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7295 Week 11 MTM

Terms in this set (19)

five core components of the MTM framework
- medication therapy review
- personal medication record
- medication action plan
- intervention and referral
- documentation and follow-up
What is the main goal of MTM?
- identifying and resolving medication-related problems
two most prevalent disease states in Texas
- diabetes
- cardiovascular disease (CVD)
How many deaths in the US are related to CVD?
- 1 in 3
- 60% were preventable
- 50% of people with chronic diseases do not take their medicines correctly
For CV-related disease states, pharmacists' medication therapy management services have led to...
- improved clinical outcomes
- improved adherence
- lower hospitalizations and nursing facility admissions
- reduction in death
What patients can benefit from MTM?
- complex patients
- suboptimal adherence
- require close monitoring
- have been hospitalized
How can providers benefit from MTM?
- improve clinical outcomes
- assist with managing more complex patients
- more continuity of care
- increase in patient satisfaction
- positive impact on quality measures
barriers to MTM provision
- time
- workflow
- patient engagement
- third party payer constraints
- lack of interoperability
- proximity to providers
- provider collaboration
challenges in provider collaboration
- perception that patients are well-managed
- lack of knowledge of pharmacist skills/training
- lack of knowledge regarding benefits of MTM
- patient will not be receptive
- liability concerns
- time constraints
best practices to ensure provider collaboration
- preparation
- engagement
- communication
- documentation
- referral tools
Elaborate on the following best practice:

preparation
- understand prescriber practices and patient populations in your area
- share data with prescribers during initial engagement
- collect evidence on the value of pharmacist services and MTM
- identify quality measures important to health plans and providers
- emphasize how pharmacists can impact key quality measures and patient outcomes
- emphasize services are typically covered under Medicare Part D prescription plans and some commercial plans
What types of medication adherence are there?
- primary non-adherence
- suboptimal adherence (primarily seen in DM, HTN, and high cholesterol)
What issues arise around medication use?
- drug interactions
- diabetes medication dosing
- statin use in persons with diabetes
- high-risk medications in the elderly
- antipsychotic use in persons wit hdementia
- user of high-dosage opioids from multiple prescribers
six strategies to encourage engagement
- identify the "gatekeeper" at the office
- build relationships with the front office staff/nurse/office manager
- get to know the office's team members by name
- stop by the office to schedule a meeting
- cold call via telephone
- send a fax, e-mail, or mail communication to the office
Elaborate on the following best practice:

engagement
- be proactive in establishing collaborations
- express desire to work with provider on establishing shared goals
Elaborate on the following best practice:

communication
- determine how providers prefer to be contacted
- carefully word your requests in the context of patient welfare
- provide patient-specific facts related to medication-related problems or disease management
- avoid blaming the provider for causing any errors
- be specific in the desired response (provide check boxes)
- brevity and clarity are important (use cover letter and other supporting documents)
What should be on the cover letter?
- patient information
- medication/disease management problem identified
- proposed recommendation
Who completes the MTM provision summary?
- pharmacist
- documents services provided, issues addressed, and additional recommendations
- its sent to the provider with a request for signature and return
- can be used if they do not already have a documentation system in place
What is an example of a referral tool?
- Pharmacist Referral Form
- outlines services that the pharmacist can provide
- can be tailored to a provider
- provider can send to pharmacist directly or through their patient
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