What predicts medication therapy management completion rates? The role of community pharmacy staff characteristics and beliefs about medication therapy management

Adeoye, Omolola A.; Lake, Leslie M.; Lourens, Spencer; Morris, Rosemary; Snyder, Margie E.

doi:10.1016/j.japh.2018.03.001

Cited by 22 publications

(20 citation statements)

References 15 publications

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“…8,[14][15][16] Additional barriers reported include high demand for dispensing-related activities, cumbersome MTM documentation, insufficient staff training, and inadequate staffing hours. 8,9,[17][18][19] Despite the barriers to providing MTM services in the community pharmacy setting, community pharmacists also have unique advantages to delivering MTM, such as established relationships with patients through prescription fulfillment services. However, little information is available regarding the extent of community pharmacist involvement in Part D MTM, the characteristics of beneficiaries served by community pharmacists as opposed to other pharmacist providers, and the variation in MTM delivery by community pharmacists compared with other pharmacist providers.…”

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confidence: 99%

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

Adeoye

Farley

Coe

et al. 2019

J Am Coll Clin Pharm

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Introduction The Medicare Part D medication therapy management (MTM) program positions pharmacists to optimize beneficiaries' medications and improve care. Little is known regarding Part D MTM delivery by community pharmacists and other pharmacist provider types. Objectives To (a) characterize Medicare Part D MTM delivery by community pharmacists, (b) compare MTM delivery by community pharmacists to other pharmacists, and (c) generate hypotheses for future research. Methods A descriptive cross‐sectional study using merged data from a 20% random sample of Medicare beneficiary enrollment data with a 100% sample of recently available 2014 Part D MTM files was conducted. Andersen's Behavioral Model was applied to describe MTM delivery across beneficiary characteristics. Descriptive and bivariate statistics were used to compare delivery of MTM between community and other pharmacist providers. Results Among beneficiaries sampled, community pharmacists provided comprehensive medication reviews (CMRs) to 22% (n = 26 337) of beneficiaries receiving at least one CMR. Almost half (49.4%) were provided face‐to‐face. Across pharmacist cohorts, median days to CMR offer of post‐MTM program enrollment were within the 60‐day policy requirement. The community pharmacist cohort had fewer days from CMR offer to receipt (median 47 days). Community pharmacists provided more medication therapy problem (MTP) recommendations (mean [SD] of 1.8 [3.5]; P < .001), but resolved less MTPs (0.2 [0.7]; P < .001), and most commonly served beneficiaries that were in the south but less in the west/northeast. Additionally, community pharmacists served a smaller proportion of black beneficiaries, yet a larger proportion of Hispanic beneficiaries (P < .001). Conclusion Community pharmacists provided approximately one in five CMRs for MTM eligible beneficiaries in 2014, with CMRs occurring more quickly, resulting in more MTP recommendations, but resolving less MTPs than those provided by noncommunity pharmacists. Future research should explore geographic/racial‐ethnic disparities in beneficiaries served and strategies to increase negligible MTP resolution by community pharmacists.

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confidence: 99%

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

Adeoye

Farley

Coe

et al. 2019

J Am Coll Clin Pharm

Self Cite

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“…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%

“…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. 21 The challenges with not having enough time usually are tied to lack of pharmacy staff (89.6%) as well as inconsistencies with staffing.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

“…21 The challenges with not having enough time usually are tied to lack of pharmacy staff (89.6%) as well as inconsistencies with staffing. 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.…”

Section: Integration Of Mtm Within the Pharmacy Workflowmentioning

confidence: 99%

“…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. Proper training for MTM integration is essential for delegation of clinical and technical roles.…”

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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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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Identification of factors for a successful implementation of medication reviews in community pharmacies: Using Positive Deviance in pharmaceutical care

2021

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Background Pharmacists in community pharmacies worldwide successfully conduct an increasing number of medication reviews (MR). Since June 2012 MR are incorporated in the German ordinance on the operation of pharmacies as pharmaceutical service. In November 2014, a German guideline for MR was established. Different teaching programmes for MR were implemented since. Despite these favorable conditions, only few pharmacies conduct MR regularly. Objective: Identification of factors necessary for a successful implementation of MR in community pharmacies. Setting: Community pharmacies located in the area of the Pharmacists’ Chamber Westphalia-Lippe (Part of Northrhine-Westphalia, Germany). Method: Following a Positive-Deviance approach, telephone interviews were conducted in community pharmacies with pharmacy-owners, MR-trained employed pharmacists, and technicians. Data evaluation was performed using qualitative content analysis. Main outcome results: Successful strategies for implementing MR in community pharmacies. Results: Forty-four interviews were conducted and analysed. Thirty-three success factors were identified. Data analysis revealed two groups of success-factors important for implementation of MR; organisational (n = 25) and individual factors (n = 8). Relevant organisational success-factor were involvement of the entire team with active involvement of technicians, documentation of results in the pharmacy software and training in patient-identification and communication. Restructuring of workflows increased time-periods for MR. Important individual success-factors were: motivation and identification with the service, routine in execution to enhance self-esteem, and specialisation in pharmacotherapy of particular diseases. Pharmacy-owners play a pivotal role as motivators. Professional healthcare attitude, exhibited in daily routine, leads to increased acceptance by patients and practitioners and thus increases implementation-rates considerably. Conclusion: We were able to define strategies for successful implementation of MR in community pharmacies.

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What predicts medication therapy management completion rates? The role of community pharmacy staff characteristics and beliefs about medication therapy management

Abstract: Pharmacists' attitudes, pharmacy technician level of education, and number of technician hours worked per week were associated with MTM completion rates.

Cited by 22 publications

References 15 publications

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

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

Identification of factors for a successful implementation of medication reviews in community pharmacies: Using Positive Deviance in pharmaceutical care

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