Official Website of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health IT
Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.
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Medication Adherence
Description (*Please confirm or update this field for the new USCDI version*)
Statement of whether a medication has been consumed according to instructions. Examples include but are not limited to taking as directed, taking less than directed, and not taking. Applicable Vocabulary Standard(s) Applicable Standards (*Please confirm or update this field for the new USCDI version*)
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Submitted by pwilson@ncpdp.org on
NCPDP recommends replacing the data element definition to “Medication is consumed according to instructions as captured by the provider, pharmacist or clinician” instead of “Statement of whether a medication has been consumed according to instructions”.
Submitted by kelly.clarke@j… on
Highly support and agree with the addition of this new data element. This will ensure patient treatment plan adherence and patient care outcomes.
Submitted by pwilson@ncpdp.org on
NCPDP recommends updating the data element definition to “Medication is consumed according to instructions as captured by the provider, pharmacist or clinician”. Examples include but are not limited to taking as directed, taking not as directed, and not taking.
Submitted by hswmin on
The Texas Health Informatics Alliance (THIA) Policy and Standards Working Group supports the proposal for medication adherence; however, we recognize that it is going to take a lot of time and effort to properly establish. Associated/relevant vocabulary should be clearly defined (i.e. taking as directed, not taking as directed, not taking). Medication adherence calculations should be accurate, timely, and transparent.
Medication adherence is now a metric for Primary Care Providers (PCPs). PCPs are measured by the Centers for Medicaid and Medicare Services (CMS, which affects value-based metric scores through accountable care organizations (ACOs).
How medication adherence is getting calculated should be clear. Currently, medication adherence is claims-based and it is difficult to measure within ACOs. If one’s ACO is going to utilize a certain form/method to measure medication adherence, providers want it to be accurate and timely.
Capturing the costs of medication adherence is difficult. Medications can be expensive and it is hard to know where patients get their medications from and/or if they use services, such as GoodRx.
Capturing the cadence of medication adherence is difficult. Refills count if one is done within a 6-month interval. If a patient falls off compliance, it takes about 18 months post-refill to get them back onto compliance. Notably, the patient’s physician gets dinged throughout the 18 months of “non-compliance”.
Submitted by pwilson@ncpdp.org on
NCPDP Comment
NCPDP recommends replacing the data element definition from, “Statement of whether a medication has been consumed according to instructions” to, “Medication is consumed according to instructions as captured by the provider, pharmacist or clinician.”