Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach.
Journal Article (Journal Article)
Evidence-based pharmacotherapy is a central aspect of optimal patient care for many chronic conditions. However, medication non-adherence frequently inhibits the attainment of optimal pharmacotherapy regimens. In this study, we designed, developed, and implemented a multifaceted clinical decision support (CDS) intervention that supports evidence-based pharmacotherapy and enhanced medication adherence through the use of a scalable, claims-driven, and service-oriented approach. The intervention includes a medication management report and a low adherence alert based on thirteen evidence-based pharmacotherapy rules for seven chronic conditions. Reports and alerts are delivered to primary care clinics and care managers that participate in a healthcare information exchange in North Carolina. The resulting system architecture may enable this CDS intervention to be widely disseminated to healthcare networks through an open-source model.
Full Text
Duke Authors
Cited Authors
- Del Fiol, G; Kawamoto, K; Lapointe, NMA; Eisenstein, EL; Anstrom, KJ; Wood, LL; Lobach, DF
Published Date
- November 13, 2010
Published In
Volume / Issue
- 2010 /
Start / End Page
- 137 - 141
PubMed ID
- 21346956
Pubmed Central ID
- PMC3041339
Electronic International Standard Serial Number (EISSN)
- 1942-597X
Language
- eng
Conference Location
- United States