Transcript SYF-EL-4-Presentation-2016

Script Your Future
Adherence Challenge
University of Pittsburgh
2016
A Campaign of the National Consumers League
What is “Script Your Future?”
 National campaign to raise awareness about
the importance of medication adherence
 Provide tools for patients and health care
professionals
 Hold annual medication adherence challenge
competition
Why Medication Adherence?
Medication Adherence Challenge
• Month long annual outreach competition held
in January-March
• Interprofessional student teams required
• Focus on medication adherence among
patients affected by diabetes, respiratory
diseases, cardiovascular disease and smoking
• 5 Schools/Colleges recognized nationally
What is in your folder?
• Materials for You
– A “How-To” instructional sheet
for conducting a SYF patient
encounter
– Sheet for you to record
information from the patient
encounter to transfer to PITT
Form
– Photography guidelines and
photo release form
– “Ten tips” for medication
adherence sheet
– Advertising flyer to hang up at
your site
– Smoking cessation notepad to
write notes on for patients
• Materials for Patients
– 10 copies of the following:
• Patient Pledges
• Wallet cards
• Online resources sheet
• Prescription sheets
• **The wallet cards are
available in 10 different
languages online
• **See Julie during the
week to pick up
additional record sheets
and patient materials
SYF Patient Encounter Step by Step
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Step 1: Introduction
Step 2: MMAS-4 Survey
Step 3: Questions and Interventions
Step 4: Pledge of Adherence
Step 5: Complete Pitt Forms for Each SYF
encounter
Step 1: Introduction
• Ways to engage the patient
– “I would like to talk to you about how you take
your medications. It will only take 3-5 minutes.”
– “Would you like to have your blood pressure taken
today?”
• Times when this interaction can occur
– During counseling sessions
– During the time patient is waiting for their
meds/dropping of a prescription
– Any patient who is near the pharmacy
– After taking the patient’s blood pressure
Step 2: MMAS – 4 Survey
• Goal of Survey: Gain a baseline understanding of
the patient’s adherence
• “Let’s start with a few questions to get a baseline
understanding of your adherence.”
• Ask the 4 Questions, then place a check mark on
the record sheet for each “Yes” received
• Scoring the patient: Count number of checks
(“Yes” = 1 Point, “No” = 0 Points)
• Inform the patient of their adherence classification
using the table on “How-To” sheet
Step 3: Questions and Interventions
• Series of questions to ask the patient and interventions to
improve their adherence
• Question 1: What is your age?
– Action: Record this on the “record” sheet
• Question 2: “What medical conditions do you currently
have?”
– Action: Record condition on “record” sheet as either CV,
Diabetes, Respiratory, Smoking or Other
– Intervention #1: Go over the “Prescription” sheet with
the patient
– Intervention #2: Ask to take patient’s BP if not done in
the beginning
Step 3: Questions and Interventions
• Question 3: “How many medications are you
currently taking?”
– Action: Record the exact number on “Record” Sheet
• Question 4: How often do you miss a dose? What
do you do if you miss a dose?
– Intervention: Go over the “online resources” sheet –
emphasize text reminders
Step 3: Questions and Interventions
• Question 5: “How do you currently remember
to take your medications?”
– Intervention: Hand wallet card to patient and fill
out medications (time permitting)
• Question 6: Do you have any other questions
about your medications?
– Answer any questions the patient has
– Consult preceptor if unable to answer
Step 4: Pledge to Medication
Adherence
• “Would you mind filling out this pledge to take your
medications?”
• Explain pledge and provide an example if necessary
• Have patient fill out pledge and collect it
– Everyone will turn their pledges into Jessica Cole and
Karen Quach each Monday after site visits
• Mark on record sheet if the patient filled out a
pledge of medication adherence
• At end of encounter, check services provided
to patient on record sheet
Step 5: PITT Form
• SYF Survey has been incorporated into the PITT Form
• Click “Yes” to question: Was this a SYF encounter?
• Use the record sheet to transfer the information from
the patient encounters to the PITT Form
• Click “Experiential Learning 4 Community Pharmacy
Site” for the last question
• Please save paper forms in your folder until end of
competition!
Potential Hurdles and How to Work
Around Them
• Not being able to set up a table out front
– Solution #1: See if the pharmacy has a counseling
room and if that room can be used to conduct SYF
encounters
– Solution #2: Set up a table in the break room and
conduct SYF encounters with the employees at
the store
• Call your district coach if there are any
problems
Key Points to Keep In Mind
• Currently ten sets of the materials per student to hand to
patients (not unlimited supply)
– BOTTOM LINE: If you do not completely fill out the record sheet
for a patient do not hand them a packet of sheets
• Do NOT falsify information
• Overall Goal For Each Person: Minimum 10 SYF Patient
Encounters over the course of 3 days at site
• If two people at a site, they need to decide which of the
two the patient encounter belongs to. Only one person
documents each patient encounter.
Pictures at Sites
• Take at least 1 picture of the SYF project at
your site and send to:
[email protected]
• Photos used to show our progress throughout
the campaign
• Rules regarding taking pictures at sites
– See photo guidelines handout and release forms
in your folder!
– Contact Elizabeth Garcia if you have further
questions.
For further questions…
• SYF Community site encounters,
documentation, resources, PITT formscontact Julie
• Social Media, photography, advertisingcontact Heather
• Interprofessional events- contact Becca
• Tabling and presentation events- sign-ups,
new sites, etc.- contact Mara R. and Addie
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Script Your Future – University of Pittsburgh
Follow our Twitter @SYFPitt