ITEMS IN FPM ON TOPIC:
Half of our patients do not take their medications, but we can change that.
Setting a goal, identifying the right patients, and implementing team care can help bring hypertension under control.
The MyMedSchedule Mobile app enables patients to take an active role in managing their medications through setting reminders.
A written policy, systematic process, and simple tools can help you to prescribe opioids safely and securely.
The Safe Opioids app provides resources and tools to help clinicians safely prescribe opioid medications for pain.
How will the Sunshine Act affect your relationship with pharma?
The authors emphasize the importance of diagnosing medication nonadherence and determining how to minimize it for a given patient. They suggest approaches to the patient designed to uncover nonadherence, to avoid inadvertently encouraging it, and to encourage adherence.
The authors argue for synchronizing prescription expiration dates for chronic medications to fall just after the next annual comprehensive care visit, so all of them can be renewed at once, without need for phone calls or unexpected interruptions.
The authors recommend avoidance of automated or clerically mediated "refill" programs that allow patients to get prescriptions renewed without a physician visit; they emphasize the clinical and medicolegal importance of prescribing only in the context of a face-to-face visit.
The authors describe a process whereby practices can manage prescriptions for patients on narcotics for chronic pain, ensuring that patients have signed narcotics agreements, that prescriptions are refilled appropriately on schedule, that urine toxicology screening is carried out as appropriate. The process is also useful for patients taking stable dosages of other controlled substances.