The Value of Medication Therapy Management Services.

Slides:



Advertisements
Similar presentations
For the Healthcare Provider
Advertisements

The Value of Medication Therapy Management Services.
429 pharmaceutical care Plan Refa’a AlAjmi. Goal of therpay A goal of therapy is the desired response or endpoint that you and your patient want to achieve.
Disease State Management The Pharmacist’s Role
Place Logo Here Utilization of CPT Codes for Medication Therapy Management Services.
The Maryland P 3 Program: A Collaborative Solution to Medication Therapy Management Magaly Rodriguez de Bittner, PharmD, BCPS, FAPhA, CDE Professor and.
The Value of Medication Therapy Management Services.
The Value of Medication Therapy Management Services
99.98% of the time patients are on their own “The diabetes self-management regimen is one of the most challenging of any for chronic illness.” 0.02% of.
Rex W. Force, Pharm.D., BCPS, FCCP Associate Dean for Clinical Research ISU Division of Health Sciences Characteristics of High Performing MTM Programs.
Drug Utilization Review (DUR)
2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.
Terry McInnis, MD MPH President- Blue Thorn, Inc - Mobile Co-Chair- Center for.
Medication Therapy Management Linda Mach, PharmD Bartell Drugs Community Practice Resident February 26, 2010.
Pharmacist Collaborative Practice Privileges in Diabetes Management
Clinical Pharmacy II Lobna Al Juffali,MSc Fall-2009.
Ambulatory care Prepared by: Nehad Ahmed. Ambulatory care is Primary care-based services and services provided from office-based specialists and hospital.
I NTERDISCIPLINARY PATIENT CARE PHCL 472 Nouf M Aloudah Clinical Pharmacy lecture King Saud University.
Anne Burns, RPh Group Director, Practice Development and Research
Clinical Pharmacy Basma Y. Kentab MSc..
Objectives To understand: The concept of pharmaceutical care. MTM Chapter 3 required reading.
Place Logo Here The Value of Medication Therapy Management Services.
Component 4: Education for a Partnership in Asthma Care The goal of all patient education is to help patients take the actions needed to control their.
PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid CEO, Canadian Pharmacists Association October 30, 2014.
HRET/K-HEN Readmissions Race Office Hour Building a Multidisciplinary Care Transitions Team January 25, 2013.
Pharmaceutical Care Concept
Why are we learning this? How scientific knowledge (pharmacology, therapeutics) and clinical skills (measuring blood pressure, glucoses, drug information)
The Value of Medication Therapy Management Services.
Basma Y. Kentab MSc.. 1. Define ambulatory care 2. Describe the value of ambulatory care practices 3. Explore pharmacy services in some ambulatory care.
In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ? Hospital inpatient unit (wards) –Therapeutic drug monitoring –Anticoagulation.
Bryan Bray, Pharm.D., CPP Chief Operating Officer Medication Management, LLC Vice President of Clinical Services Piedmont Pharmaceutical Care Network,
The Five Steps of MTM The Benefits of MTM MTM empowers individuals by providing them with the education necessary to make informed decisions on the proper.
Coordinating Care Sierra Dulaney Lisa Fassett Morgan Little McKenzie McManus Summer Powell Jackie Richardson.
Clinical Pharmacy Part 2
Scottish Patient Safety Programme – Pharmacist Engagement Gordon Thomson Arlene Coulson Shadi Botros.
 1. A care plan is developed for each of the patient's medical conditions being managed with pharmacotherapy.  2. A goal of therapy is the desired response.
Psychological Aspects Of Care To Patients With Chronic Diseases In Different Age.
The Value of Medication Therapy Management Services.
What Does Research Tell Us? Care Manager Roles in Depression Care.
The Value of Medication Therapy Management Services.
Medication Therapy Management Programs in Community Pharmacy Community Pharmacy October 17, 2006 Kurt A. Proctor, Ph.D., RPh Chief Operating Officer Community.
Transitions of Care: Using Pharmacists as Part of Team Based Care Care Transformation Collaborative of R.I. TARA HIGGINS, PHARMD, CDOE, CVDOE CLINICAL.
Introduction.
Pharmacists’ Patient Care Process
Using Outcomes and other Assessment Tools to Improve Quality Quality Improvement.
Overcoming the Challenges & Promoting Positive Benefits Julie Davies.
Terry McInnis, MD MPH President- Blue Thorn, Inc - Mobile Co-Chair- Center for.
MTM Medication Therapy Management. What is Medication Therapy Management? From 1996 to 2006, the number of prescription medications dispensed increased.
Medication Therapy Management Part D Programs Presentation Developed for the Academy of Managed Care Pharmacy Updated: February 2014.
 Pharmaceutical Care is a patient-centered, outcomes oriented pharmacy practice that requires the pharmacist to work in concert with the patient and.
Introduction 2. Pharmaceutical care is a professional patient care practice, which, when provided as an organized service, is experienced, documented,
Pharmacy Health Information Technology Collaborative Presenter: Shelly Spiro RPh, FASCP Pharmacy HIT Collaborative, Executive Director.
Documentation in Practice Dept. of Clinical Pharmacy.
MTM USER GROUP BEST PRACTICES AND OTHER STUFF THAT WORKS.
Chapter 9 Case Management Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
Drug Utilization Review & Drug Utilization Evaluation: An Overview
Cost-Effectiveness of Treatment Strategies for Comorbid Diabetes and Dyslipidemia Part 2.
Medication therapy management
Medication Therapy Management (MTM)
Strategies to Modernize State Medicaid Programs, Utah’s Medicaid Transformation By Lisa V. Hulbert R.Ph. Transformation Program Manager Utah Medicaid.
Optimizing Meds – Need for Systems Approach
Strategies to Reduce Antibiotic Resistance and to Improve Infection Control Robin Oliver, M.D., CPE.
Pharmaceutical Care Plan
Clinical Pharmacy II.
Provider and Member Education in Managed Care Pharmacy
1.05 Effective Healthcare Teams
Pharmacy practice and the healthcare system Ola Ali Nassr
Pharmaceutical care planning 2 Ola Ali Nassr
Medication Therapy Management Part D Programs
Presentation transcript:

