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CASP Certification Program
Module 11: Patient Engagement, Adherence & Persistency
Beyond the First Fill: Mastering the Art and Science of Long-Term Patient Success.
From Access to Adherence: The Pharmacist as Clinical Partner
In Module 10, we mastered the intricate machinery of patient access—the Hubs, the data flows, the SLAs that govern the complex journey from prescription to the patient’s first dose. We learned how to navigate the operational landscape to ensure patients can start therapy. That monumental effort, however, is only the beginning of the story.
A specialty medication only delivers its life-changing potential if the patient takes it correctly, consistently, and for the intended duration. Getting the first fill is an operational victory; achieving long-term adherence and persistency is a clinical victory. This is where your role as an advanced specialty pharmacist truly comes into focus. You transition from an access facilitator to a longitudinal clinical partner, deeply invested in the patient’s ongoing therapeutic success.
This module delves into the critical post-dispense phase of specialty care. We will explore the multifaceted barriers that prevent patients from adhering to complex therapies, master the behavioral coaching techniques needed to overcome them, and learn how to leverage data and technology to monitor progress and sustain engagement. You will move beyond simply counseling on side effects to becoming a proactive manager of the patient’s entire therapeutic experience, ensuring the journey started in Module 10 leads to lasting positive outcomes.
Your Roadmap to Sustained Therapeutic Success
This module provides the clinical and behavioral toolkit needed to support patients throughout their specialty treatment journey.
11.1 Barriers to Adherence in Specialty Populations
A deep dive into the complex web of factors—clinical, financial, logistical, psychosocial, and behavioral—that cause patients to deviate from or discontinue specialty therapies.
11.2 Patient Engagement Techniques and Behavioral Coaching
Mastering communication strategies like motivational interviewing, shared decision-making, and health literacy principles to empower patients and foster lasting behavioral change.
11.3 Longitudinal Follow-Up and Persistency Metrics
Designing effective clinical follow-up protocols and understanding key metrics (e.g., discontinuation rates, length of therapy) used to measure long-term patient persistency.
11.4 Digital Tools: Text, Portals, Mobile Apps
Exploring the role of technology in enhancing patient engagement, delivering education, providing reminders, and collecting adherence data and patient-reported outcomes.
11.5 Adherence Analytics (MPR, PDC, Gap Analysis)
A practical guide to calculating, interpreting, and utilizing adherence metrics (MPR, PDC) and gap analysis to identify at-risk patients and target interventions.
