Guild MedsIndex Consumer Presentation

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Name of Presenter Name of Pharmacy Pharmacy
Contact Details
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Topics to be Discussed Today

• What is MedsIndex
• Evidence to support MedsIndex
• What is non compliance vs. adherence
• Possible reasons for non compliance
• Non compliance - key messages
• Adherence key messages
• Strategies to improve compliance/adherence
• How MedsIndex works
• Conclusion and Questions

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1. What Is

• MedsIndex is a tool developed by The Pharmacy
  Guild of Australia to assist patients to take
  their medicines properly and help them with their
  medicines regimen.
• A MedsIndex Score is created from a computer
  software tool used by the pharmacist with input
  data from the pharmacy dispensary profile to
  track compliance.
• A MedsIndex Score calculates how much medicine
  the doctor intended the patient to take, compared
  to how much has been dispensed.

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1.What Is

• MedsIndex gives a score out of 100 and there are
  four bands which give patients and pharmacists
  an indication on which support program to
  recommend

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1. What Is

• The MedsIndex report gives a visual indication of
  compliance and patients can clearly see how they
  rate compared to the four indicative bands
• The report on the right is indicative for a
  patient on 5 medicines with varying degrees of
  compliance

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2. Evidence To Support

• When you DO NOT take your prescribed medicines
  properly one or more of the following may occur
• You may not get better
• Your condition may worsen
• You may have a relapse

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Evidence To Support

• Research shows that 50 to 70 of patients DO NOT
  take their medicines properly
• That is they either
• DO NOT take them at all
• DO NOT take them correctly in order to get the
  best effect.

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3. Non-Compliance vs. Adherence

• NON COMPLIANCE
• Refers to a patient NOT TAKING a prescribed
  medicines or following a prescribed course of
  therapy

• ADHERENCE
• Refers to HOW WELL a patient is following the
  recommendations of their doctor/pharmacist when
  taking their prescribed medicines or following a
  prescribed course of therapy

Adherence Compliance have the same meaning
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4. Possible Reasons for Non-Compliance

• Doctor/Pharmacist and patient believe patient is
  complying appropriately
• Commonly resulting from
• Patient does not understanding treatment plan
• Patient not using correct administrative
  technique
• Language barriers
• Cognitive impairment

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Intentional Non-Compliance

• Patient makes there own decision to change or
  stop treatment due to
• feeling better
• believe medicine not required
• believe regimen ineffective
• Regimen too complex
• fear of addiction, side effects, toxicity
• medicines too expensive

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Non-Compliance Guild Research

• In August 2007 Pharmacy Guild Research showed
• 41 of Australians stopped taking prescribed
  medicines before they were meant to on at least
  one occasion.
• More than 50 of those who have previously
  stopped taking a prescribed medicine indicated it
  was because they were of the opinion that it was
  not needed
• 42 stopped due to side effects they had been
  experiencing.
• The Pharmacy Guilds MedsIndex can help

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5. Non-Compliance Key Messages

• The MedsIndex Score is an ideal tool to assist
  the pharmacist improve patient compliance
• The pharmacist will look for signs to help
  identify which category type a patient may fit
  into, so underlying reasons for non compliance
  can be addressed.

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6. Adherence Key Messages

• Speak to your pharmacist/doctor to help identify
  any barriers to adherence
• The aim of this new program MedsIndex is to
  identify exactly what is preventing improving a
  patience adherence
• MedsIndex helps with problem solving strategies
  to improve adherence in partnership with the
  pharmacist to achieve the best health outcomes
  for the patient

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Strategies to Improve Adherence

• EDUCATIONAL
• COMMUNICATION
• BEHAVIOURAL

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a. Educational Strategies (to improve adherence)

• Knowledge Empowerment
  when a
  patient merely becomes aware that a compliance
  score is being undertaken compliance improves
• Patients want clear information/explanation
  The MedsIndex score
  out of 100 is simple to understand
• Chronic illness education is ongoing
  
• Better medicines compliance reduces risk of
  disease state complications and also reduces
  health costs
• Medicines Packed
  
  Dose Administration Aid assists with
  increased compliance
• Medicines Profile
  
  A new pharmacy service that explains
  reason for each
• Use verbal and written tools
  
  Consumer Medicines Information -CMIs

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b. Communication Strategies (to improve adherence)

• Your pharmacist will explain how MedsIndex works
  and show the patient how to read the take home
  MedsIndex report to see how they are gradually
  improving
• Patients are encouraged to ask questions and to
  seek information
• If something is not clear just ask for
  clarification

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c. Behavioural Strategies

• The pharmacist may need to refer the patient to
  the doctor if appropriate
• Important for the patient and the pharmacist to
  set realistic goals
• The pharmacy has a terrific support team who are
  there to assist the patient
• Patient satisfaction Adherence

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How It Works

• Medicines Compliance / Adherence has never had a
  strong platform of measurement
• MedsIndex will change that
• Pharmacy support programs have never had
  appropriate trigger points from which a
  pharmacist can refer.
• MedsIndex has recommended trigger points
• MedsIndex is an innovative, yet simple concept
  able to be understood by all patients
• MedsIndex aims to improve health outcomes for
  patients

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Case Study

• Mr Stanley Smith has been prescribed Seretide
  Accuhaler 250/50 micrograms to be taken once
  daily and has 5 repeats scripts.
• Dispense History
• Seretide Accuhaler 250 microgram 60 doses twice
  a day
• 5 Repeats written 1 November 2007. Dispensing as
  per dates below
• 5/0 - 3 November 2007
• 5/1 - 18 December 2007
• 5/2 - 21 January 2008
• 5/3 - 28 February 2008
• 5/4 - 29 March 2008

Now lets calculate the MedsIndex Score using the
calculators?
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Calculation Tool
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Patient Score

• Mr Stanley Smith has an overall score of 75
• His medicines compliance has now been converted
  into a tangible number to help him understand how
  well he is going with the treatment plan
• The score allows the pharmacist to recommend
  medicines management programs where necessary,
  such as
• Initiate Medicines Profile
• Initiate Dose Administration Aid
• Recommend HMR

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Key Messages

• Ask our Pharmacist about MedsIndex
• MedsIndex will assist with medicines compliance
  to achieve the best health outcomes for the
  patient
• There is no such thing as a good or bad score
  the focus is on improving the score
• Taking medicines correctly today and adhering to
  a treatment plan will avoid health problems
  tomorrow

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Questions ?