Not Every Patient Takes Their Medications

Home Care Path staff have long understood patients do not all take their medications as provider ordered.  The focus is more to ascertain what the patient is taking as opposed to making someone do something they do not want to do.  This action helps manage the increased risk created for the prescriber's measure of liability with attempts at pharmacological treatment.

This became evident with the Tomaszewski and all study titled adherence to antihypertensive (high blood pressure) drug treatment recently published in the British Medical Journal.  The study demonstrated about 25 percent of the participants were not taking medications as provider ordered.  Adherence was measured using high performance liquid chromatography tandem mass spectrometry (HP LC MS/MS) urine analysis.  Despite being involved with a tightly controlled environment of an organized research project 25 percent of the participants did not take their medications as provider ordered. 

Long term supportive home care providers (www.homecarepath.com) have noticed individuals going in to the emergency room or urgent care provider are less likely to have their prescriptions filled.  This can be related to transportation , wanting to just be home when ill, and pharmacy hours, among others reasons.

The Basin program delivers a medication reconciliation service designed to accurately record what the patient is taking out side of the clinical medical visit.

Basin is a biopsychosocial program developed by Home Care Path to give families a jump start on effectively managing the health, safety, and financial well being of an elder discharging from a hospital or nursing home. Today's medical patient is confronted with health providers employing different business strategies that imply different priorities across varied care delivery settings. Basin has 2 very important objectives. One is accurately communicating the needs of the senior. Two is communicating those needs in a way that is comprehendible to more than one health provider, so that procurement of needed services can proceed unimpaired. This is a means to optimize the individual seniors perspectives while respecting the many delivery providers of the health system which takes in to consideration the implications required to practice in a sustainable manner. Basin is a consultation service billed at 39.00 per hour.

Home Care Path in home supportive care assistants are billed at 20.00 per hour.