A3

Defining NCPIE’s Adherence Action Agenda (A3)

“Perhaps not in a very long time, has there been this opportunity to influence the course of medicine adherence – with so many Baby Boomers coming of age, coupled with the availability of a wide range of treatments and medications to treat chronic diseases, we need to integrate what works. In order to improve our patients’ health, we must impart what we know about disease, treatment and prevention in a variety of ways – including closely collaborating with our patients’ healthcare teams (pharmacists, caregivers, doctors, nurse practitioners and other allied health team members), providing clear, understandable medication information, becoming more accessible to our patients and keeping up on the latest technologies such as electronic prescribing.”



Now is the time for a renewed commitment to medicine adherence – the extent to which patients take medications as prescribed by their healthcare providers – affects Americans of all ages and genders.1

As early as 1995, the National Council on Patient Information and Education (NCPIE) recognized the need to address this public health challenge and has acted as a catalyst; created a national action plan; supported the development of national initiatives; and produced and disseminated educational materials to support improved patient-healthcare provider communication to promote safe and appropriate medicine use.

While much has been accomplished, “we have miles to go before we sleep.” With Baby Boomers “coming of age,” a significant rise in the incidence of chronic diseases; advances in the wide range of available medications and treatments to address medical challenges; and the high cost of healthcare, the stage has been set for the need to address the “Perfect Storm” – America’s “Other Drug Problem” – Medication Nonadherence.

NCPIE’s Adherence Action Agenda (A3)

In 2013, NCPIE launched a new initiative – the Adherence Action Agenda or the “A3 Project,” bringing together almost two dozen professional societies, consumer and patient groups, voluntary health organizations, government agencies and industry leaders to identify the major gaps in current adherence efforts and create a collaborative national Adherence Action Agenda. www.BeMedicineSmart.org – the virtual home of the A3 Project – will continually offer realistic solutions for improving medication adherence through improved care coordination, harnessing new technology and supportive government policies.

The A3 project focuses on four key areas:

  • Patient-related factors.
  • Provider-related factors.
  • Influencing macro factors (current drivers for reshaping the design and delivery of medical care and payment reform).
  • Multiple chronic conditions.


Intended to accelerate progress in appropriate medicine taking, this new agenda calls for an increased focus on adherence improvement efforts now underway in medical, pharmacy and nursing practice; technology innovation and adoption; policy arenas; provider and healthcare student education; public awareness; and research. Accelerating Progress in Prescription Medicine Adherence: The Adherence Action Agenda – A National Action Plan to Address America’s “Other Drug Problem” is the report, resulting resulting from a series of facilitator-led developmental meetings with key stakeholder groups representing voluntary health organizations, consumer and patient groups, government agencies and industry leaders. Click the report button and the recommendations icon to view the full document and Recommendations for Action.

Adherence Action
Agenda (A3) Report
A3 Recommendations
for Action






1. Adherence to Medication. New England Journal of Medicine. http://www.nejm.org/doi/full/10.1056/NEJMra050100.




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