93 posts categorized "Health Policy"

04/11/2014

VIDEO: 6abc Highlights Students, Faculty at USciences Research Day

 
 
6abc showcased the diversity and growth of research pursuits at University of the Sciences during its 12th Annual Research Day and 27th Annual John C. Krantz, Jr., Distinguished Lecture on Thursday, April 10. Research Day recognizes and highlights the research efforts of faculty, as well as undergraduate and graduate students, to encourage and promote communication and collaboration among researchers.
 
USciences distinguishes itself by offering undergraduate students the opportunity to conduct research early in their academic careers. The diverse research activity that was on display spanned several aspects of the University’s scholarly pursuits, including:
  • Determining occupational therapists’ role in working with pediatric cancer patients
  • Discovering the personality traits that cause adolescents to kill
  • Using yoga to improve quality of life for patients with anorexia nervosa
  • Identifying predictors of successful post-secondary transitions for autistic students

04/08/2014

Occupational Therapy Students and Faculty Present at National Conference

USciences made an impact at this year's national occupational therapy conference.

The American Occupational Therapy Association (AOTA) organized the largest group of occupational therapists and occupational therapy students in the world. USciences' Occupational Therapy Department was strongly represented. Students and faculty members were honored with multiple presentations and awards this year. Below is a list of these awards and presentations.

Congratulations to all those that represented USciences and the profession of occupational therapy so strongly. 

Dr. Rondalyn Whitney, PhD, OT/L, FAOTA - Dr. Whitney was honored as a Fellow of AOTA. She also presented, "Is Reality Broken? Introducing the First High-Quality Online Game to Improve Social Participation." She also presented an educational session on, "Emotional Disclosure Through Journal Writing: Outcomes of Online Intervention." Dr. Whitney presented another educational session titled, "What You Need to Know to Get Published! An Insider's Look at Strategies for Success." 

Dr. Colleen Maher, OTD, CHT, OTR/L presented a session led, "Evaluation of a One-Week Occupation-Based Program on the Health and Participation of Women With Cancer."

Dr. Varleisha Gibbs, OTD, OTR/L and Elizabeth Higgins presented on, "The Relation of Cultural Behavioral Norms and Parenting Styles to Age of Diagnosis of Autism Spectrum Disorders." 

Dr. Kimberly Gargin, OTD, OTR/L presented on, "Generational Differences: Do they Impact Fieldwork?." 

Dr. Ruth Schemm, EdD, OTR/L, FAOTA presented a session titled, "Our Time Now?: Function Becomes Central to Implementing the Accountable Care Act (ACA)." 

Danielle Centi, OTS (P4) - Danielle received an internship with the Developmental Disabilities Special Interest Section. 

Alyssa Reiter, OTS (P4), Paula Ortiz and Christima Smith presented on, "Healthy Living for Children and Family: Occupational Therapy's Presence in the Community." 

Brandy Brouse and Danielle Cooney presented a poster titled, "Prevention and Health Care Access: Relationship Between Engaging in Healthy Behaviors and Health Insurance." 

Carolyn Edwards, OTS (P3) presented on "Best Practice for Fall Prevention in Long-Term Care."

Daniel Fichter, OTS (P3) presented a literature review titled, "Are Apps for Adults in Rehabilitation Settings Evidence-Based?." 

Erin Livingston presented a poster titled, "A Systematic Review of Social Stories: Evidence and Application in Community Settings." 

Palak Sutaria, OTS (P3) presented a literature review on, "Combined Cognitive-Motor Fall Prevention Interventions."

Kristin Anderson, Beth Kelly, Patricia Murphy and Ashley Paolino presented on "Creating Opportunities for Social-Emotional and Physical Play."

03/20/2014

All Grown Up - Medication Adherence in Adults

As individuals grow older, the more likely they are to depend on medications to manage a disease state or to even extend their life. Therefore, in order for a medication regimen to be successful in treating a patient, it is important to stress the value of medication adherence. The adult population (ages 19-64) takes many medications on a regular basis, either for acute or chronic diseases. To improve adherence in adults, barriers such as cost, health literacy, and pill burden should be addressed.

Barriers: Prescription medication can be very expensive and therefore may play a role in adult patients’ adherence levels, even if they are not in good health. Cost influence on the patient can be verified by questions such as whether patients got their prescriptions filled, used herbal medications rather than prescription medications, or even stretched out the time till next refill. During a study, it was seen that when there is a cost barrier to medication adherence, adults tend to have a low income status, no drug coverage, or have multiple disease states. Therefore, different programs can be used to assist patients in decreasing medication expenses and thus improve adherence.

Besides cost, health literacy is also a barrier that prevents adults from reaching optimal medication adherence. Most adults will have to manage certain illnesses for the rest of their lives and thus it is important for them to have the necessary disease knowledge. Presentation about the medication include the purpose, mechanism of action, and other drug benefits which may lead patients to have increased medication adherence because they are expecting better health outcomes.

