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Medication Planners: Tool to Support Adherence and Compliance

June 22, 2020
Author: Tulane University Health Sciences Center

Center for Quality Improvement and Innovation (CQII)

Intervention

A designated medication planner nurse worked with patients to improve adherence/compliance to antiretroviral therapy, utilizing a medication planner provided to patients on a weekly basis.

Change Ideas

  • Assessed patients for eligibility in medication planner initiative during clinic visit, assessing distance or transportation capabilities to pick up planner weekly, and assessing adherence and compliance troubles.
  • When a provider identified clients with increased viral loads due to non-compliance, they were referred to medication planner nurse.
  • The Licensed Practical Nurse (LPN) met clients, educated them on medications, the importance of adherence/compliance, and exchanged planners.

Summary

Patients were assessed on viral load and eligibility in the medication planner initiative during clinic visits, including assessment of distance or transportation capabilities to pick up planners weekly, and adherence and compliance barriers. When a provider identified clients with increased viral loads due to non-compliance, they were referred to the medication planner nurse. The Licensed Practical Nurse (LPN) met with clients, educated them on medications and importance of adherence/compliance, and exchanged the medication planners. During this intervention, viral suppression for the MSM of color subpopulation increased from 72.16% to 86.7% from July 2018 to November 2019, respectively.

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