The Value of Medication Therapy Management Services

Purpose of MTMS To optimize therapeutic outcomes To decrease the likelihood of adverse events To enhance patient understanding and adherence To reduce overall healthcare spending American Pharmacists Association

Definition of MTMS Services provided by a pharmacist that improve treatment outcomes for individual patients A professional service to promote the safe and effective use of medications A way to provide better care for patients –Promotes collaboration among the patient, the pharmacist, and the patient’s other health care providers. Bluml BM. Definition of medication therapy management: development of professionwide consensus. J Am Pharm Assoc. 2005;45:566–72

MTMS Activities Assess patients’ health status Devise medication treatment plan Select, modify and administer medications Review current medications and identify drug-related problems Communicate care to other providers Provide patient education Refer patients for broader disease management services American Pharmacists Association

Components of the MTMS Core Elements Service Model Medication Therapy Review (MTR) – a review of all medications including prescription, nonprescription, herbal products, and other dietary supplements Personal Medication Record (PMR) Medication-Related Action Plan (MAP) for the patient Intervention and/or Referral Documentation and Follow-Up American Pharmacists Association

 Evaluate appropriateness, effectiveness, safety, and compliance with medications  Identify drug therapy problems Experienced Decision Making Practitioner Medication Experience Patient Therapeutic Relationship  Philosophy of Practice  Social Obligation  Responsibility to identify, resolve, and prevent drug therapy problems  Patient-centered approach  Caring  Today’s wants and needs  Responsibility to participate in information sharing and decision making ASSESSMENT CARE PLAN  Resolve drug therapy problems  Establish goals of therapy  Interventions FOLLOW-UP  Evaluate progress in meeting goals of therapy  Record actual patient outcomes  Reassess new problems Medication Therapy Management Process

MTM Pharmacist/Prescriber Relationship

Medications Recommendations MTM pharmacists may make recommendations in several ways: –Directly to the patient Over-the-counter changes, general adherence tips, managing side effects –Through the prescriber Changes in prescription medications –Directly to the patient under a collaborative practice agreements Allows pharmacists to make adjustments to prescription medications via protocol

Summary of evidence of Value of MTMS Economical –Multiple studies have shown positive results on total health care costs, creating a positive return on investment Clinical –Multiple studies have indicated improved in clinical outcomes, specifically in diabetes, asthma, hypertension and dyslipidemia Humanistic –The Asheville project has demonstrated reduced employee sick days and increased productivity.

What’s in it for the payer? MTMS results in decreased overall healthcare costs –Prescription costs will likely increase, but this is compensated by an overall decrease in costs Pharmacists can provide MTMS as a member of the health care team and medical home model Increased member satisfaction Mechanisms for MTMS claims processing are well established through CPT codes

What’s in it for the patient? MTMS provides patients with improved health outcomes from optimizing medication use –This includes decrease emergency department visits and hospitalizations Increased understanding of medications and disease management Improved quality of life

Summary Medications are a standard in the care of chronic diseases Pharmacist delivered Medication Therapy Management Services are well documented to decrease health care costs while increasing the quality of health care High satisfaction rates among participants