drug therapy problems and MTM Flashcards
DTP categories
indication
effectiveness
safety
adherence
Unnecessary drug therapy examples
duplicate therapy
no medical indication
non-drug therapy more appropriate
addiction/recreational drug use
treating avoidable adverse reaction
Needs additional drug therapy examples
preventative therapy
untreated condition
synergistic therapy
Ineffective drug examples
more effective drug available
condition refractory to drug
dosage form inappropriate
contraindication present
drug not indicated for condition
Dosage too low examples
ineffective dose
needs additional monitoring
frequency inappropriate
incorrect administration
drug interaction
incorrect storage
duration inappropriate
Adverse drug reaction examples
undesirable effect
unsafe drug for patient
drug interaction
incorrect administration
allergic reaction
dose increase/decrease too fast
Dose too high examples
needs additional monitoring
frequency to short
duration too long
drug interaction
Non-adherence examples
does not understand instructions
pt prefers not to take
pt forgets to take
drug product not available
cannot swallow/administer drug
What are Medication Management Services?
a spectrum of patient-centered, pharmacist-provided, collaborative services that focus on medication appropriateness, effectiveness, safety, and adherence with the goal of improving health outcomes
Medication Therapy Review
systematic process of collecting patient specific information, assessing medication therapies to identify medication related problems, developing a prioritized list of medication-related problems, and creating a plan to resolve them
can be comprehensive or targeted
Personal Medication Record
comprehensive record of the patient’s medications
implement step of the patient care process
Medication-Related Action Plan
a patient centered document containing a list of actions for the patient to use in tracking progress for self-management
Who pays for MTM?
commercial plans
medicare
medicaid
social security act
medicare part D
Challenges to MTM implementation
patient engagement
physician/provider support
lack of health information exchange in some settings
time required for documentation/billing
limited billing opportunities
