How do you know when to take which medications? What is your method or system to help you remember your meds?
Can you show me your medications for today? Can you show me all your medication bottles?
Where do you store your medications?
Can you show me or tell me your current medication list? What is each medication for?
How do you get to the pharmacy to pick up your medications?
Do you ever have trouble paying for your medications or not picked them up because you don’t have a way to pay for them?
Are you satisfied with the method of obtaining your meds, this include how they are packaged and how the package is opened?
If you have any problems with your medication such as side effects, frequency of doses, availability etc, how do you share that information with your primary care provider or pharmacist?
Questions specific for individuals with Diabetes:
When does you physician want you to call them related to blood glucose results?
Can you show me your blood glucose results?
What frequency do you check your blood glucose?
Do you have enough testing and medication administration supplies?
Other things to note:
Are there other indicators that might interfere with clients ability to organize their meds (mental health, manic, confusion, dementia, obstacles to compliance)
Tips for assessing via phone or video visit:
Identify specific questions to address this type of visit.
Review refills schedule
Options for medications systems:
Co-mingled blister packs with all pills for specific time of day, vs blister pack with individual pill cards.
Skilled service Med pour by visiting nurse
Dispensing systems (keep in mind need to accurately fill system and trouble shoot should system errors occur. May take family back up support or Skilled RN visit
Insurance coverage options within programs: MCO coverage of med pours, pharmacy comingled med packs and dispensing systems.
Pharmacy available services: which local pharmacy do med packs (ie cornerstone in Clinton area), amazon and other mail order options.
Red Flags that indicate potential issues around medication management:
Extra medications that should have been used up already
Running out of medications before refill time
No system for organizing daily medication schedule (ie no medication box, meds in different locations throughout the house, meds cannot be found)
Expired medications still in the house
Medications on med list but not available in the home
Support client to advocate for themselves with their Primary Care Physician (PCP) and/or pharmacist
Encourage asking what each medication is for
Encourage questions about the medication side effects, especially if they are causing the client to not want to take the medication
Encourage asking if there is a simpler medication or schedule that can be figured out especially if meds are taken at multiple times through out the day. IE is there a way to consolidate the number of or frequency of medications to make remembering easier?
Encourage client to let PCP and or pharmacist know if they cannot afford or access the medications due to lack of funds or transportation issues
Encourage use of local pharmacist to complete med reconciliation on discharge from hospital.
Create FAQ with key points
Decision Tree to support CM in taking action
Encourage managers to incorporate key information into their workflow via documentation/EHR system design, or other method to assure long term sustainability