Pharmacy characteristics associated with the provision of medication management services within an integrated care management program

Smith, Megan G.; Shea, Christopher M.; Brown, Patrick; Wines, Kristen; Farley, Joel F.; Ferreri, Stefanie P.

doi:10.1016/j.japh.2016.12.073

Cited by 16 publications

(16 citation statements)

References 21 publications

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“…The barriers identified in this narrative review align with those noted in prior reviews and demonstrates that barriers to MTM implementation have persisted since Medicare Part D was implemented in 2006. 10,[15][16][17][18][19]21,22,25,26,[30][31][32][33][34][35][36]40,41,[43][44][45][46][47][48] More work is needed to overcome these challenges and produce consistently positive outcomes from MTM. 48 The literature points to considerations for potential solutions for overcoming each of the identified challenges to MTM delivery and these are summarized below.…”

Section: Discussionmentioning

confidence: 99%

“…17 Many studies discussed the personal characteristics that influence pharmacist-provided MTM services. 18 Pharmacies that have personnel that are adaptive to change have been successful integrating clinical services into workflow. 18,19 The relationship between pharmacist's attitudes and the provisions of patient care services has always merited further research and pharmacists job descriptions detailing this expanding role are also lacking.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

“…18 Pharmacies that have personnel that are adaptive to change have been successful integrating clinical services into workflow. 18,19 The relationship between pharmacist's attitudes and the provisions of patient care services has always merited further research and pharmacists job descriptions detailing this expanding role are also lacking. 19,20 With regard to time constraints, both pharmacists as well as patients reported similar concerns.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

“…19,22 Pharmacies who have support from residents were able to implement MTM programs more easily than those without this staff support. 18,23 Although an increase in technician hours is associated with an increase in successful MTM implementation, pharmacists' attitudes towards technician engagement varies. 19 Some pharmacists believe technicians do not have adequate training to be involved in MTM.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

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<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

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Section: Discussionmentioning

confidence: 99%

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

See 2 more Smart Citations

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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“…The quantity and quality of implementation research and quality improvement projects are on the rise, highlighted by a 2017 implementation science-themed issue of Research in Social and Administrative Pharmacy, and an implementation science primer for pharmacists authored by Livet and colleagues. [8][9][10][11][12][13][14][15][16] Previous work had primarily focused on service characteristics, [17][18][19] factors associated with service adoption, 13,16,20,21 barriers and facilitators of implementation, 12,22,23 pharmacy culture considerations, 24 and stakeholder perceptions of various services. 25,26 Implementation strategies, or the methods, techniques, and/or activities used to integrate a clinical intervention or patient care service into usual care systematically and purposefully, are a critical area for future scholarly work focused on community pharmacy practice.…”

mentioning

confidence: 99%

Community pharmacist patient care services: A systematic review of approaches used for implementation and evaluation

Bacci

Bigham

Dillon‐Sumner

et al. 2019

J Am Coll Clin Pharm

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Background Studies have identified the positive impact of community pharmacist patient care services. Identifying the most effective implementation strategies and performing robust research are critical to sustaining evidence‐based patient care in this setting. This systematic review aimed to describe: (1) implementation strategies, and (2) dissemination and implementation (D&I) outcomes used to evaluate the implementation of patient care services in community pharmacies. Methods PubMed/MEDLINE, EMBASE, and International Pharmaceutical Abstracts were searched for articles that were: (1) written in English and published in 1985 or later, (2) described a peer‐reviewed empirical study or practice experience implementing a patient care service in a community pharmacy, and (3) described the strategies used to implement and/or evaluate the implementation of the service. Two investigators reviewed the abstract, and full‐text when necessary, of each article to assess eligibility. Data were extracted from each article by two investigators using a standardized form. Implementation strategies were categorized using the Expert Recommendations for Implementation Change (ERIC) study terminology. The D&I outcomes were classified using the Proctor and colleagues terminology. All data were summarized using descriptive statistics. Results Two hundred and thirty‐seven articles were included, 223 of which described at least one implementation strategy and 224 described at least one D&I outcome. “Train and educate stakeholders” and “engage consumer” were the most common and “provide interactive assistance” and “adapt and tailor to context” were the least commonly reported implementation strategies. Reach, acceptability, and adoption were the most common and fidelity and sustainability were the least commonly evaluated D&I outcomes. Most studies used quasi‐experimental or observational designs. Conclusions This systematic review used published manuscripts to identify the breadth and depth of implementation and evaluation strategies being utilized in various community pharmacies. Findings suggest opportunities for further research and innovation via collaboration between pharmacists and implementation practitioners and researchers.

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