21 Flavors: Ideas on How We Might Increase Medication Adherence - Table of Ideas

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2	21 Flavors: Ideas on How We Might Increase Medication Adherence -
3	Butler University and Community Health Network Think Tank CE Symposium, July 25, 2013
4	Speaker (flavor of talk)	The big idea or challenge in medication adherence	Tool(s) to solve the challenge	Where tools are currently located, or suggested future-state
5	Erin Albert, MBA, PharmD, JD Butler University COPHS (Lavender Chocolate Chip)	How might we help engage diagnosed children with asthma and their parents in the asthma management process?	A children's book on asthma (He Huffed and He Puffed But…A Tale of a Wolf with Asthma)	Amazon (Kindle ebook), Butler University Bookstore (hardcopy book)
6	Sarah Saft, PharmD, BCPS Community Health Network (Cherry Chocolate)	How might we engage children in an asthma action plan?	Making the asthma action plan interactive and fun for kids by connecting a peak flow meter to a tablet device with a game for kids on how to better manage asthma	Not yet available.
7	Laura Buelt, PharmD Indiana University North Hospital (Phish Food)	How might we engage patients in conversation with motivational interviewing?	Care Management Central and Health Coach 4 Me	www.caremanagementcentral.com; www.healthcoach4me.com
8	Nick Sciacca, PharmD Community Health Network (Superman)	How might we predict irrational behavior of patients in medication adherence?	Ideas from the book, Predictably Irrational, by Dan Ariely: gifts for medication adherence, flipping risk/benefit ratio to benefit/risk.	Amazon (Kindle and book)
9	Alison Walton, PharmD, BCPS Butler University COPHS and St. Vincent Health (Rainbow Sherbet)	How might we teach pharmacy students about empathy when patients take multiple medications?	Pillbox Simulation Project for students - students are given 15 meds (candy) and they have to organize and take them.	How to set up this program: ACCP Ambulatory Care New Practitioner Survival Guide/Resource Manual
10	Kate Klyczek, PharmD Community Health Network (Dole Whip)	How might we quickly assess patients' health literacy prior to counseling them on medications?	1. Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF); 2. USP's pictogram library	1. AHRQ: http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.html and 2. http://www.usp.org/usp-healthcare-professionals/related-topics-resources/usp-pictograms
11	Tracy Costello, PharmD, BCPS Butler University COPHS and Community Health Network (AmeriCone Dream)	How might we help properly perform medication reconciliation, and help our patients keep an accurate medication list?	1. An Excel document of the medication list and with technology… 2. MedCoach - application for smartphones (iPhone & Android) 3. My Med List - application for smartphones (iPhone)	1. Excel spreadsheet, 2. iTunes/app store for iPhone/iPad and Google for Android, 3. iTunes
12	Joe Holman Eli Lilly (Neapolitan)	How might we put choice forward in healthcare to engage and empower patients?	Provide choice to enable power and control, which engages the patient	Clinicians should offer dosage form options to patients (patches, dissolvable tablets, etc.)
13	Julie Koehler, PharmD, FCCP Butler University COPHS and Methodist Hospital of Indiana University Health (Birthday Cake)	How might we unearth what motivates our patients to be healthy?	Find out what motivates patients instead of just treating symptoms and assessing data.	1. Find out the reason to be healthy for each patient. 2. Educate children to coach and motivate their parents to be healthier. 3. Use an iPhone a message from someone in the family to motivate the patient - and a YouTube customized video motivation to take medications.
14	Stewart Brown, MD Community Physician Network (Plain Vanilla)	How might we improve communication between the pharmacist filling the prescription and the physician who prescribed it?	We must find a way to have 2-way communication between the provider and the pharmacist.	Reach out and touch someone - Pick up the phone and call when a patient doesn't pick up medicine.
