Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials

Kucukarslan, Suzan N.; Hagan, Angela M.; Shimp, Leslie A.; Gaither, Caroline A.; Lewis, Nancy

doi:10.2146/ajhp100405

Cited by 36 publications

(32 citation statements)

References 30 publications

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“…These approaches increased referral rates and the timeliness of reviews, and these findings are reflected in international studies. 85 Direct CMR referral to an accredited pharmacist within 10 days of hospital discharge has been supported by Australian stakeholders, 65 and successfully trialed in a number of studies. 26,28,38,44 It has also been suggested that aside from GPs, other healthcare providers such as Aboriginal Health Workers, 86 community nurses, 73,86 mental health case managers 63 and psychiatrists 63 should be able to identify and refer eligible patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

109

122

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Section: Discussionmentioning

confidence: 99%

Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

109

122

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“…Although these methods have improved readmission rates and patient outcomes, it is unclear which intervention is most effective in reducing avoidable readmissions. [8][9][10][11][12]15 A common theme in each of these approaches is the importance of medication reconciliation and Transitions of Care to Home (PATCH) Service evidence-based medication management. As medication experts, pharmacists should serve as key members of the TOC team.…”

Section: Discussionmentioning

confidence: 99%

Pharmacist Advancement of Transitions of Care to Home (PATCH) Service

et al. 2015

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Background: There is a paucity of literature on a well-defined role of a pharmacist in different aspects of transition of care service (TCS). Although health care institutions have specific details on the discharge process, there is a need for a sustainable TCS with a well-defined role of pharmacists. Objective: To describe the impact of a pharmacist-led TCS on acute health care utilization, clinic quality indicators, and identification and resolution of medication-related problems (MRPs). Methods: A pharmacist-managed TCS service, referred to as the Pharmacist Advancement of Transitions of Care to Home (PATCH) service, was established at an academic medical center, where high-risk patients received a postdischarge phone call from a pharmacist followed by a face-toface meeting with the pharmacist and the patient's primary care provider (PCP). In a prospective transitions of care group (n = 74), outcomes of patients such as acute health care utilization (an emergency department visit or an inpatient readmission, within 30 days post discharge), clinic quality indicators, and identification and resolution of MRPs were compared to a retrospective control group (n = 87) who received the standard of care. Results: Utilization of acute health care services was significantly lower in the prospective group compared to the retrospective control group (23% vs 41.4%; P = .013). A total of 49 MRPs were discovered in patients who received the TCS. Conclusions: Pharmacists play an integral role in improving the transitions of care to reduce acute health care utilization. In addition, they may improve care transitions by optimizing clinic quality indicators and by identifying and resolving MRPs.

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“…[51] In this model of care, one primary care provider, usually the GP, coordinates all services delivered by multiple HCPs to a patient, including medication therapy management provided by pharmacists. [51] This model enhances the multidisciplinary collaboration of HCPs and enables them to follow the same therapeutic goals for one patient. It gives an opportunity to pharmacists to be directly involved in primary care decisions and to contribute to better medication treatment.…”

Section: Toward More Collaborative Approaches Between Pharmacists Andmentioning

confidence: 99%

The Role of the Pharmacist in Optimizing Pharmacotherapy in Older People

2012

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Prescription of medicines is a fundamental component of the care of older people, but evidence suggests that pharmacotherapy in this population is often inappropriate. Pharmacists have been involved in different approaches for the optimization of prescribing and rational medication use in older people. This article describes the different models of care in which pharmacists are involved in the optimization of pharmacotherapy in older people, and reviews the impact of these approaches on both process and outcome measures. The provision of pharmaceutical care, medication reviews and educational interventions by pharmacists in the nursing home, ambulatory and acute care settings are discussed. We selected systematic reviews, reviews and original studies, and for the latter, we focused more specifically on European publications published between 2001 and 2011. From the literature reviewed, it is clear that when pharmacists play a proactive role in performing medication reviews and in the active education of other healthcare professionals, pharmacotherapy for older patients is improved. However, the evidence of the impact of pharmacists' interventions on health outcomes, quality of life or cost effectiveness of care is mixed. Better results have been reported when pharmacists are skilled and work in the context of a multidisciplinary team. Opportunities remain for multicentre, European-based, pharmacist-intervention trials in all settings, to determine the effectiveness and economic benefit of pharmacist involvement in the optimization of pharmacotherapy in older people.

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Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials

Cited by 36 publications

References 30 publications

Clinical medication review in Australia: A systematic review

Clinical medication review in Australia: A systematic review

Pharmacist Advancement of Transitions of Care to Home (PATCH) Service

The Role of the Pharmacist in Optimizing Pharmacotherapy in Older People

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