1. Medication Management With Older Adults

2. The Need for Medication Management
Older people take over 1/3 of all Rx drugs and half of older people take 3+ meds
Multiple physicians prescribing multiple medications
Documented adverse drug events
7,000 deaths each year
$2 BILLION annually for medical costs
At least 25% of adverse events are preventable
13% of total population take 33% of Rx meds
An adverse drug event is defined as “an injury due to an adverse drug reaction or a medication error.

3. What is “Medication Management”?
Medication screening
During multiple phases in the pharmaceutical process
Implementation of change strategies to fix identified problems
Use of human and/or computerized technology
Use of evidence-based guidelines as decisional support mechanisms

4. Home Health Criteria & Medication Management Model Intervention
Inappropriate therapeutic duplication of meds
Cardiovascular med poblems
Inappropriate psychotropic med use with concurrent falls or confusion; and
Inappropriate use of non-steroidal anti- inflammatory drugs

5. Core Elements of MMM
Screening and identification of problems using a computerized screening algorithm
Structured in-home assessment
Pharmacist and nurse made recommendations to address problem and contacted the MD
Nurse assisted person with med changes and monitored effects of change
MMM = Medication Management Model
Those who were confirmed to have a verified med problem were included in the study and randomized to either intervention and control
Control subjects received usual home healthcare nursing services

6. MMM Results
Overall, med problems resolved for 50% of intervention group compared to 38% of control
For therapeutic duplication: 71% resolved in intervention group compared to 24% in control
Model is feasible, flexible and sustainable as an in-home service to frail older adults
Data collected 90 days post intervention; sample

7. For More Information
See Partners in Care Foundation Homemeds Medication Safety Program at