Additionally, many adults have multiple diseases to manage, which results in difficulty to many medications rather than just one. It is during this age that adults are newly diagnosed with chronic diseases such as diabetes, asthma, and hypertension. Therefore issues such as pill burden can be problematic when there are comorbidities involved. Patients may feel overwhelmed if they have to take multiple medications for diabetes, then asthma and also manage another serious condition of HIV. Options of combination medication therapy should be considered to decrease pill burden.

Asthma: The disease of asthma requires abundant counseling in order for patients to receive optimal therapy and avoid complications. With many inhaler options for both rescue and maintenance therapy in avoiding asthma exacerbations, it can become real confusing for patients to manage. When asthma is not appropriately managed it can lead to increased hospital visits and unwanted health expenses. Recent studies have concluded that patients with increased knowledge, attitude and self-efficacy in managing asthma can improve adherence. This is a disease state that, if patients understand signs and symptoms of asthma and use personal skills in managing the complications, it will result in a better quality of life. It is important to review both disease state and therapy schedule with adult patients every time they receive an inhaler, so patients can be in charge of their own health.

Pharmacists are constantly dispensing medications to adults and thus they have the perfect opportunity to help adults overcome barriers such as cost, health literacy and pill burden. Adulthood is a time in life where patients have to take care of their own health, income, and knowledge. Although adults are independent, pharmacists can step in to provide cost effective solutions and information about managing chronic illnesses such as inhaler techniques for managing asthma exacerbations. Pharmacists can use their knowledge about medications, cost coverage and managing disease states, in order to help adults improve medication adherence.

Sheenu Joseph, PharmD '15

03/18/2014

USciences to Host Free Community Discussion on Obamacare on March 25

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Rep. Roebuck

As the Affordable Care Act’s March 31 enrollment deadline draws near, University of the Sciences, in conjunction with state Rep. James Roebuck (D-Philadelphia), will host a discussion regarding this complex law on Tuesday, March 25, from 7-8 p.m., at the University’s Rosenberger Hall, Room 101, located at 45th Street and Woodland Avenue.

During the event, Alicia C. Miller, health information data analyst in the University’s Student Health and Counseling Center; and Andrew Peterson PharmD, PhD, John Wyeth Dean of the University’s Mayes College of Healthcare Business and Policy, will present data to help individuals make informed choices about the new health insurance options that are available to them.

The topics covered in the presentation will include:

  • Identifying the different health plan options now available for U.S. citizens under the Affordable Care Act.
  • Understanding the process for applying to the program and the eligibility criteria.
  • Detecting resources for understanding the Affordable Care Act, and navigating the system.
Peterson
Dr. Peterson

“West Philadelphia is home to many uninsured and underserved residents who will benefit from the healthcare law,” said Dr. Peterson. “Our goal is to ensure attendees leave our event feeling more comfortable with the healthcare changes, as well as more aware of the different options available to them, and more familiar with navigating the website to apply for a healthcare plan.”

This event is free to attend, and advanced registration is not required. The University is easily accessed via public transportation, and visitor parking is also available to attendees. For more information regarding this event, contact Dr. Peterson at a.peters@usciences.edu or (215) 596-8877(215) 596-8877.215.596

At University of the Sciences, students embark on a challenging learning experience in a proving ground for successful professionals in the science and healthcare-related fields. A private institution dedicated to education, research, and service, and distinguished as the North America’s first college of pharmacy, the University has produced leaders in the science and healthcare marketplaces since its founding in 1821. Students in USciences’ five colleges learn to excel in scientific analysis and to apply their skills to improving healthcare in the lives of people worldwide through such disciplines as pharmacy, biology, chemistry, psychology, physics, physical therapy, healthcare business, and health policy. For more information, visit usciences.edu or follow us on Twitter @USciences.

Video: Pharmacy Experts Discuss Hotly Debated Painkiller Zohydro on NBC10

Dr. Andrew Peterson, Dean of Mayes College of Healthcare Business and Policy; and Dr. Dan Hussar, Remington Professor of Pharmacy, recently shared their expertise regarding the hotly debated painkiller, Zohydro, on Philadelphia's NBC10 @ Issue. The program aired on Sunday, March 16, and is attached below in two 5-minute clips:

At isssue

Part 1: NBC @ Issue
Part 2: NBC @ Issue (Profs featured here)

03/14/2014

Pharmacy, Health Policy Experts to be Featured on NBC10 @ Issue on Sunday

At issueThe U.S. Food and Drug Administration's approval of the potent opioid painkiller Zohydro ER has been met with fierce criticism, both locally and across the nation. Tune into Philadelphia's NBC10  @ Issue on Sunday, March 16, at 11:30 a.m., as University of the Sciences' pharmacy and health policy experts discuss this drug in further detail.

