Week 10 Flashcards
MTM
effectively managing drug therapy for the individual patients and improving the care for that patient
Medicare Part D
MUST include an MTM program
At least 2 chronic disease and between 2-8 medications
Incur at least 3138 dollars in med cost
Parts of MTM revie
Medication therapy review Personal medication record Med Action Plan Intervention/Referral Documentation and followup
Medication Therapy Review
Look for all potential drug therapy problems given a pt’s medical history and current meds
Comprehensive MTR
Review all Rx, OTC, and supplements
ID all potential probs
Targets MTR
Related to a specific med, disease state, or AE
Not as time extensive
Personal Medication Record
All pt’s meds
Mainly for pt use
Medication Action Plan
Actions to be taken by the patient or caregiver
Intervention/Referral
What the pharmacist sends to the appropriate physicians
Documentation
MOST important
If you don’t document, it never happened
Followup
Ensures any changes implemented based upon recommendations
CMR review
Once per year
Payer Barriers
In house providers
Time frame for reimbursement
Types and frequency of reviews
Patients Barriers
Out of pocket payment
No charge for review from pharmacists
HIPPA and guardianship
Patient views of pharmacists
Providers/Physicians Barriers
Communication
Time to build rapport
NO
