CMSA Today - Issue 7, 2012 - (Page 8)

CMAG 2012 Case Management Adherence Guide 2012 BY SUSAN ROGERS, RN-BC, MSN, CCM “Drugs don’t work in patients who don’t take them.” Former United States Surgeon General C. Everett Koop conditions such as diabetes and hypertension. The Case Management Society of America (CMSA) published the first Case Management Adherence Guidelines (CMAG) in 2004. The natural evolution of the case manager’s role toward promotion of adherence created the need for guidelines and education. This tool offered the case manager a prescriptive algorithm to assess, categorize, and intervene with patients on medication adherence. Initial feedback from case managers suggested concerns that the early algorithm and CMAG tools did not adequately address specific patient populations and/or practice models. In response, CMSA revised and distributed CMAG Version 2 in 2006. The Case Management Adherence Guide 2012 (CMAG 2012) provides even more significant improvement over the first two versions. CMAG 2012 was developed for case managers providing services to diverse populations and in various case management practice settings. Essentially, the case manager uses the tools to individualize a medication adherence process to fit the patient’s needs. This revision brings new resources, assessment tools, interventions, and information that are less prescriptive than previous versions. Even though single factor interventions such as patient education Motivation to Manage Expectation of Outcome Confidence to Manage Patient’s knowledge and beliefs Medication Adherence Understanding of Consequences External Factors Figure 1 I n 2003, the World Health Organization (WHO) published a noteworthy report entitled Adherence to Long-term Therapies: Evidence for Action. Within this report, medication adherence was defined as: “the extent to which a person’s behavior taking medications corresponds with agreed recommendations of a health care provider.” At that time, the WHO made an urgent call for action. consistently take their medications as directed. Regardless of the call to action by the WHO and other organizations, medication nonadherence continues at an alarming rate. Based on a report by Cutler & Everett (2010), the average adherence rates are between 50-65 percent in those with common chronic Medication nonadherence has reached epidemic proportions. According to a survey conducted in 2006 by the National Community Pharmacists Association and Pharmacists for the Protection of Patient Care Adherence, approximately three of four Americans report they do not 8 CMSA TODAY Issue 7 • 2012 • DIGITAL

Table of Contents for the Digital Edition of CMSA Today - Issue 7, 2012

President's Letter
Case Management Adherence Guide 2012
Case Management Foundation: Focusing on the Profession of Case Management for Today and Tomorrow
Association News
CMSA Corporate Partners
Index of Advertisers

CMSA Today - Issue 7, 2012