Medication Adherence
Conditions
Keywords
adherence, healthcare costs, appointment based model, accountable care organization
Brief summary
The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.
Detailed description
The American Pharmacists Association (APhA) Foundation has partnered with a federally qualified health center (FQHC), a supermarket community pharmacy, and an accountable care organization (ACO) to participate in this ABM for ACO Beneficiaries initiative. The FQHC, El Rio Community Health Center pharmacy, and supermarket pharmacy, Fry's Pharmacy, will serve as implementing pharmacy study sites and will implement the ABM for beneficiaries of the ACO who utilize their pharmacies for medication refill services. The ABM involves synchronizing all medications to come due on the same day of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes. The ACO will provide medical and claims data on enrolled subjects as well as a control group for the intervention population. The APhA Foundation will aggregate intervention, prescription fill, and economic data from the 3 partners in an effort to evaluate the impact of the ABM on healthcare costs and medication adherence. The APhA Foundation has an a priori intent to publish the project results.
Interventions
OTHERABM
The ABM involves synchronizing all medications to come due on the same say of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes.
Sponsors
American Pharmacists Association Foundation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Individuals eligible to be enrolled in the study include those who: * Are beneficiaries of the partnering ACO; * Are receiving medical care at El Rio and have been since before May 1, 2013; * Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules; * Speak English or Spanish; * Are at least 18 years of age; and * Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).
Exclusion criteria
* Use of a legal authorized representative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medical costs | Baseline (for the 1 year prior to the enrollment date), During the Patient Care period (approx. 1 year following enrollment) | Total medical costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year. |
| Pharmacy costs | Baseline (at the time of enrollment), During the Patient Care period (approx. 1 year after enrollment) | Pharmacy costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year. |
| Medication adherence | At baseline for the one year prior to enrollment, During the 1 year patient care period | Proportion of days covered will be calculated to determine medication adherence. Data will be collected on a quarterly basis (every 3 months beginning at enrollment). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Identified Medication Related Problems | During the Patient Care period (1 year from enrollment) | Information regarding the type of medication related problem identified at each intervention point will be reported to the sponsor on a quarterly basis and during the Patient Care period. |
Countries
United States
Outcome results
None listed