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Outcomes and Factors Contributing to the Success of a Community Based Patient Self-Management Diabetes Program: The Asheville Project . Daniel G. Garrett, MS Senior Director, Medication Adherence APhA Foundation email@example.com. Objectives.
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Daniel G. Garrett, MS
Senior Director, Medication Adherence
“The mission of the American Pharmacists Association Foundation is to improve the quality of consumer health outcomes that are affected by pharmacy.”
...of the outcomes associated with
Patients on drug therapy ultimately “manage their own care”.
*Peter Block, Stewardship, 1993; 234-237
Leadership for the 3rd Millennium
“Patient making better food choice. Blood glucosemuch improved. 2 x 1.5c cm wound RLE. Referredto physician for evaluation and therapy.”
n=136 136 81 55 39 26 16 11
Cranor et. al. JAPhA 2003; 43(2): 175-176.
Cranor et. al. JAPhA 2003; 43(2): 184.
Total Healthcare Costs, Combined Missions St Josephs and City of Asheville for all enrollees (unpublished data)COA & MSJ Total Healthcare Costs (avg/patient/year) prior to programfor diabetes and each year of the program for 1st 5 years
Cranor et. al. JAPhA; 43 (2): 180.
Garrett DG, Martin, LA. J Am Pharm Assoc. 2003;43:185-90
Garrett DG and Martin LA. JAPhA March/April ;43(2):187.
Garrett DG and Martin LA. JAPhA March/April 2003; 43(2): 187.
Garrett DG and Martin LA. JAPhA,
March/April, 2003 43:(2) 188
Wagner EH, Austin BT, Davis C et al. Improving chronic illness care: translating evidence into action. Health Aff 2001; 20(6):64-78.
Wagner EH, Austin BT, Davis C, et al. Improving chronic illness care: translating evidence into action. Health Aff 2001;20(5):64-78.
Garrett DG and Martin LA. JAPhA 2003;43(2):189.
“Show me the money!”
“It’s all about relationships”
What are you going to do
if “it” works?
(Will pharmacists be willing/able
to meet the demand for patient care services?)
“It” works…as reported on the
front page of the Washington Post,
August 20, 2002.
Empower the Patient. Improve the Outcomes. Control the Costs.SM
At least four quadrants…biological(technical), psychological, social and cultural are needed for chronic health management
John Nash manages his health through growth and support in all quadrants, if the state of NJ had forced him to leave his home to build a bridge would this have adversely affected his health?“It’s a wonderful thing to have a Beautiful Mind, but more wonderful to have a Beautiful Heart”
Start a Wave Across the Ocean?