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


  • eng

Conference Location

  • United States