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"Medication therapy management"

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https://www.readbyqxmd.com/read/29731422/what-predicts-medication-therapy-management-completion-rates-the-role-of-community-pharmacy-staff-characteristics-and-beliefs-about-medication-therapy-management
#1
Omolola A Adeoye, Leslie M Lake, Spencer G Lourens, Rachel E Morris, Margie E Snyder
OBJECTIVES: To model the association between pharmacy technicians' attitudes and planned behaviors toward participating in medication therapy management (MTM) and MTM completion rates. Secondary objectives included 1) to compare pharmacy technician and pharmacist attitudes and planned behaviors toward participating in MTM and 2) to identify respondent and pharmacy demographic factors associated with MTM completion rates. DESIGN: A 27-item survey, adapted from a previously published survey tool based on the Theory of Planned Behavior (TPB), was used to collect respondent perceptions of MTM...
May 3, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29714597/youth-experience-with-community-pharmacy-services-and-their-perceptions-toward-implementation-of-medication-therapy-management-services-by-community-pharmacists-in-the-western-region-of-saudi-arabia
#2
Mahmoud S Alhaddad
BACKGROUND: Pharmacists are the part of the health care team who can counsel patients on the most appropriate use of medications. This study aims to measure patients' experience with services provided by community pharmacists and their perceptions toward providing medication therapy management (MTM) services by community pharmacists in the Western Region of Saudi Arabia. In addition, this study aims to measure patients' willingness to pay (WTP) for participating in the MTM program led by community pharmacists...
January 1, 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29706274/-how-do-i-say-that-using-communication-principles-to-enhance-medication-therapy-management-instruction
#3
Paul M Denvir, Katie E Cardone, Wendy M Parker, Jennifer Cerulli
BACKGROUND AND PURPOSE: Medication therapy management (MTM) is a comprehensive, patient-centered approach to improving medication use, reducing the risk of adverse events and improving medication adherence. Given the service delivery model and required outputs of MTM services, communication skills are of utmost importance. The objectives of this study were to identify and describe communication principles and instructional practices to enhance MTM training. EDUCATIONAL ACTIVITY AND SETTING: Drawing on formative assessment data from interviews of both pharmacy educators and alumni, this article identifies and describes communication principles and instructional practices that pharmacy educators can use to enhance MTM training initiatives to develop student communication strategies...
February 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29699595/skills-and-core-competencies-of-pharmacists-in-humanitarian-assistance
#4
Hamaspyur Vardanyan, Gabriela Bittencourt Gonzalez Mosegui, Elaine Silva Miranda
BACKGROUND: Pharmacists' participation in health care within multi-disciplinary teams in Humanitarian Assistance (HA) shall be encouraged. Limited literature exists on their role in the humanitarian context. The objective of this paper is to evidence the skill-specific, comprehensive core competencies that pharmacists must demonstrate working in humanitarian interventions. METHODS: The literature search laid the groundwork for the development of interview guides and further analysis of the data...
April 27, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29697544/the-role-of-the-pharmacist-in-hypertension-management
#5
Katherine E Di Palo, Troy Kish
PURPOSE OF REVIEW: Hypertension remains a vital, modifiable risk factor in the prevention of cardiovascular disease. However, many patients do not achieve their therapeutic goals for numerous reasons which can include poor disease insight and nonadherence. Pharmacists can be key players in controlling hypertension, given their medication knowledge and patient counseling skills, yet they remain an underutilized resource in the management of chronic disease states. Various models exist that allow pharmacists to provide direct patient-centered care but practices differ from state to state since pharmacists are not recognized nationally as healthcare providers...
April 24, 2018: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/29691197/a-community-pharmacy-intervention-for-opioid-medication-misuse-a-pilot-randomized-clinical-trial
#6
Gerald Cochran, Craig Field, Jordan Karp, Amy L Seybert, Qi Chen, Whitney Ringwald, Valerie Hruschak, Sunita Chickering, Joelle Kincman, Amanda Jaber, Ralph Tarter
OBJECTIVES: Community pharmacy continues to play a crucial role in the national response to the opioid epidemic. The purpose of this article is to describe the protocol for a pilot study that is examining the feasibility and acceptability of the Motivational Intervention-Medication Therapy Management (MI-MTM) model. This study also examines the preliminary clinical effect of MI-MTM for improving opioid medication misuse and patient activation in self-management of health conditions that increase risk for misuse...
April 21, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29682241/drug-administration-adjustments-for-elderly-patients-with-dysphagia-a-case-report
#7
Patrícia de Carvalho Mastroianni, Marcela Forgerini
An elderly patient, aged 76 years, diagnosed with dysphagia, depression, hypothyroidism, Alzheimer's disease and mild cognitive deficit, was identified with sertraline and levothyroxine- drug-related problems. Medication Therapy Management (MTM) was used to adjust therapy to the patient's needs by macerating sertraline tablets and solubilizing them in 10-30 mL of orange juice. The patient was advised to take levothyroxine after fasting. Six months later, pharmaceutical follow-up identified an increase in the Mini-Mental State Exam score from 22 to 26 and a decrease in the Clinical Dementia Rating (CDR) scale score from 1...