15	Kathleen Haynes, PharmD, BCPS Community Health Network (Rainbow Sherbet)	How might we get to know different patients with different disease state challenges and uncover medication adherence issues?	Using the 4 As model from smoking cessation for all medication adherence conversations with patients across therapeutic areas: ask, advise, assist and arrange.	4/5A Model of Smoking Cessation: http://hab.hrsa.gov/deliverhivaidscare/clinicalguide11/cg-308_smoking_cessation.html#t-1
16	Eric Farmer, PharmD, BCPS, AAHIVP Indiana University Health, LifeCare Program (Sweet Cinnamon Swizzle)	How might we help patients swallow their medications?	1. Wet your whistle - like a waterslide - take several drinks of water before taking medications. 2. Jello trick - eat some Jello, ice cream, applesauce, and then take medications. 3. Take meds with a straw, keeps chin level and esophagus open. 4. Also, DO NOT crush some medications without talking to a pharmacist.	1. water, 2. Jello or soft food and 3. straws. 4. ISMP's do not crush drugs list: http://www.ismp.org/tools/donotcrush.pdf.
17	Stacey Bailey, PharmD Community Health Network (Mint Chocolate Chip)	How might we eliminate silos in healthcare?	The Community Health Network and Walgreens Take Care Clinic Collaboration. Inpatient can get medication reconciliation, and outpatient at Walgreens can see the electronic medical record of the patient (via EPIC).	Future: online scheduling referrals for outpatient services to a wider timeframe (at Walgreens), and consistency and eliminate duplicate prescriptions.
18	Alex Ansara, PharmD, BCPS Butler University COPHS and Methodist Hospital of Indiana University Health (Vanilla (ICE)	How might we decrease hospital readmissions due to poor adherence of medications?	Identify new medications started while admitted to the hospital, then ensure the patient leaves the hospital with the medications at discharge (including starting the prior authorizations for anticoagulants, if necessary).	Ensure patients leave the hospital with the medications they need.
19	Lisa Fletcher, PharmD, BCPS, AAHIVP Indiana University Health, Lifecare Program (Rocky Road)	How might we utilize technology like smartphones and texting to improve medication adherence?	Set up reminders to patients to take medication and respond to it (taking it or not taking it), and add providers to the system.	FrontlineSMS, Care4Today (iPhone & Android)
20	Megan Dorrell, PharmD, BCPS Community Health Network (Mint Chocolate Chip)	How might we help patients put their medications in pill boxes?	Pharmacy pill boxes with color coordinated lids on vials of medication to time(s) of day the medication is taken.	Future: pill box filling data is sent to provider wirelessly.
21	Jennifer Koehler Community Health Network (Everything But The…)	How might we make our medications more affordable for patients?	A medication list is critical for patients, especially when they shop at multiple pharmacies to keep costs lower.	Track savings for patients on meds at MedData. Butler University has a low cost medication list: http://www.butler.edu/community-health/patient-assistance/low-cost-rx-guide/
22	Emily Papineau, PharmD, BCPS Butler University COPHS and Community Health Network (Chunky Monkey)	How might we have automatic patient medication lists and usable for patients to improve medication adherence.	1. MyChart in EPIC now is a start from the hand-written medication list. 2. MedActionPlan.com which is a discharge planning tool, but it is for purchase by providers and hospitals.	medactionplan.com
23	Joe Owen, PharmD Bioscrip - Option Health (Funfetti)	How might patient manage their medications via app for free?	Involve the patient and brainstorm with them for the patient's best option for remembering to take their medications. For patients with smartphones, a free option is MyMedSchedule Mobile app for iPhone and Android.	MyMedSchedule Mobile App
24	Jim O’Donnell, RPh, MBA Community Health Network (Black Raspberry Chip)	How might we make medication packaging more friendly to medication adherence for patients?	Multiple doses of a single product in a vial is our history in pharmacy. But we need to move to a single-dose package to make it easier for patients to take their medications and save their time in order to improve the medication taking experience.	Future: offer convenience dosing and packaging for patients.
25	Jim O’Donnell, RPh, MBA Community Health Network (Peanut Butter Cup)	How might we utilize wearable technology to improve our healthcare?	Star Trek had a lot of cool technology. The Communicator in Star Trek is the smartphone today, but why do we call it a phone, when it can integrate with a lot of other smart technology to track our health?	Jawbone UP wristbands, Pebble E-Paper Watch, Google Glass, Scanadu
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