A3 report

Adherence Action Agenda


– chronic diseases and conditions are the leading causes of death, disability and rising healthcare costs in America, with 145 million Americans – that’s almost half of the population – living with at least one chronic condition. And one out of four Americans – 75 million people – experience five or more multiple chronic conditions (MCC) including ones like those mentioned above.

On average, patients with multiple chronic conditions see 14 different physicians and make 37 doctor visits per year, equating to three or more interventions per month. Many chronic and multiple chronic disease sufferers are likely taking multiple medications, and juggling different dosing; refill schedules can also be confusing and a real challenge.

The good news is that when people take their medicines properly, it helps them get better, stay out of the hospital and improves their health. That’s what being Medicine Smart is all about. Becoming Medicine Smart however, is sometimes complicated, requiring patients to take medication as-directed; health regimens coordinated with family members, caregivers and healthcare providers; and smart strategies and educational resources that connect the dots between patients, their health, their medicines and their healthcare team. www.BeMedicineSmart.org helps you navigate these challenges. This website is all about promoting safe and appropriate medicine use to improve the health of children, parents, grandparents, relatives and friends – and that task starts with you. Click on the Prescription Pad of choice to get started.

www.BeMedicineSmart.org – an initial work product of the NCPIE Adherence Action Agenda (A3) – was produced by the National Council on Patient Information (NCPIE) with input from nearly two dozen organizations.

The National Council on Patient Information and Education

Founded in 1982, the National Council on Patient Information and Education is a non-profit, multi-stakeholder coalition working to stimulate and improve communication to consumers, healthcare professionals and policymakers about appropriate medicine use. Since its beginning, NCPIE has advocated for the “Medicine Education Team” – considering the patient as the key player. Through our websites, reports and consumer-friendly materials and tools, we address critical issues like medicine adherence improvement, prescription drug abuse prevention, treatment and recovery, medication error reduction, quality improvements in healthcare provider-patient communication and safe storage and disposal of medicines. NCPIE represents a wide spectrum of:

  • Consumer organizations
  • Patient advocacy groups
  • Organizations representing healthcare professionals and health educators
  • Voluntary health agencies
  • Schools of pharmacy, medicine, nursing and allied health professions
  • Local, state and federal government agencies
  • Health-related trade associations
  • National and international for-profit companies including pharmaceutical manufacturers, patient information/database companies, managed care organizations and communication/public relations firms
Contact us at ncpie@ncpie.info to learn how you can become part of the NCPIE coalition. Visit our websites to learn more:


The National Council on Patient Information and Education (NCPIE) is pleased to recognize the following organizations for their role in conceptualizing and formulating the Adherence Action Agenda (A3) project.

  • AARP
  • Academy of Managed Care Pharmacy
  • Agency for Health Care Research and Quality, Center for Outcomes and Evidence
  • American Academy of Nurse Practitioners
  • American Academy of Physician Assistants
  • American Diabetes Association
  • American Heart Association
  • American Medical Association
  • Cardinal Health
  • Council for Affordable Health Coverage
  • Kaiser Permanente
  • McKesson Patient Relationship Solutions
  • Merck*
  • National Association of Chain Drug Stores
  • National Community Pharmacists Association
  • NEHI
  • National Consumers League
  • National Council on Aging
  • National Council on Patient Information and Education
  • National eHealth Collaborative
  • National Pharmaceutical Council
  • NIH Adherence Network
  • Pharmacy Quality Alliance

* NCPIE gratefully acknowledges Merck for providing support for the development of the Adherence Action Agenda (A3 Project). NCPIE is solely responsible for the content, and maintains editorial control of all the materials and publications produced.

  • Copyright ©
  • 1999–2013
  • National Council on Patient Information and Education. All rights reserved.
  • 200-A Monroe St. Suite 212
  • Rockville, MD 20850-4448
  • Phone: (301) 340-3940
  • Fax:(301) 340-3944