Medication Non-Adherence and a Standardized Tool, Essay Example

Abstract

The objective of the research paper is to address medication non-adherence among patients of Golden Heart Home Health.  The negative effects of medication non-adherence include progression of the disease, increased hospital and nursing home admissions, and increased cost to the society.  An explanation of nursing home admission processes reflecting the fixed costs, cost drives, and allocation of cost savings are included in the paper. Cost and validity of the solution has to be considered in deciding if it has to be maintained, extended, revised or discontinued in order to reduce the overhead costs imposed against the agency.  In lieu of this health problem, the agency decided to implement the Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE), a standardized tool to assess presence of non-adherence to reduce hospitalization rates.  Summarizing various quantitative and qualitative research reports about medication non-adherence revealed that medication non-adherence has an alarming effect to the morbidity and mortality of patients.  An effective and successful implementation of this solution will obtain approval and support from the formal and informal leaders of the agency and outsourcing agencies.  Other healthcare delivery factors needed for success including the right resources, the practicality of customer relations and cost-effectiveness of the solution, and having an outcome measure to track if solution has positive impact on patients.  Effective communication among stakeholders and members of the organizations on a weekly monitoring strategies would also ensure success. Effective and honest communication of project outcome whether positive or not to the community and to all the stakeholders is an important decision-making strategy to use to gain support and buy-in for future projects.

Section F: Decision-Making Strategies

Maintaining, Extending, Revising, Discontinuing Solution

A creation of framework for nursing home medication non-adherence requires a rigorous strategic planning process in order to chart a successful course for an organization, and to employ the tactics into a reality (Creswell, 2005).

The quality of maintaining non-adherence medication process is relied upon Joint Accreditation Commission of Health Organization medication safety procedures. The decision-making process is aid by clinical utility requirements according to the agency standards and guidelines. In addition to standardized interdisciplinary approach in medication management, assessing the compliance of health insurances costs based on the federal government and state laws encourage the decision-making on the quality, cost, and accessibility issues.

As the patient care reports indicated above are excessive expensive and costly. The decision of medication non-adherence will dissemble the costs and analyze the implications of generic medication and non-generic medications for activity base cost comparison purpose. The patients with chronic illness concerns the morality rates that increased hospitalization issues in which it cannot be achieved. The managed care utility must be designed to provide a guideline on medication administration process to reduce the cost of undocumented medication consumptions. Another cost concerns relating to the e-prescription deem to be costly and ineffective. An established accredited pharmacy approved and recognized by the department of health and human services providing e-prescription service would reduce the costs of the legal ligations imposed against the organization. A competitive analysis of other nursing home agencies will help this organization on the cost effectiveness strategies. The decision on therapy procedures need to re-evaluate the step-by-step therapy process to assess the implications that impact the costs. The decisions on biasing issue in regards to treatment(s) for specific type of chronic illness, i.e., Pulmonary Tuberculosis, diabetes mellius, hypertension, and coronary artery diseases needed to dissemble the legal aspects of variety of psychiatric disorders that targets minority patients receiving treatments. A collection of nursing home admission survey would assess the inherent characteristics of non-medication adherence deficiencies. The provision of patient care safety on medication non-adherence would increase the likelihood of desired health outcome and consistent with allied-health professionals (Zuckerman, 2006). Disposing the reimbursements of health care expenditures is difficult to synthesize the undemanded secondary medications. However, if necessary, to update patients reports on the medication consumption and disregard the secondary medication as they have no other problems associated with the secondary medications.

Plans for Feedback/Communication

The communication network plans are imperative to the stakeholders and members of the organizations.  In order for the organization to be financially fit and in a good state of health, review the regulations, policies, and guidelines of health-related accreditation agencies and organizations such as Joint Commission on Accreditation of Healthcare Organization, Department of Health and Human Services, and American Psychiatric Association, and American Associated Colleges of Nursing, and Federal and State nursing provisions and laws.

Conclusion

A quantitative and qualitative proposals in the research study promulgate key areas of non-adherence medication and treatment for the terminal-ill population a variance of solution (s) to their betterment of self-care and health with Management assistance to ensure that the quality of services are meeting the expectations of the patients. Moreover, the costs that does not impact the agency to obtain additional venture to cover the overhead costs. The reduction of morality rates would increase patients’ admissions to the nursing home as they gain accessibility to treatments and service available to them.

References

Creswell, J. W. (2005). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. New Jersey: Pearson Prentice Hall.

Krentz, S. E., DeBoer, A. M., & Preble, S. N. (2006). Staying on course with strategic metrics [Electronic version]. Healthcare Financial Management, 60(5), 86-93.

Zuckerman, A. M. (2006). Advancing the state of the art in healthcare strategic planning [Electronic version]. Frontiers of Health Services Management, 23(2), 3-16.