Implementing an integrated care management program in community pharmacies: A focus on medication management services

Smith, Megan G.; Ferreri, Stefanie P.; Brown, Patrick; Wines, Kristen; Shea, Christopher M.; Pfeiffenberger, Trista

doi:10.1016/j.japh.2016.12.074

Cited by 38 publications

(31 citation statements)

References 15 publications

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“…The barriers identified in this narrative review align with those noted in prior reviews and demonstrates that barriers to MTM implementation have persisted since Medicare Part D was implemented in 2006. 10,[15][16][17][18][19]21,22,25,26,[30][31][32][33][34][35][36]40,41,[43][44][45][46][47][48] More work is needed to overcome these challenges and produce consistently positive outcomes from MTM. 48 The literature points to considerations for potential solutions for overcoming each of the identified challenges to MTM delivery and these are summarized below.…”

Section: Discussionmentioning

confidence: 99%

“…Many US community pharmacists, regardless of receiving payment, have expressed great difficulty in implementing MTM within their current workflow. 15 Similarly, a Canadian study found that MTM services have not expanded because relevant stakeholders did not consider how MTM would co-exist with current pharmacy workflow demands when the new service was introduced. 16 The literature review points specifically to challenges with pharmacist attitudes, lack of time, lack of trained support personnel, excessive workload/lack of management support, and physical facilities (e.g.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

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<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: Discussionmentioning

confidence: 99%

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

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

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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“…Community Pharmacy Enhanced Services Networks (CPESNs) are regional or state networks of high‐performing community pharmacies providing integrated medication optimization services with the goal of improving outcomes for high‐risk patients . Community Care of North Carolina, the first CPESN, established a model of HIE for community pharmacists to exchange clinical information with other members of the health care team . CPESNs have now been launched in at least 15 states including Arkansas, Pennsylvania, and Iowa, among others .…”

Section: Health Information Exchangementioning

confidence: 99%

“…50 Community Care of North Carolina, the first CPESN, established a model of HIE for community pharmacists to exchange clinical information with other members of the health care team. 51 CPESNs have now been launched in at least 15 states including Arkansas, Pennsylvania, and Iowa, among others. 50 These CPESNs are also working toward integration of HIE to connect the community pharmacist with other health care providers and to facilitate the sharing of clinical and safety data.…”

Section: Health Information Exchangementioning

confidence: 99%

Innovative Advances in Connectivity and Community Pharmacist Patient Care Services: Implications for Patient Safety

Bacci

Berenbrok

2018

Pharmacotherapy

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The scope of community pharmacy practice has expanded beyond the provision of drug product to include the provision of patient care services. Likewise, the community pharmacist's approach to patient safety must also expand beyond prevention of errors during medication dispensing to include optimization of medications and prevention of adverse events throughout the entire medication use process. Connectivity to patient data and other health care providers has been a long-standing challenge in community pharmacy with implications for the delivery and safety of patient care. We describe three innovative advances in connectivity in community pharmacy practice that enhance patient safety in the provision of community pharmacist patient care services across the entire medication use process. Specifically, we discuss the growing use of immunization information systems, quality improvement platforms, and health information exchanges in community pharmacy practice and their implications for patient safety.

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“…Details of the medication management services provided by CCNC's CPESN pharmacies have been discussed in previous publications. 18 Since the time of this study's completion, CPESN USA networks have grown across the country, each with variations in the enhanced services offered based on patient needs in the area. 17 Early results have shown that patients of CCNC's CPESN pharmacies are 4% to 5% more adherent to chronic medications than patients using pharmacies outside of CCNC's CPESN.…”

mentioning

confidence: 99%