Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System

Oliveira, Djenane Ramalho de; Brummel, Amanda; Miller, David B.

doi:10.18553/jmcp.2010.16.3.185

Cited by 294 publications

(372 citation statements)

References 29 publications

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“…The direct comparison between matched comparison and treatment groups has allowed researchers to quantify in a more robust and, potentially, accurate manner the true value of CCM programs, [6][7][8] confirm associations linking CCM participation with outcomes, 6,7,[9][10][11] and even offer insight into long-term outcomes associated with program involvement. 12 Similar to other retrospective study designs, matching is not without its limitations. For instance, the comparison group frequently is created after the treatment group has been defined such that only the remaining nonparticipating members comprise the comparison group; this type of result can lead to significant selection bias regardless of the statistical means used to adjust for the intergroup differences.…”

Section: Historical Ccm Study Designsmentioning

confidence: 99%

Exploring Robust Methods for Evaluating Treatment and Comparison Groups in Chronic Care Management Programs

Wells

Hamar

Bradley

et al. 2013

Population Health Management

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Evaluation of chronic care management (CCM) programs is necessary to determine the behavioral, clinical, and financial value of the programs. Financial outcomes of members who are exposed to interventions (treatment group) typically are compared to those not exposed (comparison group) in a quasi-experimental study design. However, because member assignment is not randomized, outcomes reported from these designs may be biased or inefficient if study groups are not comparable or balanced prior to analysis. Two matching techniques used to achieve balanced groups are Propensity Score Matching (PSM) and Coarsened Exact Matching (CEM). Unlike PSM, CEM has been shown to yield estimates of causal (program) effects that are lowest in variance and bias for any given sample size. The objective of this case study was to provide a comprehensive comparison of these 2 matching methods within an evaluation of a CCM program administered to a large health plan during a 2-year time period. Descriptive and statistical methods were used to assess the level of balance between comparison and treatment members pre matching. Compared with PSM, CEM retained more members, achieved better balance between matched members, and resulted in a statistically insignificant Wald test statistic for group aggregation. In terms of program performance, the results showed an overall higher medical cost savings among treatment members matched using CEM compared with those matched using PSM

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Section: Historical Ccm Study Designsmentioning

confidence: 99%

Exploring Robust Methods for Evaluating Treatment and Comparison Groups in Chronic Care Management Programs

Wells

Hamar

Bradley

et al. 2013

Population Health Management

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“…4,5,17,18 Trends in the number of claims paid by the different reason code categories showed an increase in the proportion of interventions targeting drug choice, with corresponding increasing trends of contacting physicians as an action and adjusting fills as a result. One explanation for the shift to more emphasis on drug choice issues is the creation of other programs that pay pharmacists for nondispensing services by private payers.…”

Section: Characteristics Of Claimsmentioning

confidence: 99%

Pharmacy Participation and Claim Characteristics in the Wisconsin Medicaid Pharmaceutical Care Program from 1996 to 2007

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Mott²,

Leedham³

et al. 2012

JMCP

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“…Pharmaceutical care-based services have shown positive clinical, economic and humanistic results, justifying their expansion and consolidation within healthcare systems [5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Pharmacy Practice Experiential Programs in the Context of Clinical Education

MendonÃ‡a

Meireles

Freitas

et al. 2017

Int J Pharm Pharm Sci

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Objective: To identify studies describing and/or assessing pharmacy practice experiential programs focusing on clinical education. Methods:A systematic literature review was carried out. The databases searched included Lilacs, Medline/Pubmed, Eric and Scopus. The search strategy was devised based on a combination of subject headings related to pharmacy practice experiential programs, pharmacy education, and clinical practice in pharmacy. Two reviewers independently performed article selection, applying eligibility criteria defined. The level of agreement between the reviewers (Kappa coefficient) was calculated. Information about the clinical practice and settings used, description of pharmacy practice experiential model and type of evaluation study performed was collected from the articles selected using a pre structured form. Results:Of the 474 items retrieved in the initial search, 31 articles met the eligibility criteria. An increase in the number of publications in the 2000s was noted, predominantly (n=22, 71.0%) from North America. Pharmaceutical care was the most commonly used term to denote clinical practice in pharmacy. The practice sites ranged from hospitals (n=13, 41.9%), outpatient clinics (n=12, 38.7%), community pharmacies (n=7, 22.6%) and other community institutions (n=10, 32.3%), whereas some experiences involved a combination of these settings. The most common organizational arrangement involved pharmacists from the healthcare service as preceptors supervising students in the field, and teachers as educators, tutors and researchers within universities. In some situations, however, teachers and more advanced students acted as preceptors. Educational outcomes and/or results related to the service delivered by students and preceptors were assessed, where the quantitative method was the most frequently employed approach in both cases. Conclusion:The studies revealed that the partnership among university, health services and community is a promising initiative for improving the quality of pharmaceutical services offered to society and of pharmaceutical education.

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Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System

Cited by 294 publications

References 29 publications

Exploring Robust Methods for Evaluating Treatment and Comparison Groups in Chronic Care Management Programs

Exploring Robust Methods for Evaluating Treatment and Comparison Groups in Chronic Care Management Programs

Pharmacy Participation and Claim Characteristics in the Wisconsin Medicaid Pharmaceutical Care Program from 1996 to 2007

Pharmacy Practice Experiential Programs in the Context of Clinical Education

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