Transcript Medication Therapy Management Services

Core Elements of Medication Therapy
Management (MTM) Services’ Model
Framework
Anne Burns, RPh
Group Director, Practice
Development and Research
American Pharmacists Association
Medication Therapy Management
Services: A Consensus Definition
• Three inseparable elements:
– Primary Definition: services that optimize
therapeutic outcomes…
– Professional Service Components: MTM
encompasses a broad range of activities and
responsibilities within a pharmacist’s scope of
practice…
– Program Elements: MTM Programs shall
include (core criteria for an MTM program)…
The Challenge of Defining MTMS
• Create a definition that is:
– Applicable to diverse pharmacy practice
segments
– Feasible for a majority of practices to
individually implement
– Supported by professional organizations to
bolster efforts in lobbying for regulatory
language
MTMS Endorsing Organizations
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Academy of Managed Care Pharmacy
American Association of Colleges of Pharmacy
American College of Apothecaries
American College of Clinical Pharmacy
American Pharmacists Association
American Society of Consultant Pharmacists
American Society of Health-System Pharmacists
National Association of Boards of Pharmacy*
National Association of Chain Drug Stores
National Community Pharmacists Association
National Council of State Association Executives
*Organization policy does not allow NABP to take a position on
payment issues.
MTM Model Core Elements in
Community Pharmacy
• Uses the MTM Definition as the basis for
developing core elements of an MTM service in
community pharmacy
• Created by APhA and NACDS with the input of
an advisory panel of community pharmacy
practice leaders involved in MTM delivery
– February 8, 2005: MTM Advisory Panel meeting
– April 27, 2005: core elements finalized
Advisory Panel: Key MTM
Model Concepts
• Applicable to all patients in need of MTM services
• Patient-centered – empower patient to self-manage
medications
• Importance of collaboration with physicians and
other health care providers
• Facilitate continuity of care
• Able to be delivered by large numbers of pharmacists
• Distinct from dispensing
Advisory Panel: What Aids in Successful
MTM Delivery?
• Pharmacists have dedicated time to provide MTM
services
• Significant outreach to educate patients and physicians
about the value of MTM services
• Risk stratification models to determine patients who
could benefit most from MTM services
• A consistent, efficient format for documentation of MTM
services
• Outcomes measures to measure the impact of MTM
services
MTM Model Core Elements
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Medication Therapy Review (MTR)
Personal Medication Record (PMR)
Medication Action Plan (MAP)
Intervention and/or referral
Documentation and follow-up
MTM Model Core Elements: Medication
Therapy Review
• Model core elements document advocates
for:
– Annual Comprehensive Medication Therapy
Review (MTR) designed to improve patients’
self-management of medications
– Targeted Medication Therapy Reviews (MTRs)
to address new medication problems or for
medication therapy monitoring follow-up
MTM Model Core Elements
• Personal Medication Record (PMR) –
patient receives a PMR at the end of a
comprehensive MTR
• Medication Action Plan (MAP) – patientfocused document containing
information the patient can use to
improve medication self-management
MTM Model Core Elements
• Intervention/referral – pharmacist
intervenes to address medicationrelated problems or refers the patient to
the appropriate health care provider
• Documentation/follow-up – pharmacist
documents services in a manner
appropriate for evaluating patient
progress and billing and schedules a
follow-up visit
Questions?
Anne Burns
202-429-7522
[email protected]