MTM powerpoint

Question 1

Medication Therapy Management(MTM) element of pharmaceutical care provided by providers such as pharmacists whose goal is to optimize _______and improve _________ outcomes for patients

Answer 1

drug therapy

therapeutic

Question 2

Medication Therapy management is performing patient __________ and a _________ medication review, formulating a medication _________ plan, __________ efficacy and safety of medication therapy, enhancing medication adherence through patient empowerment and education, documenting and communicating MTM services to providers and these healthcare services optimize therapeutic outcomes for patients through improved medication use and reduced risk of adverse drug events

Answer 2

assessments

comprehensive

treatment

monitoring

Question 3

important for us as pharmacist to keep our patients safe by improving patient’s medication _________, making sure they are on ________ drug doses and reducing risks of _________drug events by working directly with our patients as well as correctly verifying but doing so more than the verification process

Answer 3

use

optimal drug doses

adverse drug event

Question 4

Medication use and medication related problems are major problems in the United States healthcare system specifically medication related problems and medication mismanagement are estimated by experts to be upwards of 1.5 million preventable adverse events occurring each year that then result in 177 billion dollars injury and death so these are massive problems that we as pharmacists have the ability to help prevent

This helps us look at a broad picture of what medication therapy management is…its all encompassing when we said before that it’s a broad range of tasks that pharmacist can perform it is absolutely that

Question 5

MTM not only is it all encompassing but it can occur in a multitude of different healthcare settings and it can inpatient, or outpatient no matter which setting it is each one can provide a different set of services for a lot of us we will witness and take part in MTM in the outpatient community pharmacy setting but they are occurring in a multitude of areas

Question 6

Medication therapy reviews encompass a systematic process of ___________ patient specific information, ______ medication therapies to identify medication related problems then _______a prioritized list of medication related problems and creating a plan to resolve them so these medication therapy reviews

Answer 6

collecting

assessing

developing

Question 7

We can add other elements to medication therapy review but think of the pharmacist care process as your framework so that collecting,assessing, developing, creating, resolving and keeping through on that constant cycle…these reviews can be both comprehensive or targeted so we will look at both of those we will spend a decent amount of time on the comprehensive reviews

Question 8

So comprehensive or targeted to an actual or potential medication problem and whether they are comprehensive or targeted the individual patients medications are evaluated in the context of the patient as a whole…we are always looking at our patients as whole and taking into considerations all of the patients conditions and their medication therapies

Question 9

_________________ are referred to services provided by pharmacists on referral from other healthcare providers or other pharmacists and these services are typically reserved for more complicated patient cases specifically for patients that have complex medical conditions and who have either already experienced medication related problems or are at high potential to develop them

Answer 9

Pharmacotherapy Consults

Question 10

_________________and these involve coordinated healthcare interventions for diseases in which patients have to assume some responsibility for their care so specialty medications

Dr.Lanza had spoken about what he does in specialty, pharmacy, and those patients have to have certain amount of responsibility for their care as well

Answer 10

Disease management coach/support

Question 11

Pharmacists providing these disease management coach/support look into drug and nondrug therapy as well as lifestyle modifications that are associated with these diseases and integrating the patient into programs that empower them to manage their disease and medications and thereby to help reduce healthcare costs and improve quality of life

Question 12

______________ applications this is still emerging and getting more and more use from it but its services provider by pharmacist in which pharmacists play the role of interpretation and application of a patient’s genetic information to optimize there response to medication therapy

Answer 12

Pharmacogenomics

Question 13

____________ you can guess with anticoagulation its very fine tuned very precise work that has to be done to maintain that someone is appropriately managed on their anticoagulant medication and therefore pharmacists that are providing these services provide diverse services to patients who are taking those oral blood thinners and thinning agents warfarin for instance the most prescribed oral medication agent for this purpose has to be continuously monitored and managed to ensure patient safety and minimize risk so these pharmacists are working with patients to educate and also help them with the possibility for other high risks associated with these medications

Answer 13

Anticoagulation Management

Question 14

Other clinical services as pharmacists provide medication therapy management services as these services continue to evolve pharmacists roles can continue to expand in new and emerging areas so these diverse clinical services all focus on optimizing medication outcomes for the individual patient so they reserve this box for new and evolving services so they are looking into things that include employee health services,__________, ________medicine, nuclear pharmacy,etc…so they have kept this one open for others and a catch all for things that are up and coming

