Model for medication therapy management in a university clinic

Kliethermes, Mary Ann; Schullo-Feulner, Anne; Tilton, Jessica J.; Kim, Shiyun; Pellegrino, Annette Nicole

doi:10.2146/ajhp070338

Cited by 18 publications

(20 citation statements)

References 18 publications

(13 reference statements)

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“…[12][13][14] However, beyond this activity, evidence is limited to descriptive papers of innovative roles for pharmacy technicians, such as collecting and organizing laboratory values (e.g., pharmacokinetic or anticoagulation services), supporting formulary management, and screening patients for medication conversion programs (e.g., i.v.-to-oral conversion programs). [17][18][19][20] To our knowledge, the study described here was the first to formally evaluate the impact of integrating a pharmacy technician within a pharmacist-driven clinical service. Given that pharmacy technicians' salaries are lower than those of pharmacists, delegating specific tasks to a technician could result in substantial cost savings.…”

Section: Discussionmentioning

confidence: 99%

Use of a pharmacy technician to facilitate postfracture care provided by clinical pharmacy specialists

Irwin

Heilmann²,

Gerrity

et al. 2014

American Journal of Health-System Pharmacy

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Section: Discussionmentioning

confidence: 99%

Use of a pharmacy technician to facilitate postfracture care provided by clinical pharmacy specialists

Irwin

Heilmann²,

Gerrity

et al. 2014

American Journal of Health-System Pharmacy

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“…Studies have documented specific tasks that pharmacy technicians had performed in the process of clinical services delivery; these tasks included conducting medication reconciliation, obtaining medication history, maintaining medication lists, scheduling appointments, and billing of services, to name a few. [5][6][7] With the support of pharmacy technicians, pharmacists could be relieved from technical and routine tasks to concentrate on disease management and patient consultation. Therefore, it is essential for pharmacists and technicians to work as a team to successfully deliver clinical services to patients.…”

Section: Introductionmentioning

confidence: 99%

Team Communication on Tasks Performed in Blood Pressure Clinics in Community Pharmacies

Hsu

Hwang

Mount

2019

Journal of Pharmacy Technology

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Background: To successfully deliver pharmacy services, pharmacists and technicians need to work as a team and have effective communication. Objectives: To measure the amount of communication between community pharmacists and their technicians during monthly blood pressure (BP) clinics. Methods: Cross-sectional survey method was used to assess the amount of communication pharmacists and technicians had on each task. Study participants were pharmacist-technician pairs (teams) from 10 intervention community pharmacies in the Team Education and Adherence Monitoring (TEAM) trial. Each team provided services designed to improve BP among hypertensive African American patients. Thirteen specific tasks were identified as essential in providing monthly BP clinics, and they were being performed by either the pharmacist or technician. At the end of the trial, each pharmacist and technician were asked to report his/her perception of discussion levels that occurred for each task. The level of team communication was summarized for each task (task-specific) and for each team (team-specific). Results: For task-specific communication, 3 teams had communication regarding pharmacist tasks and 5 teams engaged in communication for technician tasks. More communication was reported for newly developed technician tasks in the BP clinic. For team-specific communication, 2 teams reported no communication on any task, and another 2 teams reported having communication on all the tasks. Overall, pharmacy teams showed different levels of communication in this study. Conclusion: The amounts of communication between pharmacists and technicians were found to vary for different tasks and teams. This suggests that the nature of tasks and the unique dynamics existing in each pharmacy team could influence pharmacist-technician communication.

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“…Approximately 1800 prescriptions are filled per month by patients in the MTM clinic, with each patient averaging about 15 medications 12. The clinical services have evolved into a comprehensive program providing five distinct service areas: access, adherence, coordination of care, medication therapy review, and education.…”

Section: Introductionmentioning

confidence: 99%

Medication therapy management clinic: perception of healthcare professionals in a University medical center setting

Shah

Vaysman

Wilken

2013

Pharmacy Practice (Internet)

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ObjectiveTo determine the overall perception and utilization of the pharmacist managed medication therapy management (MTM) clinic services, by healthcare professionals in a large, urban, university medical care setting.MethodsThis was a cross-sectional, anonymous survey sent to 195 healthcare professionals, including physicians, nurses, and pharmacists at The University of Illinois Outpatient Care Center to determine their perception and utilization of the MTM clinic. The survey consisted of 12 questions and was delivered through a secure online application.ResultsSixty-two healthcare professionals (32%) completed the survey. 82% were familiar with the MTM clinic, and 63% had referred patients to the clinic. Medication adherence and disease state management was the most common reason for referral. Lack of knowledge on the appropriate referral procedure was the prominent reason for not referring patients to the MTM clinic. Of the providers that were aware of MTM services, 44% rated care as ‘excellent’, 44% as ‘good’, 5% as ‘fair’, and 0% stated ‘poor’. Strengths of MTM clinic identified by healthcare providers included in-depth education to patients, close follow-up, and detailed medication reconciliation provided by MTM clinic pharmacists. Of those familiar with MTM clinic, recommendations included; increase marketing efforts to raise awareness of the MTM clinic service, create collaborative practice agreements between MTM pharmacists and physicians, and ensure that progress notes are more concise.ConclusionsIn a large, urban, academic institution MTM clinic is perceived as a valuable resource to optimize patient care by providing patients with in-depth education as it relates to their prescribed medications and disease states. These identified benefits of MTM clinic lead to frequent patient referrals specifically for aid with medication adherence and disease state management.

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Model for medication therapy management in a university clinic

Abstract: A referral-based MTM clinic managed by pharmacists at a university medical center outpatient pharmacy provides care to patients with the goal of improving medication access, medication adherence, continuity of care, medication therapy management, and patient education.

Cited by 18 publications

References 18 publications

Use of a pharmacy technician to facilitate postfracture care provided by clinical pharmacy specialists

Use of a pharmacy technician to facilitate postfracture care provided by clinical pharmacy specialists

Team Communication on Tasks Performed in Blood Pressure Clinics in Community Pharmacies

Medication therapy management clinic: perception of healthcare professionals in a University medical center setting

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