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  Patient Adherence Measures

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It is thought that between a third and a half of all medicines[1] prescribed for long term conditions are not taken as recommended. If the prescription is appropriate, then this may represent a loss to patients, the healthcare system and society. The costs are both personal and economic. Adherence presumes an agreement between prescriber and patient about the prescriber's recommendations.

 

Adherence to medicines is defined as the extent to which the patient's action matches the agreed recommendations. Non adherence may limit the benefits of medicines, resulting in lack of improvement, or deterioration, in health. The economic costs are not limited to wasted medicines but also include the knock on costs arising from increased demands for healthcare if health deteriorates.
 

Non adherence should not be seen as the patient's problem. It represents a fundamental limitation in the delivery of healthcare, often because of a failure to fully agree the prescription in the first place or to identify and provide the support that patients need later on.  Patient adherence has grown to epidemic proportions.

Specifically, CUHSM.ORG analyzes the implementation issues and administers solutions for the Healthcare Delivery problem of Patient Adherence:
 

 

 
Patient Adherence Metrics

Missed appointments, non-adherence to regimens, and lack of engagement in preventive care all deter positive outcomes.  Using suitable measures, patient adherence can be quantified in order to  initiate followup targeted communications and adjust appropriate risk factors that correlate with patient interactions.
Sample Patient Experience Survey...

 

  

   
 Patient Adherence followup

To help a busy practice with followup communications, we integrate the use of automation and administrative staff to remind patients of the necessary regimens and followup appointments.

 

 
 Patient Adherence Communications

We leverage current technologies with staged operations to gently remind patients of their appointments and regimen.  Feedback is given to the EP in regards to the extent and frequency of patient communications

 
 
  More information at these links:
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CUHSM QCDR Measures approved by CMS - Non QPP Program - Patient Adherence Measures
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Universal Health System Metric Tools referenced on this site:
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Audit Tool, PQRS Validator, GPRO Aggregator,
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Last modified: Tuesday November 10, 2020.