Answer 14

screening, travel medicine

Question 15

_____________ and we are always looking out for medication safety for our patients but this one specifically is looking at those MTM services through medication safety programs where they serve an important role in prevention of medication errors and adverse events improving the safety of the medication use system as a whole is critical to achieve optimum therapeutic outcomes for individual patients so for medication errors and adverse events reporting to the collection of data and identification of medication safety on an expanded scale…pharmacists are breaking new ground in ensuring medication related safety

Answer 15

Medication safety surveillance

Question 16

_________________ so another area we are already doing in our regular practice…we are always looking out for our patients health…we are always looking out for their wellness and we are looking into ways we can help with public health but this is specifically talking about how pharmacists are trying to improve care for individual patients in the communities they serve so examples include screening programs for common disease states including smoking cessation counseling, nutritional planning, weight loss and these services as we know help to address the critical need to improve the overall health and wellness of the US population

Answer 16

Health, wellness, and public health

Question 17

___________…pharmacists can provide so much healthcare information but also education and vaccines so helping our individuals with the health concerns that they already have and then we can also help them prevent other ones and we can do that through vaccine preventable services so these immunization medication management services work to identify patients based on disease states and medication therapy that could potentially benefit from receiving various vaccines and then by directly immunizing those patients or providing education
The class will focus on the comprehensive medication therapy reviews and they encompass on a broad level immunization, encompass health and wellness, they encompass medication safety

Answer 17

Immunization

Question 18

If we are thinking about people with chronic disease states they have medications for us to review with them. We are thinking about people who have several medications and people with several health conditions so we are not necessarily talking about somebody that has a past medical history,significant for depression where they take one medication and they are controlled perhaps they might not benefit from medication therapy review as much as somebody who is taking warfarin to decrease their risk for stroke whose also taking lisinopril for their blood pressure management whose also taking atorvastatin to control or to help lower their cholesterol levels who is also taking etc so the pt has multiple medications and multiple disease states perhaps they have questions or problems with their medications perhaps they are taking medication like we talked about warfarin that requires close monitoring…who else might benefit? Those patients that have been ____________ so they are going from their home or where they have been living to then a hospital setting where medications might change…maybe a new disease state has been added on to their list and now they have to transition and we can help them as healthcare providers as pharmacists to go through everything with them and help them to organize and understand better what has been going on…perhaps those who obtain their medication from more than one __________ we know that due to prices…due to convenience we are not in the age where people are going to one pharmacy and getting all of their medications there instead rightfully so people are shopping around or insurance companies are forcing them to go into a mail order for one medication because of the price and then there required to get a 3 month supply from the CVS down the road or maybe then they can only get their antibiotics from the walgreens that is right next door to where they work there’s all sorts of possibilities and all sorts of reasons but we have to be open to see this happening and it be being something that we see more regularly now and could make things more confusing for them and also more difficult for us as pharmacist as we are trying to piece together the puzzle to help them have the best outcomes

Answer 18

hospitalized

pharmacy

Question 19

Patients that have _________ have also been put as people that benefit from MTM services. Our biggest goal is to improve our patient outcomes but in a more granular level we want to make sure that each and every medication is _______for our patient…no matter if its one medication or 20 we are looking at it as our whole patient so we are not just looking at the one drug that treats that one source of pain we are looking at that one drug and the whole picture of our entire patient and is right for them…we are also looking to make sure the best possible _________ occurs but from all of our treatments…whatever our patients come to the table with chronic conditions what treatments are being utilized and are those the best for our patients and are we getting the best possible outcome from those…we are also looking to enhance that ____________ relationship…we are the most accessible to our patients

Answer 19

medicare

right

outcome

pharmacist patient relationship

Question 20

Its been more difficult to have a close relationship because People pushed or forced to get their medication in certain places they are not necessarily coming to one pharmacy all the time to get every single prescription we are also incredibly busy…we have staffing issues we don’t have the time necessarily to always make a relationship and build it but MTM allows a little bit of more downtime so that focus one on one time with your patient that then really works to enhance that relationship

Question 21

Goals for medication therapy management

We are __________ our pts…your giving pts the opportunity to have greater autonomy and a better understanding of their conditions and their medications for their lives and their bodies so doing that…by empowering our pts we can encourage them and their strength in their own health and the management of their own health conditions and there bodies as a whole

Answer 21

empowering

Question 22

If pt has 1 disease with 1 medication they are not as likely to find as much benefit from an MTM service than someone that has more things going on