Payer Perspective: Adherence for Clinicians

Payer Perspective: Adherence for Clinicians 

With healthcare policies shifting from fee-for-service to performance-based payment models that hold providers accountable for poor outcomes, a better understanding of factors that contribute to non-adherence and effective strategies for improvement are needed. This course covers the wide array of contributing forces behind non-adherence, along with evidence-based interventions for optimizing outcomes. You will also learn how to apply interventions best suited to individual patients based on their needs and risks related to adherence.


Hours: 1.25


Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PI-0-P91
Hours: 1.25
Type: Online Course
Content Expiration Date: 12/31/2021
Learning Objectives:
Differentiate between intentional and unintentional non-adherence.
Describe factors that influence therapeutic non-adherence.
Select appropriate interventions based on factors that influence non-adherence.

Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Definitions, Prevalence, and Consequences A. Meet Judy B. Definitions C. Non-Adherent Behavior D. Prevalence of Non-Adherence E. Consequences of Non-Adherence F. Review G. Summary Section 3: Factors Influencing Adherence A. The 5 Dimensions of Therapeutic Adherence B. Social and Economic Factors C. Health Literacy and English Proficiency D. Social Support E. Financial Resources F. Therapy-Related Factors G. Complexity of Regimen H. Perceived Efficacy I. Patient-Related Factors J. Physical Aspects K. Psychological Aspects L. Condition-Related Factors M. Severity of Disease N. Asymptomatic Conditions O. Chronic Conditions P. Health System/Provider-Related Factors Q. Payment Structure and Appointments Too Short R. Long Wait Times and Inconvenient Scheduling S. Provider-Patient Relationship and Communication T. Review U. Summary Section 4: Adherence Interventions A. The Prescriber’s Role B. Prospective Adherence Assessment C. Effective Communication, Relationships, and Trust D. Active Listening E. Provide Clear and Specific Information F. Empathy and Emotional Support G. Review H. Patient-Related Physical Interventions I. Social and Economic Interventions J. Economic Interventions K. Social Support Interventions L. Peer Support Programs M. Interventions for Improvement N. Educational Interventions O. Cognitive and Behavioral Interventions P. Motivational Interviewing Q. Principles of MI R. Integrative Health Coaching S. Multidisciplinary Interventions T. Technical Interventions U. Simplifying a Regimen V. Technological Innovations W. Monitoring Adherence X. Review Y. Summary Section 5: Conclusion A. Summary B. Course Contributors C. References D. Congratulations!

Staff Writer: Rebecca Smallwood, MBA, RN
Rebecca Smallwood, MBA, RN, has extensive experience across a wide spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery, higher education, and commercial healthcare learning organizations. Her roles have included: medical/surgical, ED, and OR staff and charge nurse; Director of School Health Services/school nurse; Public Health Epidemiology and Bioterrorism Preparedness Specialist; Infection control practitioner; Quality Management Specialist; Organizational Development Specialist; and Educator. Prior to joining Relias as a SME writer, she provided healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for, a division of Texas Tech University Health Sciences Center. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas and an MBA from Wayland Baptist University.  Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Christopher Reist, MD, MBA
Dr. Reist is an Associate Professor (with tenure) in the Department of Psychiatry and Human Behavior at the University of California, Irvine. He also serves as Assistant Dean in the College of Medicine and the Director of Medical Research for the Long Beach Veterans Affairs Healthcare System. Formerly, he served as Chief of Mental Health, overseeing full service mental health care delivery to over 40,000 enrollees at the Long Beach VA Healthcare System. For the past 12 years, he has served as Associate Director of the Southern California VA Mental Illness Research, Education, and Clinical Center (MIRECC), which is focused on improving long-term outcomes in chronic psychotic disorders through basic/clinical research and dissemination of evidence-based practices. Dr. Reist’s clinical interests include schizophrenia, impulsivity, PTSD, pharmacogenomics, and psychopharmacology. NARSAD, NIMH, and VA Medical Research have supported his research. He has served as principal investigator on over 25 clinical trials in areas including schizophrenia, depression, bipolar disorder and impulsivity. He is a member of professional societies, including the American Psychiatric Association, Pacific Rim Association for Clinical Pharmacogenetics, and the Society of Biological Psychiatry. He is a Distinguished Fellow of the Psychiatric Association, has been recognized as an Exemplary Psychiatrist by the National Alliance for the Mentally Ill, and is included in Best Doctors 2007-2010. He is the author of two books, Psychiatry and Psychiatric Drugs, which have been widely used by trainees for the past 15 years. He has over 50 scientific articles that have been published in high-impact journals, including Molecular Psychiatry, Biological Psychiatry, Journal of Clinical Psychiatry, American Journal of Psychiatry, and Nature Biotechnology. Lastly, he has extensive experience in psychiatric education that include organizing CME conferences and developing web content that provide information on psychiatric disorders and treatment. Disclosure: Christopher Reist, MD, MBA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Alkermes as Grant/Research Support
Target Audience:
The target audience for this course is: Nurses; Physician Assistants; Physicians; in the following settings: All Healthcare Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
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All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
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All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.