NEWYORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL
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C A S E S TUDY
NewYork-Presbyterian Brooklyn Methodist Hospital
Medication Education Improves Adherence & Outcomes
The Challenge
Throughout the United States, medication non-adherence is one of the greatest factors contributing
to poor health outcomes and avoidable health care costs (estimated $100 billion - $300 billion
annually).¹ The majority of American adults, most of which have a chronic condition (more than
131 million or 66%)² use prescription drugs, and depend on multiple medications to manage their
Client: health. Unfortunately, many do not achieve the full therapeutic benefit of their medications due to
NewYork-PresbyterianBrooklynMethodistHospital non-adherence. Hospitals are especially concerned with this issue. A major study in medication
https://www.nyp.org/brooklyn adherence among adults showed that less than half of the subjects were able to list their conditions,
name(s) of their medication(s), their purpose(s) or the side effect(s) at discharge.³ These limitations
Location:
in health literacy compromise a patient’s ability to adhere to their medication regimen and manage
Brooklyn, NY
their conditions at home.
Size:
• 591 Licensed Beds Among the most promising strategies for increasing medication adherence is improved
• 1,464 Physicians (Primary and Secondary) communication between patients and health care providers. Recent research⁴ by the Script Your
• 4,400 Employees Future campaign revealed that 41% of study participants who reported increased patient-provider
communication also attested to improved medication adherence; conversely, among those who
Customer since: reported decreased patient-provider communication, 24% said their medication adherence had
1996
worsened.
TeleHealth Services Solutions:
•TeleHealth’s Interactive Patient Engagement Solution Though patient education is widely recognized as a shared responsibility among hospital clinicians,
Platform - SmartTigr nurses play a key role as they comprise more than 70% of the healthcare workforce. Nurses have
• Samsung Healthcare Grade LED Televisions greater access to and spend the most time with patients in the hospital setting, where education is
• PDI 14” Touchscreen Swing Arm Televisions often delivered verbally at the bedside. This workflow proves challenging for nurses, as reflected in
• Outcomes Management Support a recent study on nurses’ attitudes and behaviors on patient mediation education. More than 90% of
• TeleHealth 360° Service nurses in the study reported that they believe it is important for patients to be educated about their
• On-Site Porter Service and Support medications prior to discharge from the hospital. However, on average they spent 5 to 9 minutes
• Mult-lingual Patient Education Videos on medication teaching.⁵ Nurses report communication as the greatest challenge in teaching
patients about their medications; specifically, language barriers and difficulty with assessing
The Client: patients’ understanding.⁶ Nurses also identify complex medication information as a major challenge;
NewYork-PresbyterianBrooklynMethodistHospital
specifically, the inability to pronounce medications and confusion with generic names and multiple
is one of three regional hospitals belonging to the
manufacturers, especially in the event of multiple medications.⁷ Not surprisingly, 100% of the nurses
NewYork-PresbyterianRegionalHospitalNetworkin
in the study indicated that using resources is important in medication education.⁸
theNewYorkmetropolitanregion.Itisavoluntary,
acute-care teaching hospital affiliated with the
expertise ofWeill Cornell Medicine - an ivy league In 2018, NewYork-Presbyterian Brooklyn Methodist Hospital (NYPBMH) reviewed key performance
medicalschoolamongthenation’sbestin patient indicators related to communication about medications. Utilizing patient feedback, along with
care,medicaleducation,andresearch.Recognized patient experience measures, NYPBMH identified medication education as an opportunity for
as a Best Regional Hospital by U.S. News & World improvement.
Report,NewYork-PresbyterianBrooklynMethodist
Hospital is a premier location for integrative and The Solution
comprehensivecareservingBrooklynresidentsfor
135 years. In 2019, NYPBMH implemented a number of initiatives addressing medication education, including
an inpatient tele-pharmacy program and opening an outpatient pharmacy for hospital and
community prescriptions.
1100 Crescent Green, Suite 200 info@telehealthservices.com T 877 432 9076
Cary, NC 27518 w w w. te l e h e a l th s e r v i ce s. co m
C A S E S T U DY: N E W YO R K - P R E S B Y T E R I A N B R O O K LY N M E T H O D I S T H O S P I TA L M E D I C AT I O N E D U C AT I O N
An additional resource NYPBMH put in EMR. This simple, streamlined workflow
place to support education was the SmarTigr supports staff efficiency, allowing the care
interactive patient engagement system. After team to incorporate video education into
seeing success with using the system for their regular touchpoints with patients.
patient education on safety topics, condition-
specific information, and discharge care Pharmacy Manager Stephanie Amirana,
over the previous five years, hospital leaders PharmD, BCPS, led the rollout of the VUCA
the data publicly reported by the Centers
recognized the potential for educating Health MedsOnCue video library in March
for Medicare and Medicaid Services (CMS),”
patients about their medications with video 2019, orienting staff to the new medication
explains Shannon Patterson, MSW, CPXP,
on-demand. videos and training them on how to
Director of Patient Experience. “We increased
incorporate the content into bedside
from 2 stars in 2018 to 3 stars in 2019 in the
The VUCA Health MedsOnCue video library teaching. “The key message to staff was
medication communication domain. In
was added to the SmarTigr system at the that these resources are meant to help you
quarter four of 2020, we achieved 4 stars
beginning of 2019, giving staff and patients and save you time,” explains Dr. Amirana.
out of a maximum of 5 stars and are very
access to 700+ videos on prescription drugs
happy with our improvements in this domain.”
