Improving medication therapy management through collaborative hospice care in rural Minnesota

Eischens, Karla P.; Gilling, Sheila W.C.; Okerlund, Ryan E.; Grund, Teresa R.; Iverson, Paul S.; Schommer, Jon C.

doi:10.1331/japha.2010.09043

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…At this time, a variety of MTM practices exist in Minnesota, from urban clinic-based pharmacists who work with physicians to identify patients who may benefit from the service to pharmacists in rural community practice who assist in the management of hospice patient medication therapy. 9 This study has outlined some of the basic characteristics of current MTM services and practitioners in Minnesota. In a "typical" practice, the practitioner is most likely to conduct five face-to-face patient visits per week involving a comprehensive medication review and resulting in recommendations to improve health outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Description of Medication Therapy Management Services in Minnesota

Digatono¹

2011

Innov Pharm

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Objective: To describe Medication Therapy Management (MTM) services in Minnesota, quantifying how many patient encounters occur per week and compiling provider and practice site characteristics. Design: Cross-sectional study. Setting: Minnesota practice sites surveyed in June and July 2010. Participants: MTM providers in Minnesota who are registered users of the Assurance™ documentation system or are members of the Minnesota Pharmacists Association MTM Academy. Intervention: Self-administered online questionnaire completed by study participants. Main Outcome Measures: The number of patient encounters per week, practice site location, practitioner length of time as a MTM service provider, and the motivating factors for providing direct patient care services. Results: There were 56 respondents, reporting a median of 5 MTM patient encounters per week (range 0 to 35) and a median length of service of 4 years (range15). Clinic-based practices were reported by 66% of providers and community pharmacy-based practices by 30%. Eighty-five percent practice in an urban setting, 9% in a large rural town and 6% in a small rural town. Nearly half (46%) of providers are the sole practitioner at their site. The most commonly cited motivation for providing direct patient care services was to improve patient outcomes. Conclusion: MTM service providers in Minnesota were more likely to report practicing in an urban area and in a clinic. Many practices were low-volume or newly established, with half of all respondents reporting 5 or fewer MTM patient encounters per week and a length of service of four years or less. Type: Student Project

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Section: Discussionmentioning

confidence: 99%

A Description of Medication Therapy Management Services in Minnesota

Digatono¹

2011

Innov Pharm

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“…Administrative involvement percentage tended to be greater in freestanding hospices in comparison to hospital-based, home health agency-based, or nursing home-based hospices (26%, 21%, 19%, 22%, respectively; P ¼ .027). Hospices operational for 6 to 10 years tended to demonstrate greater pharmacist clinical involvement than those operational less than 6 years or more than 10 years (22% [0-5], 30% [6][7][8][9][10], 18% [11][12][13][14][15], 22% [16][17][18][19][20] Hospices affiliated with a school of pharmacy also showed significantly increased administrative involvement (38% vs 23%; P < .001) and less dispensing involvement (17% vs 38%; P < .001) versus those without affiliation. Likewise, hospices that provide patient care at their own freestanding inpatient and residential facilities were significantly associated with increased administrative and decreased dispensing pharmacist involvement (29% vs 22%; P < .006 and 31% vs 39%; P < .02, respectively) versus hospices that do not.…”

Section: Administrator Responsesmentioning

confidence: 99%

“…Over the past 25 years of hospice growth, the scope of pharmacist services in hospice care has been extensively characterized. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Formally, the American Society of Health-System Pharmacists has defined the role of the hospice and palliative care pharmacist in a consensus statement. 17 The types of services provided by hospice pharmacists can be broadly generalized as distribution/dispensing, consultation/clinical, and administrative services.…”

Section: Introductionmentioning

confidence: 99%

A National Survey of Hospice Administrator and Pharmacist Perspectives on Pharmacist Services and the Impact on Medication Requirements and Cost

Latuga

Wahler

Monte

2012

Am J Hosp Palliat Care

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Symptom management at the end of life relies heavily on medications. For this reason, pharmacists are an ideal addition to the interdisciplinary hospice team (IDT). The aim of this study is to characterize the utilization of pharmacists in hospices from the hospice administrator and pharmacist perspectives and to determine the impact utilization has on per diem medication requirement and costs. Surveys were sent to 2824 hospice administrators and 658 pharmacists to obtain their perceptions on what clinical, administrative, and dispensing services were being performed. Responses were returned by 9.4% of administrators and 12.6% of pharmacists. The majority of administrators and pharmacists reported a mix of clinical, administrative, and dispensing responsibilities. Medication requirements and costs were not significantly impacted as the administrator's perception of pharmacist clinical, administrative, or dispensing time increased from 0% to 100%.

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“…[8,9] Several authors have described the implementation of CMM services. [17][18][19][20][21][22][23][24] However, to our knowledge, no study has presented a theoretical structure that can serve as a guide for planning and implementing CMM in different healthcare settings.…”

Section: Introductionmentioning

confidence: 99%