Category: >> Medication Management
Understanding Medication Adverse Effects and How Healthcare Data Management Can Provide Proactive Prevention

Understanding Medication Adverse Effects and How Healthcare Data Management Can Provide Proactive Prevention

March 10, 2020

Adverse Drug Reactions vs. Adverse Drug Events – Detect and Avoid for Patient Safety

We are experiencing a health craze. Everybody is becoming health conscious and there is an abundance of herbs, supplements, lotions, etc. that people are using in their quest to rid themselves of, and prevent, ailments.

In addition, there are numerous prescription medications (almost 6,800) and countless over-the-counter drugs available in the US market. The use of so many substances in health care opens the door to possible interactions between substances, resulting in medication adverse effects. In the clinical space, terms such as adverse drug events (ADEs) and adverse drug reactions (ADRs) are used to describe some of the possible medication adverse effects that can result from drug use. But does the average person understand the meaning of these terms?

An adverse drug event (ADE) is defined as “an injury resulting from medical intervention related to a drug.” An ADE results from harms caused directly by the drug itself and include medication errors, ADRs, overdoses, and allergic reactions. An ADR, on the other hand, is a harmful and unintended response to a drug at normal doses and during normal use.

The Office of Disease Prevention and Health Promotion, part of the US Department of Health and Human Services, has named ADE prevention as an important patient safety priority in its National Action Plan for Adverse Drug Event Reporting. It noted that ADEs accounted for an estimated one-third of hospital adverse events and approximately 280,000 hospital admissions annually. The ADE Action Plan was established to coordinate multiple stakeholders and align Federal efforts in identifying common, preventable, and measurable ADEs that may result in significant patient harm. The goal is to jointly work towards reducing patient harm from these specific identified ADEs nationally.

Three types of ADEs were selected as the high-priority targets of the ADE Action Plan as they were identified as being common, clinically significant, preventable, and measurable. These are:

  • Anticoagulants: primary ADE of concern – bleeding
  • Diabetes agents: primary ADE of concern – hypoglycemia
  • Opioids: primary ADE of concern – accidental overdoses/over-sedation/respiratory depression

The World Health Organization lists has reported that as many as 4 in 10 patients globally are harmed in primary and outpatient health care. Up to 80% of harm is preventable. The most detrimental errors are related to diagnosis, prescription and the use of medicines. As such, healthcare organizations are urged to utilize the ADE Action Plan and implement strategies to prevent medication adverse effects, especially from the three priority types of ADEs identified. Healthcare data management and healthcare technology can play a major role in this regard, and those organizations that proactively use healthcare technology to detect ADEs will be a step ahead in preventing them. Some ways in which healthcare data management and healthcare technology can be used in ADE detection and prevention include:

  • Electronic exchange of health information, such as laboratory results and care (e.g., discharge) summaries. This can help to improve communication among the care team as a patient passes from one team to the next.
  • Interoperability between laboratory and pharmacy systems to help prevent medication errors and medication adverse effects.
  • Utilize electronic health records (EHRs) and patient engagement tools to provide patient-specific data that can inform appropriate clinical decisions by providers. EHRs and patient engagement tools can also provide clinical reminders and templates to prompt and facilitate recommended clinical practices. This could result in improvements in assessment, documentation, and collaborative treatment planning for patient risk factors and aberrant behaviors.
  • Leverage EHR Meaningful Use requirements by incorporating Quality Measures specific to the three types of ADEs identified in the ADE Action Plan.

ADEs can also be prevented by improving patient compliance with their medication regimen. Incorporating remote monitoring solutions such as automated medication dispensers with reminders can improve patient compliance and also prevent potential overdoses especially in seniors with memory problems.

Patient safety is a priority for all healthcare organizations and medication adverse effects are a serious threat to this. By proactively incorporating healthcare technology to detect and avoid ADEs, organizations can increasingly prevent them and improve patient safety. Acuma Health can show you how to utilize technology for proactive prevention of medication adverse effects and improved patient safety.


PGHD Patient Generated Health Data Acuma Health

Patient Generated Health Data (PGHD) Management to Improve Patient Care

February 18, 2020

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Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Proactive Healthcare Stakeholders Lead the Way to a Brighter Future of Healthcare

December 16, 2019

Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Most of us are familiar with the term Internet of Things (IoT) which refers to all web-enabled devices – smart cars, smart thermostats, home security systems, fitness watches, internet-enabled kitchen appliances – all devices that connect to each other and to the internet. However, what many of us are less familiar with is the Internet of Medical Things (IoMT), a term used to describe internet-connected devices that can generate, collect, analyze, and transmit medical data, creating a connected infrastructure of health systems and services. Smart devices such as wearables, medical/vitals monitors, MRI scanners, mHealth applications, smart hospital beds, and medication dispensers, are all a part of the IoMT.