January 2018: Dementia & Neuropsychologia
https://www.readbyqxmd.com/read/29561823/the-professional-culture-of-community-pharmacy-and-the-provision-of-mtm-services
#8
Meagen M Rosenthal, Erin R Holmes
The integration of advanced pharmacy services into community pharmacy practice is not complete. According to implementation research understanding professional culture, as a part of context, may provide insights for accelerating this process. There are three objectives in this study. The first objective of this study was to validate an adapted version of an organizational culture measure in a sample of United States' (US) community pharmacists. The second objective was to examine potential relationships between the cultural factors identified using the validated instrument and a number of socialization and education variables...
March 21, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29491501/student-perceptions-of-the-pharmacist-s-approach-across-the-varying-levels-of-medication-therapy-management-services
#9
Kenneth C Hohmeier, Christina Spivey, Cristyn Collier, Marie Chisholm-Burns
Objective. To explore third-year pharmacy (P3) student perceptions of medication therapy management (MTM) after an introduction to the various levels of MTM services within an MTM course. Methods. A qualitative survey was conducted of 158 P3 students. Open-ended questions were used to explore students' thoughts, feelings, and perceptions related to the pharmacist's approach in MTM following a lecture establishing differences in roles and responsibilities between the varying levels of MTM. Emphasis was placed on the pharmacist's role when providing comprehensive medication management (CMM)...
February 2018: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29461851/impact-of-telephonic-comprehensive-medication-reviews-on-patient-outcomes
#10
Evan A DeZeeuw, Ashley M Coleman, Milap C Nahata
OBJECTIVES: The majority of studies on medication therapy management (MTM) have focused on the conduct of in-person comprehensive medication reviews (CMRs). Although face-to-face MTM services may be the most well-known mode of delivery, there are other ways CMRs can be implemented as part of an MTM service. Specifically, telephonic CMR is an alternative method of offering MTM services that many patients may welcome. The purpose of this commentary was to highlight current findings regarding the impact of telephonic CMRs as a component of MTM services on health outcomes...
February 1, 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29437537/impact-of-comprehensive-medication-management-on-hospital-readmission-rates
#11
Holly Budlong, Amanda Brummel, Adam Rhodes, Hannah Nici
In 2012, the Fairview Health System implemented a formal care transitions process that included referrals to outpatient services provided by medication therapy management (MTM) pharmacists, among other clinical services. This analysis evaluates the impact of the MTM-provided comprehensive medication management (CMM) service on readmission rates. Retrospective electronic medical record (EMR) data were used to identify hospital admissions between December 1, 2012, and July 31, 2015. Thirty- and 60-day readmission rates were calculated in both a CMM and comparator cohort...
February 13, 2018: Population Health Management
https://www.readbyqxmd.com/read/29396178/pharmacy-technician-involvement-in-community-pharmacy-medication-therapy-management
#12
Matthew Lengel, Catherine H Kuhn, Marcia Worley, Allison M Wehr, James W McAuley
OBJECTIVES: To assess the impact of technician involvement on the completion of medication therapy management (MTM) services in a community pharmacy setting and to describe pharmacists' and technicians' perceptions of technician involvement in MTM-related tasks and their satisfaction with the technician's role in MTM. DESIGN: Prospective observational study. SETTING AND PARTICIPANTS: In the fall of 2015, pharmacists and selected technicians from 32 grocery store-based community pharmacies were trained to use technicians within MTM services...
