USE CASE

Chronic Care Management (CCM)

Challenges

Ensuring patients are adherent to their medication therapies between clinician visits
Compiling complete, accurate, clinically actionable medication histories
Conducting efficient medication reconciliation
Identifying patients who qualify for a CCM program
Generating additional revenue for your practice

Demographics

Patients who have two or more chronic conditions
Patients who are on Medicare or Medicaid

Population Metrics

Accurately forecast and identify the number of patients who qualify for a CCM program
Customizable medication adherence insights for value-based care and clinical quality programs

Results

University of Maryland Medical Center increased prescription first-fill rates:

20% for patients with Congestive Heart Failure

25% for patients with Chronic Obstructive Pulmonary Disease

Findings

A University of Maryland Medical Center study* found:

Patients are more likely to fill prescriptions when enrolled in a mobile integrated healthcare and community paramedicine program after hospital discharge
By merging Epic’s Clarity data with DrFirst’s PRM data, the medical center could calculate first-fill rates for new medications and counsel patients accordingly

Implementation

A standalone user interface is tailored to provide optimal medication management workflows for clinicians
Population risk management data is available directly in your medication management platform

*Source: Sokan et. al (2022) Exploratory Research in Clinical and Social Pharmacy