Chapter 5 Flashcards

1
Q

What is defined as the direct, responsible provision of medication-related care for the purpose of achieving definite outcomes that improve a patient’s quality of life.

A

Pharmaceutical care

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2
Q

MTM

A

Medication Therapy Management

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3
Q

The first core component of MTM is?

A

Medication Therapy Review (MTR)

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4
Q

MTR or MTM?
The process of collecting patient information, identifying medication-related problems, and providing solutions to these problems

A

MTR- Medication Therapy Review

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5
Q

A pharmacist who wants to provide MTM services may need to perform any or all of the following (3)

A
  • Design a service workflow;
  • Identify and target the patients who would benefit from the services
  • Decide whether a medication is cost effective
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6
Q

MTM or MTR?

A distinct service or group of services that optimize therapeutic outcomes for individual patients

A

MTM

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7
Q

What are the 2 major barriers for service implementation?

A
  • Lack of consensus about a service’s values among relevant parties
  • Personal selling is one of many ways to apply business knowledge in pharmacy practice
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8
Q

AGI – aggregate demand index

A
-to measure the national or regional demand for pharmacists
1= high surplus
2=
3=
4=
5= high demand
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9
Q

3 main reasons for shortage of Pharmacist

A
  • growth of the older population
  • increased number of pharmacists, especially women, who work part-time
  • prescription medications to providing other pharmacy services
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10
Q

What are the main approaches to address the pharmacists shortage? (2)

A
  • Expanding PharmD programs have been established
  • Enrolling more students into programs
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11
Q

What are the 3 main practice settings for pharmacy?

A
  • ambulatory care
  • hospital care
  • long term care
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12
Q

Independent, chain, mass merchandisers, supermarket, mail-order pharmacies are all examples of what?

A

Ambulatory care-community setting

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13
Q

Medication Therapy Management 5 core elements

A
  • MTR
  • personal medication record
  • medication related action plan
  • intervention and referral
  • documentation and follow up
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14
Q

What was implemented under prescription drug plans of the Medicare Part D benefit, and allows pharmacists to obtain reimbursements for services?

A

Medication Therapy Review

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15
Q

3 concepts of marketing concepts

A
  • market segmentation
  • personal selling
  • relationship marketing
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16
Q

Which marketing concept is used to select the target market – identify patients for a comprehensive or a targeted MTR?

A

market segmentation

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17
Q

Which marketing concept uses one-on-one promotional activity with customers that involves interpersonal communication skills such as effective questioning, active listening, and persuasion?

A

personal selling

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18
Q

Which marketing concept uses marketing activities to establish, develop, and maintain relationship with patients, physicians, or other stakeholders?

A

relationship marketing

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19
Q

What are the barriers to collaboration in relationship marketing? (4)

A
  • turf concerns
  • communication breakdowns
  • power issues
  • lack of trust
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20
Q

CWR

A

collaborative working relationship

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21
Q

Who does the collaborative working relationship pertain to?

A

Model that conceptualizes the process of pharmacist-physician collaboration

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22
Q

4 types of questions are usually asked in personal selling

A
  • situation – collect patient information
  • problem – find out potential issues with patients
  • implication – make patients understand the negative outcomes
  • need-payoff questions – orient patients toward the solutions for the problems
23
Q

How many progressive steps does personal selling have?

24
Q

First 3 steps of progressive steps of personal selling

A
  • Gathering patient information
  • Assessing information
  • Asking probing questions
25
Last 3 steps progressive steps of personal selling
* Presenting features and benefits * Addressing concerns * Offering the service
26
3 different outcome types for MTR are?
clinical, humanistic and economic
27
Which MTM outcome refers to improvement in patients’ adherence, medication knowledge, and health-related quality of life
humanistic
28
Economic or humanistic- | -refers to the savings of health care costs and to cost-effectiveness of medication review
economic
29
Humanistic or clinical | -outcomes of MTR are usually the identification and resolution of medication-related problems
clinical
30
PCM- Iowa medical pharmaceutical case management
A State level program that engages both community pharmacists and physicians to review and manage medication therapy
31
E-Prescribing (2)
- CMS pushing for adoption | - is a prescribers ability to electronically send an accurate error free rx to a pharmacy
32
What is the key to interdisciplinary and continuity of care?
Electronic medical/health records
33
Health information technology (HIT) (2)
- shown to increase adherence to guidelines and disease surveillance-> decreasing medication errors (i.e robotic devices) - necessary for interdisciplinary team work
34
pay for performance (2)
- quality based purchasing | - the use of payment methods and other incentives to encourage high quality and patient focused, high value care
35
Continuous Quality Improvement (CQI) (2)
- introduced by Edward Deming a statistician | - improved quality will lead to decreased costs because of improved efficiency
36
Continuous Quality Improvement (CQI) typically follows FOCUS-PDCA cycle, what does this stand for?
``` F: Find O:Organize C:Clarify U:Understand S:Select P:Plan D:Do C:Check A: Act to hold/improve the gain ```
37
interdisciplinary care
-a dynamic process involving 2 or more health professionals with complementary backgrounds-> to evaluate patient care
38
How is interdisciplinary care accomplished? (3)
- interdependent collaboration - open communication - shared decision making
39
The typical model is _____, but the ideal model is Interdisciplinary Team
Multidisciplinary team
40
What are some of the obstacles of interdisciplinary care? (5)
- boundaries - power - lack of trust - communication - proximity/ease of access
41
Continuity of care
how one pt experiences care over a period of time
42
What are the types of continuity of care? (3)
- informational - management - relational
43
informational continuity of care
links care using information from prior events
44
management continuity of care
connects care from different providers
45
relational continuity of care (3)
- characterized by personal trust and responsibility - ongoing relationship between pt and provider - recognize the importance of knowledge of the patient as a person
46
Medical Home
is a patient centered primary health care implemented to improve the pts health across a continuum of referrals and services
47
What recognizes the physician as the primary healthcare provider coordinating team?
conceptualization
48
Accountable Care Organizations (ACOs)
group of providers and suppliers of services that work together to coordinate care for the pts they serve under original Medicare (CMS)
49
ACOs goal is to
deliver seamless, high quality care for Medicare beneficiaries, while improving quality and lowering cost
50
What are the components of Healthcare Quality? (7)
- effective - quality - safe - timely - patient centered - efficient - equitable
51
Quality Measurement/Assessment at the Clinical Level
adherence to standards of care
52
Quality Measurement/Assessment at the patient level
based on patients perception of quality of care
53
Quality Measurement/Assessment at system level
based on patient outcomes such as mortality measures
54
What are the 5 stages of physician-pharmacist collaboration?
- Professional awareness - Professional recognition - Exploration and trial - Professional relationship expansion - Commitment