Transcript Medication Adherence

Multimed Adherence Packaging
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1 © 2015 Omnicell, Inc. Content is confidential and proprietary
Medication Non-Adherence Is a
Severe Problem in the U.S.
32 million Americans are being treated with five or more chronic medications today.
Problem
 1.5 billion prescriptions not
taken properly
 10% of all general hospital
admissions
Annual Impact
 120K avoidable deaths
 $310B in avoidable costs
 23% of people entering nursing
homes
 50% of readmissions
Source: New England Healthcare Institute, U.S. Department of Health and Human Services and 2009 CDC Data.
2 © 2015 Omnicell, Inc. Content is confidential and proprietary
Forgetfulness Is the #1 Cited
Reason for Non-Adherence
Reasons Cited by Patients for Poor Medication Adherence
Other*
Forget to Use/
Refill or
Confused
Unwanted Side
Effects
No Symptoms/
Believe Drugs
Unnecessary
Drugs not
Effective
Cost
Source: Harris Interactive Patient Survey, 2005.
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Packaging is an Important Component
of the Adherence Solution
Drug
Packaging
Disease
Management
Programs
4 © 2015 Omnicell, Inc. Content is confidential and proprietary
Medication
Therapy
Management
(MTM)
In-home
Devices/Alerts
Blister Packaging Is Proven to Increase
Adherence & Health Outcomes
Medication Adherence
Systolic Blood Pressure
P value <0.001
P value = 0.005
200
97.4%
100%
Mean Systolic BP, mmHg
Patients w/ >80% Adherence to all Meds
The FAME Study*
80%
60%
40%
21.7%
20%
150
133.2
129.9
100
50
0
0%
Usual Care
Group (n=76)
Continued
Pharmacy
Care Group
(n=83)
Usual Care
Group (n=62)
Continued
Pharmacy
Care Group
(n=73)
* The Federal Study of Adherence to Medications in the Elderly (FAME) was a multiphase, single-center study of the efficacy of a comprehensive pharmacy care program,
including patient education and medication blister packaging, to improve medication adherence among military health care beneficiaries >65 on >4 chronic meds/day.
Source: Lee JK, et al, JAMA, December 6 2006 Vol 296, No. 21.
5 © 2015 Omnicell, Inc. Content is confidential and proprietary
The SureMed by Omnicell
Multimed Adherence Packaging Solution
 Easy to use
 Promotes adherence
and compliance
6 © 2015 Omnicell, Inc. Content is confidential and proprietary
Benefits of SureMed by Omnicell
Adherence Packaging
 Patient and caregiver preferred packaging solution
‒ Patients who start on SureMed stay on SureMed
 Proven to increase adherence in a randomized controlled study (FAME)
 Easy to use
‒ Immediate visual verification of missed doses
‒ Package design keeps patients on schedule
‒ Blisters are easy to open
 Convenient
‒ Flexibility, portability
‒ Pill sorting can be time consuming and stressful
7 © 2015 Omnicell, Inc. Content is confidential and proprietary
Patient Perceptions of SureMed by Omnicell
A University of Toledo School of Pharmaceutical
Sciences study measured patient confidence in
our packaging against other forms of medication packaging.
• Patients’ confidence in taking their medications increased
from 7% to 93% when using our blister cards.
• 36% of patients believed the our blister cards played a
role in reducing ER visits and hospitalizations.
Evaluating Patients’ Perceptions of Blister Packs Dispensed in a Community Setting and their Perceived Impact on Adherence Sharrel
Pinto, B.S.Pharm., PhD., Associate Professor and Director, Kelly Gaffney, PharmD Candidate 2016, Robert Bechtol, BSPS, M.S., Clinical
Assistant Professor and Research Coordinator Center for Pharmaceutical Care and Outcomes Research, Health Outcomes and
Socioeconomic Sciences, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Ohio, USA
8 © 2015 Omnicell, Inc. Content is confidential and proprietary
Patient Perceptions of SureMed by Omnicell
Patient Responses from University of Toledo Study
• “I have become more disciplined with taking my
medications… to prevent… being sick and in the
emergency room.”
• “The blister packs led to better organization of my
medications resulting in lower sugar values and
fewer emergency room visits.”
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The Value of SureMed by Omnicell
 Be on the forefront of healthcare reform in your community
‒ Improve patient quality of life and quality of care
‒ Develop care-centered practice
‒ Reduce emergency room and physician visits
10 © 2015 Omnicell, Inc. Content is confidential and proprietary
Additional References
• Calendarized blister cards improved adherence to hormone replacement therapy from
32% to 50%.
• Leonard WG, Leonard D. Calendar oriented compliance. Maturitas, Sept. 1984.
• Dramatic improvements in blood pressure were seen in the study group with improved
adherence. Diastolic BP decreased 50% compared to 17% and systolic BP decreased
57% compared to 40%.
• Impact of Innovative Packaging on Adherence and Treatment Outcomes in Elderly Patients with
Hypertension. Journal of the American Pharmacists Association, Jan/Feb 2008, 48:1 pp. 58-63.
• Catalent Pharma Solutions’ April 2011 study demonstrated a 17-point increase in patient
persistency to drug over 12 months using adherence packaging compared to amber
vials.
• Reminder packaging exhibited a medication possession ration of 80% compared to 73%
for traditional packaging. Days covered with reminder packaging was 76% versus 63%
for traditional packaging.
• Patient Preference and Adherence 2012: 6 499-507. Dovepress Open Access to
Scientific and Medical Research.
11 © 2015 Omnicell, Inc. Content is confidential and proprietary