| Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach. | |
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MedLine Citation:
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PMID: 21346956 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Evidence-based pharmacotherapy is a central aspect of optimal patient care for many chronic conditions. However, medication non-adherence frequently inhibits the attainment of optimal pharmacotherapy regimens. In this study, we designed, developed, and implemented a multifaceted clinical decision support (CDS) intervention that supports evidence-based pharmacotherapy and enhanced medication adherence through the use of a scalable, claims-driven, and service-oriented approach. The intervention includes a medication management report and a low adherence alert based on thirteen evidence-based pharmacotherapy rules for seven chronic conditions. Reports and alerts are delivered to primary care clinics and care managers that participate in a healthcare information exchange in North Carolina. The resulting system architecture may enable this CDS intervention to be widely disseminated to healthcare networks through an open-source model. |
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Authors:
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Guilherme Del Fiol; Kensaku Kawamoto; Nancy M Allen Lapointe; Eric L Eisenstein; Kevin J Anstrom; Laura L Wood; David F Lobach |
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Publication Detail:
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Type: Journal Article Date: 2010-11-13 |
Journal Detail:
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Title: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Volume: 2010 ISSN: 1942-597X ISO Abbreviation: AMIA Annu Symp Proc Publication Date: 2010 |
Date Detail:
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Created Date: 2011-02-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101209213 Medline TA: AMIA Annu Symp Proc Country: United States |
Other Details:
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Languages: eng Pagination: 137-41 Citation Subset: IM |
Affiliation:
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Division of Clinical Informatics, Department of Community and Family Medicine and. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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