March 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29384031/racial-and-ethnic-disparities-in-meeting-mtm-eligibility-criteria-based-on-star-ratings-compared-with-the-medicare-modernization-act
#13
Christina A Spivey, Junling Wang, Yanru Qiao, Ya-Chen Tina Shih, Jim Y Wan, Julie Kuhle, Samuel Dagogo-Jack, William C Cushman, Marie Chisholm-Burns
BACKGROUND: Previous research found racial and ethnic disparities in meeting medication therapy management (MTM) eligibility criteria implemented by the Centers for Medicare & Medicaid Services (CMS) in accordance with the Medicare Modernization Act (MMA). OBJECTIVE: To examine whether alternative MTM eligibility criteria based on the CMS Part D star ratings quality evaluation system can reduce racial and ethnic disparities. METHODS: This study analyzed the Beneficiary Summary File and claims files for Medicare beneficiaries linked to the Area Health Resource File...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29384027/an-evaluation-of-the-cost-effectiveness-of-comprehensive-mtm-integrated-with-point-of-care-phenotypic-and-genetic-testing-for-u-s-elderly-patients-after-percutaneous-coronary-intervention
#14
Arinze Nkemdirim Okere, Kyrian Ezendu, Abdrahmane Berthe, Vakaramoko Diaby
BACKGROUND: Poor health outcomes after percutaneous coronary intervention (PCI) in elderly patients is an area of concern among policymakers and administrators. In an effort to determine the best strategy to improve outcomes among elderly patients who underwent PCI, several studies have evaluated the cost-effectiveness of genotype-guided antiplatelet therapy compared with universal use of any one of the antiplatelet drugs indicated for patients with acute coronary syndrome (ACS) who underwent PCI...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29384026/evaluation-of-an-academic-community-partnership-to-implement-mtm-services-in-rural-communities-to-improve-pharmaceutical-care-for-patients-with-diabetes-and-or-hypertension
#15
Melissa Johnson, Rebecca Jastrzab, Jared Tate, Kate Johnson, Elizabeth Hall-Lipsy, Rose Martin, Ann M Taylor, Terri Warholak
BACKGROUND: Although the current methods of medication therapy management (MTM) delivery have demonstrably improved therapeutic, safety, economic, and humanistic health outcomes, patient- and prescriber-level barriers persist, limiting its reach and effectiveness. OBJECTIVE: To assess telephonic- and community-based clinical pharmacy services in improving health indicators for rural, underserved patients. METHODS: In 2014, an established MTM provider created a novel, collaborative pilot program with independent retail and community health center pharmacies to provide comprehensive, telephonic MTM services to rural Arizonans...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29384022/clinical-and-economic-benefits-of-pharmacist-involvement-in-a-community-hospital-affiliated-patient-centered-medical-home
#16
Meredith L Tate, Sydney Hopper, Sean Paul Bergeron
BACKGROUND: The primary goals of an accountable care organization (ACO) are to reduce health care spending and increase quality of care. Within an ACO, pharmacists have a unique opportunity to help carry out these goals within patient-centered medical homes (PCMHs). Pharmacy presence is increasing in these integrated care models, but the pharmacist's role and benefit is still being defined. OBJECTIVE: To exhibit the clinical and economic benefit of pharmacist involvement in ACOs and PCMHs as documented by clinical interventions (CIs) and drug cost reductions...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29336278/use-of-2015-beers-criteria-medications-by-older-medicare-beneficiaries
#17
Rajul Patel, Leona Zhu, Dilraj Sohal, Elena Lenkova, Nichole Koshki, Joseph Woelfel, Carly Ranson, Cynthia S Valle-Oseguera, Edward L Rogan
OBJECTIVE: To examine the prevalence of potentially inappropriate medications (PIMs) in community-dwelling Medicare beneficiaries based on the updated 2015 American Geriatrics Society Beers criteria. DESIGN: Cross-sectional study. SETTING: Thirteen mobile Medicare clinics were held throughout Northern and Central California during the fall of 2015. PATIENTS, PARTICIPANTS: Noninstitutionalized Medicare beneficiaries 65 years of age and older taking one or more medications...
January 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29295829/medication-therapy-management-after-hospitalization-in-ckd-a-randomized-clinical-trial
#18
Katherine R Tuttle, Radica Z Alicic, Robert A Short, Joshua J Neumiller, Brian J Gates, Kenn B Daratha, Celestina Barbosa-Leiker, Sterling M McPherson, Naomi S Chaytor, Brad P Dieter, Stephen M Setter, Cynthia F Corbett
BACKGROUND AND OBJECTIVES: CKD is characterized by remarkably high hospitalization and readmission rates. Our study aim was to test a medication therapy management intervention to reduce subsequent acute care utilization. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The CKD Medication Intervention Trial was a single-blind (investigators), randomized clinical trial conducted at Providence Health Care in Spokane, Washington. Patients with CKD stages 3-5 not treated by dialysis who were hospitalized for acute illness were recruited...
February 7, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29261634/quality-and-safety-in-health-care-part-xxxvii-more-pinnacle-registry-studies
#19
Jay A Harolds
Studies based on PINNACLE registry data include the management of high blood pressure, relationship of socioeconomic status and prescription practices, eligibility for medication therapy management programs, relationship of patient volume to adherence to guidelines, and relationship between quality and the type of provider. This article summarizes studies on all of those topics.
December 19, 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29233385/traditional-lecture-versus-jigsaw-learning-method-for-teaching-medication-therapy-management-mtm-core-elements
#20
Jennifer A Wilson, Angela H Pegram, Dawn M Battise, April M Robinson
BACKGROUND AND PURPOSE: To determine if traditional didactic lecture or the jigsaw learning method is more effective to teach the medication therapy management (MTM) core elements in a first year pharmacy course. EDUCATIONAL ACTIVITY AND SETTING: Traditional didactic lecture and a pre-class reading assignment were used in the fall semester cohort, and the jigsaw method was used in the spring semester cohort. Jigsaw is a cooperative learning strategy requiring students to assume responsibility for learning, and subsequently teaching peers...
November 2017: Currents in Pharmacy Teaching & Learning
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