Primary Care Providers Believe That Comprehensive Medication Management Improves Their Work-Life

Funk, Kylee A.; Pestka, Deborah L.; McClurg, Mary T. Roth; Carroll, Jennifer K.; Sorensen, Todd D.

doi:10.3122/jabfm.2019.04.180376

Cited by 67 publications

(51 citation statements)

References 22 publications

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“…The field is at a tipping point that must be directed into more patient care‐focused roles 14 . We believe that the Advancing American Kidney Health initiative provides the opportunity for pharmacists to demonstrate their value in direct patient‐care roles that provide added value for patients (improved outcomes) and health care providers (decreased workload, 15 increased reimbursements). Limitations to pharmacists' involvement in nephrology are lack of consistency of nephrology education in Doctor of Pharmacy (Pharm.D.)…”

Section: Opportunities For Pharmacists To Integrate Into the Care Of mentioning

confidence: 99%

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Meaney

Manley²,

Pai

et al. 2020

J Am Coll Clin Pharm

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Patients with chronic kidney disease (CKD) are at high risk for clinically significant medication therapy problems (MTPs) due primarily to the complex pharmacotherapy prescribed by numerous providers, and the significant changes in pharmacokinetic and pharmacodynamic properties of many medications due to their kidney disease. While MTPs are well recognized, pharmacists are not routinely involved in the health care teams that provide care for patients with CKD. The Advancing American Kidney Health initiative was announced in July 2019 and is poised to shift models of care in nephrology toward value‐based payment. This represents an opportunity for pharmacists to integrate into teams to improve quality of care and outcomes for patients with CKD. Pharmacists should engage in medication reconciliation, transitions of care, and medication‐focused kidney disease education programs within a comprehensive medication management (CMM) framework to optimize pharmacotherapy outcomes. To implement these services, pharmacists need to utilize certified pharmacy technicians, telehealth, interprofessional skills, and other tools in innovative ways. Current models of successful practice from Canada can serve as a template for United States‐based nephrology pharmacy practice. In this opinion paper, we characterize the current state of nephrology practice and identify significant opportunities for advancement. We propose metrics to evaluate pharmacy services and a framework for key stakeholder engagement which will be critical to advance the profession of pharmacy within nephrology. The Advancing American Kidney Health initiative offers a distinct opportunity to demonstrate the value of CMM provided by pharmacists in the nephrology arena to optimize patient care.

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Section: Opportunities For Pharmacists To Integrate Into the Care Of mentioning

confidence: 99%

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Meaney

Manley²,

Pai

et al. 2020

J Am Coll Clin Pharm

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“…This explanation could be postulated by the ability of the CPS to offload workload related to CMM or being a resource of support for the provider to address complex medication‐related issues. A recently published article adds to the thought of CPS decreasing provider burnout with CMM . The authors concluded that primary care providers believe CMM positively affects their work life and how CMM may achieve a decreased level of provider burnout.…”

Section: Role Of Va Cps In Increasing Provider Satisfactionmentioning

confidence: 99%

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

McFarland

Nelson

Ourth

et al. 2019

J Am Coll Clin Pharm

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Background Access to high‐quality care is a US Department of Veterans Affairs (VA) top priority. The VA utilized the principles of the Patient Centered Medical Home model to design the Patient‐Aligned Care Team (PACT) to deliver primary care to our nation's Veterans. The PACT model was introduced in the VA in 2009 and was implemented across the health care system in 2010. Objective This review will highlight how the VA clinical pharmacy specialist (CPS) have been integrated throughout the VA to provide clinical care services in the primary care setting. CPSs in PACTs provide comprehensive medication management (CMM) in between typical PACT provider visits to initiate, modify, or discontinue medications, as well as providing disease management in foundational and high‐volume areas such as anticoagulation, pain management, diabetes, hypertension, anemia, chronic obstructive pulmonary disease, heart failure, hepatitis C, and hyperlipidemia. Conclusions Within the VA, CPSs work autonomously but collaboratively under a global or practice area‐based scope of practice (SOP) with prescriptive authority. VA CPS serving as a provider in primary care increase access and quality of care to veterans through the provision of CMM. This model has the opportunity to be leveraged in other health care systems.

