A proposed practice model for pharmacist led MTM services in ambulatory care setting
Main Article Content
Keywords
MTM (Medication therapy management), Pharmaceutical care, Patient counseling, disease management
Abstract
Pharmacists now have the chance to expand their direct patient care services in the community due to the inclusion of Medication Therapy Management (MTM) services in the range of ambulatory care and private running clinics. To establish a successful and long-lasting practice model for pharmacists, it is crucial to define the function of MTM within the context of pharmacist-provided patient care activities, including patient counselling, disease management, and all currently offered pharmacy services. There are descriptions provided for each of these services, along with comparisons and contrasts of the various services. The article's goal is to explore the pharmacist's role in MTM services and assess the expected outcomes of those services. MTM is promoted as a comprehensive paradigm that combines the principles of pharmaceutical care, patient counselling techniques, and disease management in a setting that encourages direct interaction between patients, pharmacists, and other medical professionals.
References
2. Hepler CD, Strand L. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533-543.
3. Cipolle RJ, Strand LM, Morley PC. Pharmaceutical Care Practice: The Clinician’s Guide. 2nd ed. New York, NY: The McGraw-Hill Companies, Inc.; 2004.
4. Pellegrino AN, Martin MT, Tilton JJ, Touchette DR. Medication therapy management services: definitions and outcomes. Drugs. 2009;69(4):393-406.
5. Lewin Group. Medication therapy management services: a critical review. J Am Pharm Assoc. 2005;45(5):580-587.
6. Bluml BM. Definition of medication therapy management: development of professionwide consensus. J Am Pharm Assoc (2003). 2005;45(5):566-572.
7. The Omnibus Budget Reconciliation Act, Pub L No. 101-508, 104, 1388 Stat, §4401 (1990).
8. McGivney MS, Meyer SM, Duncan-Hewitt W, et. al. Medication therapy management: its relationship to patient counseling, disease management, and pharmaceutical care. J Am Pharm Assoc. 2007;47(5):620-628.
9. American Pharmacists Association (APhA). Medication Therapy Management Digest: Perspectives on the Value of MTM Services and Their Impact on Health Care. 2009. APhA Web site. http://www.pharmacist.com/AM/Template.cfm?Section=Pharmacists&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=22667. Accessed April 25, 2011.
10. Ernst FR, Grizzle AJ. Drug-related morbidity and mortality: updating the cost-of-illness model. J Am Pharm Assoc (Wash). 2001;41(2):192-199.
11. The national network for health innovation. Thinking Outside the Pillbox. A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. 2009. New England Healthcare Institute (NEHI) Web site. http://www.nehi.net/publications/44/thinking_outside_the_pillbox_a_systemwide_approach_to_improving_patient_medication_adherence_for_chronic_disease. Accessed April 30, 2011.
12. Cranor CW, Christensen DB. The Asheville Project: short-term outcomes of a community pharmacy diabetes care program. J Am Pharm Assoc (Wash). 2003;43(2):149-159.
13. Cranor CW, Bunting BA, Christensen DB. The Asheville Project: long-term clinical and economic outcomes in a community pharmacy diabetes care program. J Am Pharm Assoc (Wash). 2003;43(2):173-184.
14. Isetts BJ, Schondelmeyer SW, Artz MB, et al. Clinical and economic outcomes of medication therapy management services: the Minnesota experience. J Am Pharm Assoc (2003). 2008;48(2):203-211.
15. Mikeal RL, Brown TP, Lazarus HL, Vinson MC. Quality of pharmaceutical care in hospitals. Am J Hosp Pharm. 1975;32:567-574.
16. Bluml BM, McKenney JM, Cziraky MJ. Pharmaceutical care services and results in Project ImPACT: Hyperlipidemia. J Am Pharm Assoc (Wash). 2000;40(2):157-165.
17. Indritz ME, Artz MB. Value added to health by pharmacists. Soc Sci Med. 1999;48(5):647-660.
18. American Pharmacists Association (APhA) and the National Association of Chain Drug Stores (NACDS) Foundation. Medication Therapy Management in Pharmacy Practice. Core Elements of an MTM Service Model Version 2.0. APhA Web site, 2009. http://www.pharmacist.com/AM/Template.cfm?Section=Pharmacists&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=19013. Accessed April 25, 2011.
19. American Pharmacists Association (APhA). Medication Therapy Management Digest: Tracking the Expansion of MTM in 2010: Exploring the Consumer Perspective. March 2011. APhA Web site. http://www.pharmacist.com/AM/Template.cfm?Section=MTM&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=25712. Accessed April 30, 2011.