Andrew Peterson PharmD, PhD, Dean of Mayes College of Healthcare Business and Policy; and Dan Hussar, PhD, Remington Professor of Pharmacy, joined reporter Tracy Davidson for a discussion regarding the pros/cons of this drug, as well as its potential dangers and health implications.

NBC10 @ Issue is a weekly public affairs discussion program that takes an in-depth look at local, state and national issues and politics. Watch NBC10 @ Issue every Sunday at 11:30 a.m. on NBC10, or at 6:30 p.m., on NBC10.com

03/06/2014

Young Adults and Medication Adherence

There is little focus on the young adult population (ages 16 to 24) when trying to understand the relationship between age and medication adherence. It is important to categorize them separately from other age groups since they are at a distinctly different developmental point in their life compared to children and adults. There are many factors that influence medication adherence in adolescents. Exploring these factors, particularly the barriers, through a disease state such as human immunodeficiency virus (HIV), will allow us to appreciate the many challenges young adults face when taking medications.

Barriers:  Adolescent years are crucial years, behaviorally and developmentally, as it is when children gain independence and start to develop personal opinions. Matsui sheds light on the relationship between parent and adolescents and their involvement in medication adherence, by noting that there may be a chance for family conflict and rebellion. It may be a new concept for adolescents to be in charge of their own health and therefore they may stop taking medications or listening to their parents. Although young adults attain greater independence, these are the years that parents can assist adolescents manage their own health, in contrast to when they were children.  

Besides new gained independence, the lack of knowledge regarding medication therapy may also act as a barrier for young adults to take medications. Once young adults take charge of their own medications, they may worry about adverse events. In a review article, Matsui states that cosmetic changes such as acne and weight gain may prevent young adults from continuing therapy. An unfortunate event of adverse effects may prevent adolescents to better understand their disease state and find a solution to improve medication adherence.

Another barrier that author Huang mentions is that young adults tend to focus on what their peers may think and therefore cancel doctor visits and follow ups. This factor/barrier may influence adolescents to discard their therapies because of the fear being judged for having a specific disease state. Adolescents may not want their friends to know that they have a disease such as diabetes or asthma that needs to be managed with prescription medications.  A disease state that depends on adherence for improvement but adolescents counter many challenges is HIV.

HIV:  It is very important to address adherence issues in adolescents with HIV, because viral load is controlled when adolescents abide to an adequate therapy. A study conducted by MacDonell and colleagues, focuses on the influence of situational temptation and non adherence in young adults with HIV. They defined situational temptations as lack of support, needing a break from medications and not seeing a need for prescribed medications. The study results showed that family support or reminder and limited knowledge regarding purpose of HIV medication, were all significant factors that played a role in the young adults’ temptation to disrupt HIV medications. It was evident that adolescents who experienced optimal adherence had a lower number situational temptations showing that barriers do influence medication adherence.

As healthcare providers it is essential that pharmacists identify and help overcome the challenges that many adolescents face when managing medication therapies.  Pharmacists can recommend solutions such as getting parents involved to improve support and providing prescription information to increase the patient’s medical knowledge. Pharmacists also have the opportunity to help young adults navigate negative peer influence that may act as an obstacle to optimal adherence. Therefore, it is important for pharmacists to recognize and address adherence barriers unique to this population of patients.

Sheenu Joseph, PharmD '15

02/19/2014

Social Media in Healthcare - A New Lecture Series at USciences

As healthcare conversations between providers and patients continue evolving into global, participatory discussions via social media, Mayes College of Healthcare Business and Policy at University of the Sciences will kick off an informative three-part lecture series on March 13 regarding social media as a means of communicating with patients.  The first lecture, presented by Matt Prior, MPH, Director of Communications and Policy Coordinator, Philadelphia Department of Health, will focus on how that department used social media to improve the use of condoms in Philly. 
 
At the conclusion of the lecture series, the University's Mayes College of Healthcare Business and Policy will hold its annual “Making the Connections” program on Tuesday, April 22, from 5:30-7:30 p.m., in the University’s AstraZeneca Auditorium, located in the McNeil Science and Technology Center. This year’s program will highlight social media in healthcare.
 
Murray Aitken, Executive Director of the IMS Institute, will be a panelist on April 22, speaking on the new report Engaging Patients Through Social Media.  Find out more information about the program email MayesCollegeConnections@usciences.edu.

02/06/2014

The Biggest Mistakes Transfer Students Make

Viggiani_aimeeChoosing which college to attend is a huge decision for students. Whether they’ve earned their associate’s degrees from community colleges and ready to move on to earn their bachelor’s degrees, or currently enrolled in four-year schools that aren’t the right fit, one-third of all students transfer at least once before earning a degree.

