Optimizing Meds – Need for Systems Approach An estimated 32% of adverse events leading to hospitalization are attributed to medications. Patients with chronic conditions are able to adhere to their prescribed medication regimens only 33% to 50% of the time². Medicare patient with multiple chronic conditions Visits 13 healthcare providers and fills 50 prescriptions every year¹ The Patient- Centered Medical Home-Integrating comprehensive medication management to optimize patient outcomes. Available at http://www.accp.com/docs/positions/misc/CMM%20Resource%20Guide.pdf. 2, Smith M, Bates DW, Bodenheimer T, Cleary P. Why pharmacists belong in the medical home. Health Affairs 2010; 29(5):906-913

The Medication Optimization Opportunity

Enhancing Primary Care Practice through Comprehensive Medication Management Stage 1: Establishing Shared Philosophy and Decision to Invest and Improve Aim 1: Baseline Assessment; Philosophy Stage 2: Establishing the Patient Care Process Aim 2: Best Practices in Design & Delivery of CMM Stage 3: Building the Practice Management System to Support CMM Aim 3: System-level and Structural Elements to Support Effective & Efficient Delivery of CMM Collect patient information Assess the patient and their medication-related needs Develop and document the care plan Implement the care plan Provide follow-up Pharmacist-provider communications Pharmacist-patient communications Standards and systems for documentation of patient encounters in the EMR Triage and care coordination processes Practitioner credentialing Predictive analytics/patient risk stratification Data integration systems supporting evaluation of return on investment and value Quality measurement and reporting within the practice Quality assurance and continuous practitioner development programs Tools to support practitioner & practice efficiency Payer relations, billing & data exchange systems Stage 4: Demonstrating the Value of CMM toward Achieving the Triple AIM Aim 4: Key Performance Measures and Effectiveness Improved Health (Clinical & Operational Measures) Improved Patient & Provider Experience (Satisfaction Measures) Lower Per Capita Cost (Return on Investment to the Practice) Stage 5: Scaling and Sustaining CMM Aim 5: Accelerating Spread and Adoption of CMM in Primary Care