Making MTM implementable and sustainable in community pharmacy: Is it time for a different game plan?

Rosenthal, Meagen; Holmes, Erin R.; Banahan, Benjamin F.

doi:10.1016/j.sapharm.2015.07.006

Cited by 16 publications

(15 citation statements)

References 14 publications

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“…Naturally, the ABM fosters a long‐term relationship between the patient and pharmacy staff and provides the opportunity for dialogue regarding questions the patient may have, outside of the typical pharmacy environment. The ABM also provides a patient‐centred service that may serve as an entryway for additional advanced patient services . Efficiencies gained in work flow and improved inventory control, benefits of medication synchronization reported by some programmes, may be reallocated to allow pharmacists to engage in activities beyond dispensation.…”

Section: Discussionmentioning

confidence: 99%

“…Adherence management can subsequently provide opportunities for pharmacists to identify and resolve other drug therapy problems, in the context of MTM. Although non‐adherence itself is considered a medication‐related problem, starting with this level of patient service may serve as a means to identify those who could benefit from more rigorous medication therapy reviews and disease state management . Pharmacies identified as “exemplars” in medication synchronization services in the United States consistently reported one of the key features to success was use of the monthly pharmacist‐patient interaction to guide patients towards additional patient‐centred services available in the pharmacy, including MTM…”

Section: Discussionmentioning

confidence: 99%

“…The ABM also provides a patient-centred service that may serve as an entryway for additional advanced patient services. 5,16,17 Efficiencies gained in work flow and improved inventory control, benefits of medication synchronization reported by some programmes, 18 may be reallocated to allow pharmacists to engage in activities beyond dispensation. Such activities may include more consistent monthly and personalized interaction with the patient to strengthen the connectedness between a patient and their pharmacy staff and begin to address the dynamic and multifactorial causes of non-adherence.…”

Section: Impact On Patient Satisfactionmentioning

confidence: 99%

“…Although non-adherence itself is considered a medication-related problem, starting with this level of patient service may serve as a means to identify those who could benefit from more rigorous medication therapy reviews and disease state management. 17 Pharmacies identified as "exemplars" in medication synchronization with ABMs. A prior publication 18 using a mixed methods approach with semi-structured interviews also conducted a systematic literature search to identify community-based medication synchronization programmes.…”

Section: Impact On Patient Satisfactionmentioning

confidence: 99%

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The impact of appointment-based medication synchronization on medication taking behaviour and health outcomes: A systematic review

Nguyen

Sobieraj

2017

J Clin Pharm Ther

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SummaryWhat is known and objective: Proactive synchronization of medication refills through an appointment-based model (ABM) is a community pharmacy-based intervention targeting adherence to medications. We aimed to systematically review evidence on the impact of the ABM on medication taking behaviour, health resource utilization, clinical outcomes and the preferences of patients and providers. What is new and conclusion:The ABM provides a unique, patient-centred service to improve medication adherence amongst patients taking chronic medications while demonstrating a positive financial return on investment. Future research is needed to determine the impact of the ABM on final health outcomes. K E Y W O R D Sappointment-based model, community pharmacy services, medication adherence, medication synchronization, medication therapy management

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Impact On Patient Satisfactionmentioning

confidence: 99%

Section: Impact On Patient Satisfactionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of appointment-based medication synchronization on medication taking behaviour and health outcomes: A systematic review

Nguyen

Sobieraj

2017

J Clin Pharm Ther

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“…At present, CMRs have not yet been fully implemented because of lack of evidence for effectiveness and doubts about the target group who are assumed to benefit most. The feasibility in clinical practice and the consumption of time are barriers for implementation (12) This study addresses the effects of CMRs on quality of life and geriatric problems in patients who newly present with geriatric problems in general practice, including immobility, instability, incontinence and impaired cognition, who use ≥1 drug chronically. Inappropriate drug use is considered an important determinant of geriatric problems and primary care is usually problem-oriented.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of optimised clinical medication reviews for geriatric patients: Opti-Med a cluster randomised controlled trial

et al. 2017

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Implementation fidelity of a clinical medication review intervention: process evaluation

et al. 2018

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Background Implementation of clinical medication reviews in daily practice is scarcely evaluated. The Opti-Med intervention applied a structured approach with external expert teams (pharmacist and physician) to conduct medication reviews. The intervention was effective with respect to resolving drug related problems, but did not improve quality of life. Objective The objective of this process evaluation was to gain more insight into the implementation fidelity of the intervention. Setting Process evaluation alongside a cluster randomized trial in 22 general practices and 518 patients of 65 years and over. Method A mixed methods design using quantitative and qualitative data and the conceptual framework for implementation fidelity was used. Implementation fidelity is defined as the degree to which the various components of an intervention are delivered as intended. Main outcome measure Implementation fidelity for key components of the Opti-Med intervention. Results Patient selection and preparation of the medication analyses were carried out as planned, although mostly by the Opti-Med researchers instead of practice nurses. Medication analyses by expert teams were performed as planned, as well as patient consultations and patient involvement. 48% of the proposed changes in the medication regime were implemented. Cooperation between expert teams members and the use of an online decision-support medication evaluation facilitated implementation. Barriers for implementation were time constraints in daily practice, software difficulties with patient selection and incompleteness of medical files. The degree of embedding of the intervention was found to influence implementation fidelity. The total time investment for healthcare professionals was 94 min per patient. Conclusion Overall, the implementation fidelity was moderate to high for all key components of the Opti-Med intervention. The absence of its effectiveness with respect to quality of life could not be explained by insufficient implementation fidelity.Electronic supplementary materialThe online version of this article (10.1007/s11096-018-0615-y) contains supplementary material, which is available to authorized users.

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Making MTM implementable and sustainable in community pharmacy: Is it time for a different game plan?

Cited by 16 publications

References 14 publications

The impact of appointment-based medication synchronization on medication taking behaviour and health outcomes: A systematic review

The impact of appointment-based medication synchronization on medication taking behaviour and health outcomes: A systematic review

The effectiveness of optimised clinical medication reviews for geriatric patients: Opti-Med a cluster randomised controlled trial

Implementation fidelity of a clinical medication review intervention: process evaluation

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