Care Beyond Medication -Robyn Despins (PAS 2019 Conference)
engagingpatientsfinalroselandprint
1.
2. We proactively manage adult patients with chronic
medical conditions by supporting them and their
healthcare providers within a home care setting
We address the most common causes of hospital
admissions by providing proactive and preventative
services for
Complete Diabetic Care
Medication Management
COMPREHENSIVE PREVENTATIVE CARE
3. Through our coordinated adherence and
prevention programs, we can help Roseland
Hospital reduce readmission’s on adult
patients with chronic medical conditions.
Specifically targeting Medication Adherence
and Diabetes Management.
All programs are covered by Medicare
COORDINATING CARE WITH ROSELAND HOSPITAL
4. PAVING THE WAY WITH PREVENTATIVE SOLUTIONS
The U.S. healthcare system spends over $400 billion
annually on reactively treating conditions that could more
effectively be managed with preventative treatment
• Medication non-adherence costs $300 billion
annually 1
• $174 billion is spent on diabetes treatment annually
2
1 NEHI Thinking Outside the Pillbox: A System-wide Approach to Improving
Patient Medication Adherence for Chronic disease 2009
2 Institute for Clinical Systems and Improvement
3 American Diabetes Association
5. • Over 25 million people have diabetes.
Recent estimates project that as many as 1
in 3 American adults will have diabetes by
2050
• Costs associated with treating medication
non-adherence represents 13% of annual
healthcare spending in the U.S.
CONTROLLING HEALTHCARE COSTS AND EDUCATING
CAREGIVERS
6.
7. CLINICAL STUDIES
MEDICATION ADHERENCE:
AMERICA'S NEW DRUG PROBLEM
$300 billion annual excess medical costs due to non-
adherence
125,000 patients die annually due to non-adherence
33% of patients NEVER even fill their prescriptions
On average 50% of patients are non-adherent
33% of hospital admissions are estimated to be the result of
incorrect medication usage
8. HOMESCRIPT PHARMACY SERVICES
• Provides a comprehensive medication review and
reconciliation program developed by our pharmacy
team and clinical liaison to provide a complete and
accurate medication profile prior to hospital
discharge or in a patient’s home
• Services provided by Pharmacists, Patient Care
Coordinators and Clinical Liaisons
9. MEDICATION THERAPY MANAGEMENT
• Adherence tracking reports continuously provided to
monitor adverse drug interactions, multiple
physicians prescriptions and non-adherence issues
• Targeting prevention of unnecessary hospital
admissions and readmissions
11. CARE COORDINATION FOLLOW-UP
• Care coordination focusing on prescription
monitoring and management
• Complimentary home delivery
• All services provided in the comfort of the
patients home
12.
13. CLINICAL STUDIES
DIABETES IN THE U.S.
35% of people ages 65 and older are diabetic
Challenges to Effective Diabetic Management
• Pre-existing co-morbidities
• Potential limits on cognitive and physical functioning
• Caregiver involvement
• Neuropathy, foot wounds and amputations
• Higher risk and acuity for
• Depression
• Polypharmacy
• Urinary incontinence
• Wound development
• Chronic pain
• Hearing and vision impairment
14. DIETITIANS AT HOME, INC.
DIABETIC SUPPLIES
Our Registered Dietitians educate your patients on
proper glucometer use
We provide proactive patient supply management
and home delivery
15. DIETITIANS AT HOME, INC.
Provides nutritional counseling for diabetic patients
• Food has a direct effect on blood glucose and health outcomes
• Diabetes management relies heavily on self management and self
management takes practice and on-going reinforcement
Our dietitians focus on
• “Survival Skills”
• Assessing and overcoming barriers to learning
• Improving coping skills and developing patient specific plans
We use our plan of care recommendations as a
communication tool to coordinate care with the
patient’s physician and home health nurse
17. DIETITIANS AT HOME, INC.
DIABETIC SHOES
Our Registered Dietitians educate your patients on
the risks of neuropathy and the importance of proper
foot care
We provide therapeutic shoes that include custom
molded inserts to reduce the risk of cuts, infections
and wounds on the feet and encourage mobility
Our specialist fits patients for shoes in the comfort of
their home