Aimee Viggiani, associate director of transfer admissions, was recently featured in two articles which provide helpful tips for transfer students. She said, "All too often, students wait until too late in their college careers to ask why a certain class didn't transfer. Even if you don't need the credit right away, you may need it in the future. So ask transfer credit questions as soon as possible."

01/30/2014

What can Obamacare do for you?

               Over the past several months, we’ve delved into two separate yet very important aspects of healthcare and pharmacy practice. We have followed the birthing pains of President Obama’s signature legislation some weeks while discussing the importance of medication adherence other weeks. We will now discuss how these two seemingly isolated realms of healthcare are indeed intertwined.

               The goal of the Affordable Care Act (ACA) is to improve the well-being of American citizens, rein in costs associated with healthcare in our country, and provide health insurance to those that could otherwise not afford it. As a future pharmacist, I will focus on the goal I perceive to be most important to my chosen profession: improving the well-being of my fellow Americans.

As we’ve discussed in previous posts, medication adherence is paramount in the constant battle to improve patient care. In the past, topics such as technology and techniques to monitor patients were assessed in Mission Impossible: How to tell if your patients are taking their medications; as well as why patients don’t take their medications in Why Don’t You Take Your Medication? in Part I and Part II installments. While it is the responsibility and duty of us as pharmacists to make sure that patients are taking their medications as directed, Uncle Sam has taken matters into his own hands by passing legislation to encourage health care professionals to improve outcomes.

Why has Washington taken such an interest in medication adherence? The reality is that medication non-adherence is estimated to cost $290 billion per year in additional healthcare costs. With almost 13% of the total yearly expenditure in healthcare being spent on preventable diseases and procedures, law makers and healthcare professionals alike see an opportunity to make medicine more affordable to the American patient.

The ACA has multiple provisions aimed at improving patient outcomes. Under the ACA and Medicaid expansion, hospital re-admission for certain conditions will result in penalties to the institution. With the real threat of not being compensated for services provided to re-admitted patients, hospitals across the country are revising procedures and doing their best to increase medication adherence and lower re-admission rates. As pharmacists, we will have a pivotal role in this revision of policy.

Along the same lines as re-admission rates, hospitals will now be subjected to quality assurance measures to hold them accountable. The Pharmacy Quality Alliance (PQA) is a non-profit organization that has developed measures related to medication use; PQA has adopted ten such measures that will cover a range of services, including medication adherence.  In addition to such assurance measures, there is something known as Medicare Advantage “Star” ratings that will provide financial incentives to plans in the Medication Advantage (MA) program. In the Star Ratings system, medication adherence is weighted HEAVILY because of its importance (medication adherence accounts for 11% of the total star score). This “Star” rating system has the opportunity to influence the care of over 12 million Medicare beneficiaries.

Three models being experimented with now are patient-centered medical homes, accountable care organizations (ACOs), and episode-based payments. These models are intended to lower health care costs and improve the overall quality of care being distributed to patients. And as is the case with hospitals, they will be evaluated on measures established by the ACA. ACOs for example will be assessed by the same kind of quality assurance measures as previously discussed. And as discussed before, medication adherence is a number one priority in those measures with 20 of the 33 measures relating directly to medication adherence.

When we discussed in previous posts why patients don’t take their medications, cost was a major factor. An important aspect of the ACA is to lower costs that would deter a patient from seeking care or filling a potentially life-saving prescription at a pharmacy counter. A portion of the ACA that doesn’t get much publicity is that it has a provision that impacts Medicare and Medicaid benefits. Under the new healthcare law, the threatening “doughnut hole” has been closed. This effort to close the gap in Medicare coverage is estimated to save beneficiaries $3.4 billion in prescription drug costs which comes out to $837 per person, per year. This is no small amount of money and could indeed encourage people to get that necessary prescription filled. When the decision for a retired individual on a fixed income to choose between their groceries or medicine is no longer necessary, everybody wins.

While this is an exciting time for healthcare, we as pharmacists are entering a brave new world. As I’ve discussed, the ACA calls for many changes in the way healthcare will be administered with an emphasis on medication adherence; and with pharmacists being the medication experts, we will be expected to lead the charge in making many of these changes a reality. This presents our profession of choice with an opportunity to not only create value as health care professionals, but also put our foot in the door and establish ourselves as vital cogs in the 21st century healthcare machine. At this time the ACA does not establish a system by which we as pharmacists will be compensated for our increased duties and responsibilities which is obviously not a desirable situation. But don’t be discouraged. We as pharmacists should take this opportunity to not only elevate the prestige of our profession, but also establish value that will positively impact the way we are compensated in the future. Pharmacists are no longer ‘pill counters.’ We are well respected experts in a vital facet of medicine and it is time we are recognized as such. As Horace so eloquently put it: Carpe diem!

Mackenzie F. Blair, PharmD '15

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