common to the acute care setting. The aim of
In publicly reported HCAHPS scores for
the videos is to boost patients’ health literacy “On-demand patient edu- corresponding periods, NYPBMH observed a
in their medications by naming the drug, what cation videos support our 2% increase in the HCAHPS measure Patients
it is for, and potential side effects. Videos are clinical teams in their patient who reported that staff “Always” explained
available in both English and Spanish, the experience efforts and also about medicines before giving it to them.¹¹
top two most common languages spoken in allow patients to more actively The alignment of these measures suggests
Brooklyn.⁹ Findings from a recent study,¹⁰ participate as members of their that as staff increasingly incorporated
which used VUCA Health MedsOnCue videos, healthcare team”. medication education videos into their
support their effectiveness with a statistically Shannon Patterson, MSW, CPXP
communication with patients; it served to
significant improvement in primary medication Director of Patient Experience
support improvements in patient experience
non-adherence observed in patients who NewYork-Presbyterian Brooklyn Methodist Hospital
with medication communication.
received a video compared with those who
did not. “Staff were coached on using the videos
Beyond patient experience, medication
during teachable moments, such as while
As medications are prescribed, staff assign adherence has a well-documented association
the nurse is drawing up the medication for
the appropriate videos to patients through with post-discharge outcomes. The World Health
administration. That’s an opportune time to
the SmarTigr StaffConnect dashboard on their Organization (WHO) has stated that “increasing
start a dialogue with the patient about the
workstations. The SmarTigr system interfaces adherence may have a greater effect on health
medication, then show the video.”
with the hospital’s Electronic Medical Record than any improvement in specific medical
system (Cerner), which allows video views to treatment.”¹² In October 2020, NYPBMH observed
The videos, which average 90 seconds in
be automatically recorded in the patient’s improvements compared to 2019 measurements
length, are concise enough to allow the
in readmission rates and 30-day mortality rates
nurse to observe the patient receiving the
across multiple conditions,¹³ which may owe in
education, then perform teach back while
part to the success of their initiatives to promote
present at the bedside. “This helped us to
medication adherence.
standardize our approach to teaching patients
about their medications,” says Dr. Amirana.
In 2021, medication videos on-demand remain
a key part of NYPBMH’s ongoing strategy
The Results
to improve medication adherence among
As medication video views have steadily risen patients. Ms. Patterson added that “On-
since implementation in the first quarter of demand patient education videos support
2019, NYPBMH has also reported increased our clinical teams in their patient experience
inpatient experience scores related to this efforts and also allow patients to more actively
domain. “We monitor our patient experience participate as key members of their healthcare
data by calculating a star rating, similar to team.”
1100 Crescent Green, Suite 200 info@telehealthservices.com T 877 432 9076
Cary, NC 27518 w w w. te l e h e a l th s e r v i ce s. co m
C A S E S T U DY: N E W YO R K - P R E S B Y T E R I A N B R O O K LY N M E T H O D I S T H O S P I TA L M E D I C AT I O N E D U C AT I O N
Sources
1. Bosworth HB, Granger BB, Mendys P, et al. Medication adherence: a call for action. Am Heart J. 2011;162(3):412-424. doi:10.1016/j.
ahj.2011.06.007.
2. Health Policy Institute. n.d. Prescription Drugs Profile - Health Policy Institute. (online) Available at: https://hpi.georgetown.edu/rxdrugs/
(Accessed 8 December 2020).
3. Makaryus, MD, A. and Friedman, MD, E., 2020. Patients’ Understanding of Their Treatment Plans and Diagnosis at Discharge. Mayo Clinic
Proceedings, 80(8), pp.991-994.
4. National Consumers League, 2015. Results Of The National Script Your Future Campaign Confirm Theories Of Link Between Communication,
Adherence. (online) Available at: https://www.scriptyourfuture.org/the-importance-of-communication/ (Accessed 6 December 2020).
5. Bowen JF, Rotz ME, Patterson BJ, Sen S. Nurses’ attitudes and behaviors on patient medication education. Pharmacy Practice 2017 Apr-
Jun;15(2):930.
6. Bowen JF, Rotz ME, Patterson BJ, Sen S. Nurses’ attitudes and behaviors on patient medication education. Pharmacy Practice 2017 Apr-
Jun;15(2):930.
7. Bowen JF, Rotz ME, Patterson BJ, Sen S. Nurses’ attitudes and behaviors on patient medication education. Pharmacy Practice 2017 Apr-
Jun;15(2):930.
8. Bowen JF, Rotz ME, Patterson BJ, Sen S. Nurses’ attitudes and behaviors on patient medication education. Pharmacy Practice 2017 Apr-
Jun;15(2):930.
9. Gerger, R., 2018. Here are the most common spoken languages in Brooklyn. The Brooklyn Daily Eagle. (online) Available at: https://
brooklyneagle.com/articles/2018/05/17/here-are-the-most-common-spoken-languages-in-brooklyn/ (Accessed 8 December 2020).
10. VUCA Health, 2020. Text Messages With Educational Videos Significantly Improve Patient Adherence To Newly Prescribed Medications
(online). Available at: https://www.prnewswire.com/news-releases/text-messages-with-educational-videos-significantly-improve-patient-
adherence-to-newly-prescribed-medications-301135279.html (Accessed 8 December 2020).
11. HCAHPS reported scores for NYPBMH as documented in Definitive Healthcare database, www.defhc.com, sourced from Centers for Medicare
and Medicaid Services (online). Available at: www.medicare.gov/hospitalcompare (Accessed on 12/20/20).
12. Sabaté E, ed. Adherence to Long-Term Therapies: Evidence for Action. Geneva, Switzerland: World Health Organization; 2003.
13. Hospitalwide Readmission and 30-Day Mortality Rates, publicly reported for NYPBMH, Centers for Medicare and Medicaid Services (online).
Available at: www.medicare.gov/hospitalcompare (Accessed on 12/20/20).
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