being underinsured, being prescribed non-preferred or brand name agents, or due to polypharmacy, etc. When you have identified that money or cost may be preventing adherence for patients, there are several questions you can ask the patient to better address the specific problem.

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Helpful Website Resources

All patients

  • http://www.rxassist.org: A database to find current application forms and information on patient assistance programs. 
  • http://www.needymeds.org/index.htm: This website contains databases such as Patient Assistance Programs, Disease-Based Assistance, Free and Low-cost Clinics, government programs and other types of assistance programs, including manufacturer coupons.
  • https://www.pparx.org: A database for patient assistance resources. 
  • https://www.dhs.wisconsin.gov/guide/cancer-drugrepo.htm: Wisconsin Drug Repository at participating clinics, hospitals, and pharmacies can provide a 30 day supply of medication for free. This can provide additional time while assistance program applications are being processed or while other financial barriers are addressed. 
  • http://www.goodrx.com: Find the lowest estimated cash price for a medication in your area. This is also helpful to estimate the cost burden of medications for patients.

Forward Health patients (Medicaid)

Improving Recall

 Use Key Questions to Identify Recall Barriers

  • Could you describe your daily medication routine?
  • How often do you feel overwhelmed because of the number of medications you take?
  • How often do you forget to take your medication(s), or forget whether you have taken your dose(s) that day?
  • Are there some medications, such as eye drops, that you forget to take more often than others?
  • Is it more difficult to remember to take medications at a certain time of the day, such as before lunch or in the evening?
  • What tools or prompts do you use to help you remember to take your medication(s)?

Solution recommendations Click here to see Smartphone apps for Medication adherence

  • "There's an app for that" click the app icon to view smartphone apps to help with recall. 
  • Consolidate medications into combination dosage forms
  • Discontinue unnecessary medications
  • Use bottle size, colored dots, or pictures to differentiate administration needs
  • Initiate unit of use packaging/compliance packaging
  • Provide clear medication box
  • Store medications in a single location
  • Phone/watch alarms, email, or text message alerts
  • Schedule medication with regular activities
  • Refill service with reminder telephone call
  • Personalized medication schedules or calendars
  • Ask family members to assist in medication recall

Recommended websites to assist in recall barriers

  • Pill Card Template: Can be used to either optimize patient’s regimen or summarize medication regimens for patients with many medications. 
  • Teach-back Toolkit: Includes toolkit, interactive learning module, and information for managers looking to promote teach-back with their staff
  • Health Literacy: View various health literacy resources on the PSW Clinical Links webpage
  • Improving Communication: “Strategies to Improve Communication between Pharmacy Staff and Patients: Training Program for Pharmacy Staff”, developed by the U.S. Department of Health and Human Services, is a formal program for promoting patient - staff communication.
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