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Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach.

Publication ,  Journal Article
Del Fiol, G; Kawamoto, K; Lapointe, NMA; Eisenstein, EL; Anstrom, KJ; Wood, LL; Lobach, DF
Published in: AMIA Annu Symp Proc
November 13, 2010

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.

Duke Scholars

Published In

AMIA Annu Symp Proc

EISSN

1942-597X

Publication Date

November 13, 2010

Volume

2010

Start / End Page

137 / 141

Location

United States

Related Subject Headings

  • Medication Adherence
  • Humans
  • Decision Support Systems, Clinical
  • Computer Systems
  • Chronic Disease
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Del Fiol, G., Kawamoto, K., Lapointe, N. M. A., Eisenstein, E. L., Anstrom, K. J., Wood, L. L., & Lobach, D. F. (2010). Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach. AMIA Annu Symp Proc, 2010, 137–141.
Del Fiol, Guilherme, Kensaku Kawamoto, Nancy M Allen Lapointe, Eric L. Eisenstein, Kevin J. Anstrom, Laura L. Wood, and David F. Lobach. “Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach.AMIA Annu Symp Proc 2010 (November 13, 2010): 137–41.
Del Fiol G, Kawamoto K, Lapointe NMA, Eisenstein EL, Anstrom KJ, Wood LL, et al. Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach. AMIA Annu Symp Proc. 2010 Nov 13;2010:137–41.
Del Fiol G, Kawamoto K, Lapointe NMA, Eisenstein EL, Anstrom KJ, Wood LL, Lobach DF. Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach. AMIA Annu Symp Proc. 2010 Nov 13;2010:137–141.

Published In

AMIA Annu Symp Proc

EISSN

1942-597X

Publication Date

November 13, 2010

Volume

2010

Start / End Page

137 / 141

Location

United States

Related Subject Headings

  • Medication Adherence
  • Humans
  • Decision Support Systems, Clinical
  • Computer Systems
  • Chronic Disease