The anticipated growth of the Aging population has resulted in an increase in nursing home placements and ER admissions, often because of difficulties with complex medication regimens. Through the Medication Management Demonstration, the Illinois Department on Aging (IDoA) seeks to reduce medication error rates and improve outcomes in clients who have historically been challenged by managing multiple medications at home.

The facts:

  • Multiple studies have demonstrated discrepancies from 30% to 66% between medications prescribed by physicians and what’s actually being taken
  • Nonadherence to a medication regimen is a primary reason many frail older adults are placed in nursing facilities; in the U.S., an estimated 3 million older adults are admitted as a result of drug-related problems, costing an estimated $14 billion annually
  • Seniors are the largest consumers of medications and are the most vulnerable to adverse reactions/events

The program:

The Medication Management Demonstration seeks to fill the gap left by the current delivery system that providers, pharmacies and hospitals do not have the capacity to address. The program will proactively identify and engage at-risk populations that meet eligibility criteria. A certified pharmacist will conduct an in-home assessment and design an individualized plan for each client. Additionally, IDoA will assess how the use of experienced pharmacists employing proven methodologies can improve clinical outcomes for participants in a more economical way.

The benefits:

Successful medication management pilot programs have resulted in:

  • Reduction in emergency room and nursing home admissions
    • Approximately 36% reduction in ER visits and hospital readmissions
  • Fewer drugs for chronic illnesses

Eligibility criteria:

  • 60 years of age or older
  • DON score of 29 or higher
  • Enrolled in either CCP or CRP
  • and, meet at least one of the following criteria:
    • Diagnosed with 2 or more chronic illnesses
    • Scheduled to take 5 or more prescription medications daily
    • Have documented cognitive impairment
    • Struggle with the cost of their medications
    • Are reluctant to take medication due to side-effects
    • Are prescribed 2 or more psychotropic medications
    • Have at least 1 diagnosis of Serious Mental Illness (SMI)
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