MDCH Medication Adherence Training - PowerPoint PPT Presentation

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MDCH Medication Adherence Training

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Communicate better with health care professionals ... Adapt training for other allied health professionals. Draft PWA version. Draft Clinician version ... – PowerPoint PPT presentation

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Title: MDCH Medication Adherence Training


1
MDCH Medication Adherence Training
  • Rhonda Bantsimba
  • Bantsimbar_at_michigan.gov

2
Why an adherence training
  • Stronger focus on health outcomes nationally
  • As people live longer, treatment is a prevention
    issue
  • Successful first try at meds more important as
    resistance becomes more common
  • Successful adherence results from a variety of
    factors and a network of support
  • Comprehensive approach most effective
  • Clinicians
  • Allied Health Professionals (CMs, RN/NPs, etc.)
  • PWAs

3
Recent Literature Suggests
  • No single model for the adherent individual
  • Pre-judging non-adherence not helpful
  • Most effective approaches pay attention to
    clients own reasons for non-adherence
  • Work within clients routine
  • Strong links between
  • Depression and non-adherence
  • Routine and adherence

4
Needs Assessment
  • PWA Advisory Group
  • Adherence Survey _at_ PWA Conference
  • Key Informant Interviews
  • Case Managers and Supervisors
  • Social Workers
  • Adherence Psychologists
  • Medical Professionals

5
Training Structure
  • Start with training for Case Managers
  • Goes beyond existing CM training
  • Stronger focus on skill-building with clients to
  • Communicate better with health care professionals
  • Utilize proven adherence techniques and devices
  • Understand social influences that support and
    create barriers to adherence
  • Prepare for behavior change (pre-planning)

6
Proposed Content
  • Overview drug classes
  • Required adherence
  • Dosing
  • Interactions street drugs, herbal meds, other
    medication
  • Side effects
  • Advantages and limits to CM role in adherence
  • Assessing client adherence and barriers
  • Knowledge what do clients need to know
  • Skills using devices, communication skills
  • Social affiliation people who support or create
    barriers

7
Timeline
  • Curricula in development now
  • Now have a working draft (completing current
    round of feedback
  • Check in with physicians and other professionals
    for support
  • Pilot in October, final version Nov/Dec
  • Next year
  • Roll out training for CMs state-wide
  • Adapt training for other allied health
    professionals
  • Draft PWA version
  • Draft Clinician version
  • Promote trainings nationally

8
And now, we need YOU!
  • Weve got 10 minutes to brainstorm
  • 3 groups
  • Oh please, not again
  • (aka things that SHOULD NOT go in this training)
  • Oh yah baby, thats the stuff
  • (aka things that absolutely MUST be covered in
    this training)
  • Wild and crazy ideas that are probably impossible
  • (aka dreams that we just might be able to make
    real)
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