???This grant enabled us to train our pharmacy team on the process of shared-decision making, providing us with essential tools for improving patients??? medication-taking behaviors.??? - Amy Seybert, PharmD, FASHP, FCCP, CHSE, Chair, Pharmacy and Therapeutics, University of Pittsburgh


Grant Application

Amy L. Seybert, PharmD, FASHP, FCCP, CHSE, James Coons, PharmD, BCPS, Sandra Kane-Gill, PharmD, MS, FCCM, FACCP, Solomon M. Adams, PharmD, Kim C. Coley, PharmD, FCCP, UPMC Presbyterian Units 3E, 3F, 4D, 5D


Proposed Innovation

Evidence shows that patients who share in treatment decisions are more likely to adhere to their regimens. This proposed innovation aims to incorporate shared decision making into the new UPMC Pharmacy Care Model through the use of tools for assessment of adherence, medication self management and medication access/affordability.


Improvements in Action

Twenty pharmacists and pharmacy students were trained to incorporate Shared Decision Making (SDM) strategies into their patient assessments and interventions. They used decision aids — such as medication education sheets, pillboxes, and electronic medication reminder alerts — to improve medication adherence. Mobile devices facilitated patient assessment and the SDM process. Patients will be asked to answer a questionnaire covering the four areas that impact medication-taking behaviors: beliefs, adherence, affordability and adverse effects. The results of the survey were used to identify medication adherence problems and guide the SDM process.


Results – In Progress

The pharmacy team evaluated 173 patients with a mean age of 61 years, who were on an average of nine medications each. The survey showed that: 14% of patients were not sure they needed medications to treat their health problems; 22% were not able to take their medications as prescribed; 20% experienced side effects from their medications; and 20% found it difficult to pay for their medications. The pharmacy team reviewed shared goals with patients and developed a plan, when appropriate. Additionally 26% of patients were provided with written medication education and 13% were provided with a medication adherence tool. An assessment on the program’s impact on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores and readmissions is underway