“The Internet of Medical Things (IoMT) is an amalgamation of medical devices and applications that can connect to health care information technology systems using networking technologies.”


Alliance of Advanced Biomedical Engineering

The IoMTmarket is estimated to grow to $158.1 billion in 2022, and the number of IoMT devices are expected to top 20 to 30 billion by 2020. There are applications for IoMT in on-body consumer health wearables and clinical-grade wearables; in-home uses such as remote patient monitoring devices; community uses including mobility services that allow passenger vehicles to track health parameters during transit; in-clinic uses such as digital stethoscopes; and in-hospital uses such as wearable defibrillators.

Frost & Sullivan in their take on the IoMT reshaping proactive and coordinated care delivery, noted that there are some disruptive innovations that are possible with the IoMT:

  • Medical-grade wearables and smart implants that communicate patient parameters
  • Virtual assistants at home to help patients and seniors with their self-care, mHealth applications, and smart diagnostic medical devices that support telehealth services
  • Smart cars that can track vitals of passengers during transit
  • Exigency support by drones for emergency response
  • Smart, digitized clinical devices like digital stethoscopes for clinicians in primary care
  • Smart hospital rooms that allow patients to communicate with care teams virtually, from their bedside
  • Kiosks at community centers to improve access to informational services, pharmaceutical products, and telemedicine services.

IoMT is continuing to change the face of healthcare and provides the opportunity for healthcare stakeholders to become more proactive instead of reactive. While patients can use IoMT to monitor, inform and notify them of their health status and notify caregivers of any issues, proactive healthcare stakeholders can leverage IoMT by utilizing the data generated to identify issues before they become critical or to allow for earlier invention. Patient-generated health data can be incorporated into care planning and used to provide more personalized care delivery to the patient. Proactive healthcare stakeholders can utilize predictive care solutions and artificial intelligence (AI) software to intelligently sort through the wealth of data from IoMT devices to deliver relevant data to healthcare providers, as well as to stratify and even predict risks and intervene long before a problem develops.

Major benefits can be derived by both patients and healthcare stakeholders from leveraging the technologies available through the IoMT. Healthcare organizations can achieve better patient outcomes, lower healthcare costs, improve efficiency, and activate new ways of engaging and empowering patients. Traditional healthcare is changing, and proactive healthcare stakeholders need to be on the right side of this change, leveraging the capabilities of the IoMT to improve their care delivery and operational efficiencies.

Contact Acuma Health for ideas on how to derive the benefits offered by the IoMT.

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Patients as Partners: 7 Ways to Improve Patient Compliance

November 20, 2019

Improve Patient Compliance Using Patient Generated Health Data and Patient Engagement

Although most commonly used in reference to medication, patient compliance or adherence is how well a patient follows a prescribed medical regimen or treatment plan as it is intended. The duration, frequency, and complexity of the behavior(s) required of the patient,all have an impact on the level of patient compliance.  

“Patient compliance is “the extent to which a person’s behavior (in terms of taking medications, following diets, or executing lifestyle changes) coincides with medical or health advice.”

Patient Compliance and Health Behavior Models

Patient non-compliance is a huge problem for the healthcare industry with reports of non-compliance costing the US economy between $100 and $300 billion dollars annually, inclusive of costs related to avoidable hospitalizations, nursing home admissions, and premature deaths. Another report places the figure even higher, at more than $564 billion dollars annually. To prevent the burden that non-compliance places on the healthcare industry and the economy, improving patient compliance must be a priority for all healthcare stakeholders.

7 Ways to Improve Patient Compliance

Improving patient compliance requires patients to become engaged in their healthcare, taking responsibility for their well-being, and actively participating in their health decisions. Healthcare stakeholders have begun implementing different patient engagement strategies and tools to improve patient compliance and resultant health outcomes. However, for any of these strategies to be successful, healthcare stakeholders need to work with patients as partners and actively engage them in the process. Healthcare organizations can improve patient compliance by:

  1. Devising and implementing policies and procedures that support patient engagement as well as policies that help identify the non-compliant patients
  2. Leveraging patient generated health data to assist in creating treatment decisions
  3. Utilizing available healthcare technology
  4. Facilitating patient education about their illnesses/conditions and how to manage their conditions, including medication management
  5. Including the patient in the decision-making process surrounding their healthcare
  6. Engaging and empowering caregivers to provide patient-centered care
  7. Measuring progress and making changes where necessary

Simplifying the process surrounding the treatment regimen as much as possible will go a long way in improving patient compliance.

