Transcript MedWise - University of Wisconsin–Madison

The MedWise Program
Beth Martin, RPh; PhD
Betty Chewning, PhD
This project is currently funded by an Ira and Ineva Reilly
Baldwin Wisconsin Idea Grant
Funding & Team
• Initial & Current Funding:
– 2011-12: Portage County ADRC
– 2012-14: Ira and Ineva Reilly Baldwin Wisconsin Idea
Grant (Chewning & Martin)
• Team:
– Portage County ADRC
– University of Wisconsin-Madison School of Pharmacy
Sonderegger Research Center
– Community Academic Aging Research Network
(CAARN)
Motivation for the Study
• Number of medications & comorbidities
increase with age
• Adults 60 and older have average of 4
chronic conditions with multiple medications
• As the number of medications increases,
so does risk of adverse drug effects and
med management problems
Med Coordination Partners
Needed!
• Medication coordination gaps
between providers
• Older adults are the most
underused resource
• Program needed to enhance older
adults’ medication communication
and management skills
Pharmacists are underutilized
State law requires
consultation on ALL
prescriptions
Pharmacists are
accessible
Pharmacist networks
for quality care
Pharmacies offer MTM
services… including
immunizations, CMRs
MedWise Program Goals
• To increase older adults’ interest and
ability to manage their medications safely
• To facilitate and encourage maintaining
and sharing an updated medication list
• To improve older adults’ skills to talk with
their pharmacist (and other health care
providers) about their medications
Partnerships and Pilot
Jane Mahoney
and Jill Ballard,
CAARN - WiHA
UW
SOP
CAARN
ADRCs
Janet Zander,
ADRC Director
Portage County
MedWise Program
• 2 group sessions to improve patient
communication and role play asking their
questions with a guest pharmacist
• Identify risks and benefits of medication
use; pharmacists’ role & why updated
medication list is key
• Reinforce importance of own questions,
ways to ask key questions, problem
solving approach
What Did Preliminary Data Suggest?
Pre-post surveys (N=13)
suggested increased:
• Knowledge about pharmacists’ roles / laws
• Belief in carrying updated medication list
• Belief in using pharmacist for medication
questions
What Did Preliminary Data Suggest?
(cont)
Participants perceived themselves as more
likely to:
– Ask the RPh questions even when not asked
– Express their opinions when they disagree
with the RPh
– Routinely ask a pharmacist questions
– Ask for more information until satisfied with
answer
– Ask even when RPh & patient were busy
Participant Testimonials
Lively
discussion
informing us of
pharmacists’
responsibilities
and questions
to ask as selfadvocates.
What a great program… best,
most practical, helpful health
presentation I’ve been to at the
Center. I visit my primary care
doctor tomorrow to talk to her
regarding my meds.
The importance of carrying an
updated list of my meds and writing
down my questions in advance. To
be my own advocate.
Next Steps
• 2 pilot participants completed leader training
– conducted sessions in Portage County
• Additional lay leader trainings
• Disseminate to:
– Adams, Calumet, Green Lake, Marquette,
Outagamie, Portage, Waupaca, Waushara
– 2 year funding begins July 1
– Goal to enroll 300 older adults in the 2 years