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“…Firstly, it is worth mentioning that patients benefit not only from improved clinical outcomes, but also from having health care professionals who are willing and capable to understand their unique medication experience. Physicians profit by having pharmacotherapy experts managing complex therapies side by side, thus enabling them to have more time for diagnostics and quality medical care provision 33,45 . Finally, insurers pay only for medications that are appropriate, effective and safe for the patient, and are used as intended.…”

Section: The Value Of Medication Management Servicesmentioning

confidence: 99%

Comprehensive Medication Management Services as a Solution to Medication Mismanagement: A European Perspective

Mucalo¹,

Brajković²,

Jukić³

et al. 2019

Rad Hrvatske akademije znanosti i umjetnosti

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Due to an increase in the prevalence of chronic diseases, medication use and their cost is rising rapidly. This scenario render chronic patients at an increased risk of experiencing drug therapy problems, subsequently leading to unfavourable clinical and economic outcomes. Thus, to ensure patients' optimal medication use and improve their clinical outcomes, a comprehensive and systematic management of medications is deemed crucial. Hence, Comprehensive Medication Management (CMM) services offered by trained pharmacists can fill this gap by decreasing the unnecessary and often harmful use of medicines and consequent resulting complications. Collaborative practice between pharmacists and general practitioners, together with patients' active participation in the definition of treatment regimens, plays an important role in the effectiveness of CMM services. CMM services is defined as the standard of care that ensures each patient's medications (prescription, non-prescription, alternative, traditional, vitamins, or nutritional supplements) are individually assessed to determine that each medication is appropriate for the patient, effective for the medical condition, safe given the comorbidities and other medications taken, and that the patient is able to take them as intended. It includes an individualized care plan that achieves the intended goals of therapy with appropriate follow-up to determine actual patient outcomes. Apart from the USA, several countries (e.g. Australia, Canada and Brazil) have managed to integrate CMM services into their existing health care system at the primary care level. However, in Europe, in spite of the widespread recognition of the need for medication management services, initiation and implementation of CMM services are lagging behind. Hence, for CMM services to become a reality in Europe and elsewhere, numerous prerequisites need to be accomplished, including policies and legal regulations supporting the provision of CMM services on a much larger scale, clearly defined and standardized professional practice and common language shared among the pharmacists, and well trained and experienced practitioners providing full-time, direct patient care. Sažetak: Sveobuhvatna uSluga upravljanja farmakoterapijom kao rješenje za propuSte u propiSivanju lijekova: europSka perSpektivaZbog porasta prevalencije kroničnih bolesti, potrošnja lijekova ubrzano raste. Uslijed toga, kronični bolesnici su izloženi povećanom riziku pojave terapijskih problema što dovodi do nepovoljnih kliničkih i ekonomskih ishoda liječenja. Stoga se smatra da je sveobuhvatno i sustavno upravljanje farmakoterapijom ključno za osiguranje optimalne uporabe lijekova kao i za poboljšanje kliničkih ishoda liječenja. Sveobuhvatna usluga upravljanja farmakoterapijom (engl. Comprehensive Medication Management Services, CMM services) koju provode posebno educirani ljekarnici može ponuditi rješenje za ovaj problem, smanjujući nepotrebnu, a često i štetnu primjenu lijekova te njene posljedične komplikacije. Kolaborativna praksa ljekarn...

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Primary Care Providers Believe That Comprehensive Medication Management Improves Their Work-Life

Cited by 67 publications

References 22 publications

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

Comprehensive Medication Management Services as a Solution to Medication Mismanagement: A European Perspective

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