Patient Engagement to Improve Patient Compliance

An engaged patient is more likely to be a compliant patient. Healthcare organizations need to invest in patient engagement strategies to improve patient compliance and health outcomes. Policies must be developed and implemented to demonstrate the organization’s commitment to patient engagement and procedures for all staff to follow in engaging patients must also be implemented. Organizations must alsoensure that patients are treated with respect and that the organization feels welcoming to patients. The way patients are treated impacts how much they value the care they are provided by an organization which may also influence how well they comply with their treatment regimen.

“Engaged patients are better able to make informed decisions about their care options.”


WHO Report

Organizations should also (i) ensure that care providers are afforded adequate time with each patient so that they can really communicate with the patient to find out their health status and how their lives outside of the healthcare setting may be impacting their compliance (ii) make it a policy for providers to ask questions such as “What medications are you taking?” and “How often do you take a particular medication?” Providers also need adequate time to educate patients on their chronic conditions and how best to manage them.

Healthcare organizations should utilize technology for patient engagement which can improve patient compliance – employ electronic health records (EHRs) to simplify the patient registration process, facilitate online bill payments, secure messaging, etc. EHRs can also help providers to easily keep track of and update patients’ medications thus facilitating the smooth coordination of a patient’s medications across all healthcare stakeholders. Healthcare organizations should develop patient portals that provide patients with relevant information and facilitate interaction with the healthcare team, and incorporate technology that can make the medication prescription and dispensing process simpler and faster, such as Computerized Physician Order Entry (CPOE) or electronic prescribing (e-prescribing) tools.

Patient Generated Health Data (PGHD) can be Used to Improve Patient Compliance

Patients nowadays are generating a tremendous amount of their health care data on their own through use of technologies such as wearable devices and mHealth apps. Patients are also being monitored remotely through registered medical devices such as the pacemaker and blood glucose monitors that monitor data on heart rate and blood glucose levels. Healthcare organizations should encourage healthcare providers to use PGHD to assist with creating treatment regimens for their patients. Utilizing PGHD in this manner can improve patient engagement and by extension, improve compliance as well. It has been shown that patients were more engaged when PGHD were used during their office visits compared to when PGHD were not used. Patients who see and feel that their healthcare providers are invested in their health and value their contributions including their PGHD, are more likely to be engaged and compliant with treatment plans.

In order to facilitate and encourage the use of PGHD in treatment and care, healthcare organizations can also harness and implement Digital Disease Management Solutions that provides a user-friendly environment to identify changes in disease condition, manage medication adherence and enable easy communication between patients and healthcare providers. Improving patient compliance is essential to reducing disease burden, the cost of chronic care and improving patient outcomes. Healthcare organizations need to take necessary steps to improve patient compliance by treating patients as partners and utilizing available healthcare technologies and PGHD.

Learn more about Acuma Health technologies to help you incorporate patient generated health data into your healthcare organizations or begin leveraging healthcare technology today with this guide.


Medication Management to Reduce Avoidable Readmissions

October 23, 2019

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Special instructions When using Zithromax with antacids, soft tissues, skin infections, the dosage is 500 mg on zothromax first day of treatment and 250 mg in the next four days, or 500 mg for three days. Indications for use Zithromax price for use Zithromax is a wide range of infectious diseases. The instructions for Zithromax indicate that during zithromax price treatment of infections of the urogenital tract, it is necessary zithromax price take 2 capsules of the drug 500 mg at a time. It inhibits the multiplication of pathogenic microorganisms, taking into account the fact that the substance remains in the focus of inflammation 5-7 days after the last tablet of the drug was taken. Urogenital infections are treated with a single dose of two 500 mg tablets. Urinary tract infections urethritis (even gonorrhea), cervicitis (inflammation of the cervix), Lyme disease caused zithromax price spirochete of Borrelia. Drowsiness, you should consult a doctor. It is important not to prescribe Zithromax to the child alone, but to consult a doctor, since pediatricians often prescribe individual doses, and depending on the patients age. Its price starts at 40 zithrpmax package, a hypersensitivity reaction may persist even after discontinuation of the drug.