A model to inform community pharmacy's collaboration in outpatient care

Smith, Megan G.; Ferreri, Stefanie P.

doi:10.1016/j.sapharm.2015.07.005

Cited by 13 publications

(5 citation statements)

References 35 publications

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“…64,65 A strong working relationship between pharmacists and prescribers is necessary to optimize healthcare for each patient. 26,66,67 In addition to informal relationships, formal steps can be taken to enhance collaboration. For example, formal referral mechanisms can be created wherein patients who might otherwise not be eligible for MTM through their payer could receive covered services upon referral.…”

Section: Considerations For Incorporating Mtm Into the Health Care Teammentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

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Section: Considerations For Incorporating Mtm Into the Health Care Teammentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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“…Other authors divide the definition of polypharmacy into ‘appropriate’ and ‘problematic’ polypharmacy, which the authors of this paper believe supports distinguishing those patients who benefit from multiple medications and those who would benefit from review and reduction of multiple medications 11 . Similarly, health care delivery needs to be structured to improve patient outcomes 12 .…”

Section: Introductionmentioning

confidence: 99%

The utility of the records medical: factors associated with the medication errors in chronic disease

Cruz

Mota

Araújo

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:This study describes the development of the medication history of the medical records to measure factors associated with medication errors among chronic diseases patients in Diamantina, Minas Gerais. Methods:retrospective, descriptive observational study of secondary data, through the review of medical records of hypertensive and diabetic patients, from March to October 2016. Results:The patients the mean age of patient was 62.1 ± 14.3 years. The number of basic nursing care (95.5%) prevailed and physician consultations were 82.6%. Polypharmacy was recorded in 54% of sample, and review of the medication lists by a pharmacist revealed that 67.0% drug included at least one risk. The most common risks were: drug-drug interaction (57.8%), renal risk (29.8%), risk of falling (12.9%) and duplicate therapies (11.9%). Factors associated with medications errors history were chronic diseases and polypharmacy, that persisted in multivariate analysis, with adjusted RP chronic diseases, diabetes RP 1.55 (95%IC 1.04-1.94), diabetes/hypertension RP 1.6 (95%CI 1.09-1.23) and polypharmacy RP 1.61 (95%IC 1.41-1.85), respectively. Conclusion:Medication errors are known to compromise patient safety. This has led to the suggestion that medication reconciliation an entry point into the systems health, ongoing care coordination and a person focused approach for people and their families.

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“…38,39 There are some studies in community pharmacies that have demonstrated success with integrating EHR access, [39][40][41] expanding technician roles, [42][43][44][45][46] and collaborating with primary care providers for patient care services. [47][48][49][50] Using diffusion of innovation theory and implementation science research can further add to the literature for expansion of patient care services in community pharmacies.…”

Section: Discussionmentioning

confidence: 99%

Provision of Patient Care Services and Goals for Expansion in Community and Ambulatory Care Pharmacies in Southeastern North Carolina

Laskowitz

Roller²,

Mun³

et al. 2023

Innov Pharm

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In February 2022, the North Carolina legislature expanded pharmacist dispensing authority without a prescription. We conducted a cross-sectional interview of currently licensed pharmacy managers of outpatient pharmacies located in five counties in southeastern North Carolina. Pharmacy managers were eligible to participate if their pharmacy was either a community pharmacy, clinic-based pharmacy, or outpatient health system pharmacy. Forty-four of 116 eligible pharmacy managers participated (38% response rate). The most common services offered by pharmacies included medication synchronization services (93.2%), on-site immunizations (90.9%), and refill reminders (88.6%). The least common services offered include INR screens (0%), A1c screens (7%), and ‘incident-to’ billing services associated with CPT codes: annual wellness visits (0%), chronic care management (0%), transitional care management (0%), and remote patient monitoring (2.4%). The services that pharmacy managers wanted to learn more about through continuing education included: oral/transdermal contraceptives (60.5%), administration of long-acting injectables (LAIs) (36.8%), and dispensing of HIV post-exposure prophylaxis (PEP) (23.7%).

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A model to inform community pharmacy's collaboration in outpatient care

Cited by 13 publications

References 35 publications

<p>Medication Therapy Management: Current Challenges</p>

<p>Medication Therapy Management: Current Challenges</p>

The utility of the records medical: factors associated with the medication errors in chronic disease

Provision of Patient Care Services and Goals for Expansion in Community and Ambulatory Care Pharmacies in Southeastern North Carolina

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