Pediatric asthma medication therapy management through community pharmacy and primary care collaboration

2016 ◽  
Vol 56 (4) ◽  
pp. 455-460 ◽  
Author(s):  
Courtney L. Bradley ◽  
Heidi R. Luder ◽  
Andrew F. Beck ◽  
Rachel Bowen ◽  
Pamela C. Heaton ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Pharmacy ◽  
Pediatric Asthma ◽  
Medication Therapy Management ◽  
Asthma Medication ◽  
Therapy Management ◽  
Medication Therapy

scholarly journals Primary healthcare policy and vision for community pharmacy and pharmacists in the United States

2020 ◽  
Vol 18 (3) ◽  
pp. 2160
Author(s):  
Teresa M. Salgado ◽  
Meagen M. Rosenthal ◽  
Antoinette B. Coe ◽  
Tana N. Kaefer ◽  
Dave L. Dixon ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Community Pharmacy ◽  
Healthcare System ◽  
Developed Countries ◽  
The United States ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy ◽  
The Us

The United States (US) has a complex healthcare system with a mix of public, private, nonprofit, and for-profit insurers, healthcare institutions and organizations, and providers. Unlike other developed countries, there is not a single payer healthcare system or a national pharmaceutical benefits scheme/plan. Despite spending over USD 10,000 per capita in healthcare, the US is among the worst performers compared to other developed countries in outcomes including life expectancy at birth, infant mortality, safety during childbirth, and unmanaged chronic conditions (e.g., asthma, diabetes). Primary care is delivered by physicians and advanced practice providers (i.e., nurse practitioners and physician assistants) in a variety of settings including large health systems, federally qualified health centers or free clinics that provide care to the underserved, or specific facilities for veterans or American Indian and Alaska native peoples. Since 2010, primary care delivery has shifted toward providing patient-centered, coordinated, comprehensive care focused on providing proactive, rather than reactive, population health management, and on the quality, versus volume, of care. Community pharmacy comprises a mix of independently owned, chain, supermarket and mass merchant pharmacies. Community pharmacies provide services such as immunizations, medication therapy management, medication packaging, medication synchronization, point-of-care testing and, in specific states where legislation has been passed, hormonal contraception, opioid reversal agents, and smoking cessation services. There has been criticism regarding the lack of standard terminology for services such as medication synchronization and medication therapy management, their components and how they should be provided, which hampers comparability across studies. One of the main challenges for pharmacists in the US is the lack of provider status at the federal level. This means that pharmacists are not allowed to use existing fee-for-service health insurance billing codes to receive reimbursement for non-dispensing services. In addition, despite there being regulatory infrastructure in multiple states, the extent of service implementation is either low or unknown. Research found that pharmacists face numerous barriers when providing some of these services. State fragmentation and the lack of a single pharmacy organization and vision for the profession are additional challenges.

scholarly journals Development and implementation of a community pharmacy medication therapy management-based transition of care program in the managed Medicaid population

2013 ◽  
Vol 4 (4) ◽  
Author(s):  
Sarah E. Kelling ◽  
David R. Bright ◽  
Timothy R. Ulbrich ◽  
Donald L. Sullivan ◽  
James Gartner ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Care Service ◽  
Care Program ◽  
Medication Therapy Management ◽  
Original Research ◽  
Transition Of Care ◽  
Therapy Management ◽  
Medication Therapy ◽  
Medicaid Population ◽  
Managed Medicaid

Objective: To describe successes and barriers with the development and implementation of a community pharmacy medication therapy management-based transition of care program in the managed Medicaid population. Setting: A single supermarket chain pharmacy Practice description: Community pharmacists provide dispensing and non-dispensing pharmacy services including medication therapy management, biometric wellness screenings, and immunizations. Practice innovation: Developed and implemented a community pharmacy medication therapy management-based transition of care program for patients with managed Medicaid Main outcome measures: Feasibility of developing and implementing a transition of care service in a community pharmacy Results: During the first six months, a total of 17 patients were seen as part of the program. Study pharmacists identified successes and potential strategies for overcoming barriers. Conclusion: Developing and implementing a community pharmacy transition of care program for patients with managed Medicaid was logistically feasible.   Type: Original Research

Physicians’ Preferences for Communication of Pharmacist-Provided Medication Therapy Management in Community Pharmacy

2016 ◽  
Vol 30 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Kendall D. Guthrie ◽  
Steven C. Stoner ◽  
D. Matthew Hartwig ◽  
Justin R. May ◽  
Sara E. Nicolaus ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Medication Therapy Management ◽  
Survey Study ◽  
Cross Sectional ◽  
Term Care ◽  
Prospective Survey ◽  
Therapy Management ◽  
Medication Therapy ◽  
Communication Practices

Objectives: (1) To identify physicians’ preferences in regard to pharmacist-provided medication therapy management (MTM) communication in the community pharmacy setting; (2) to identify physicians’ perceived barriers to communicating with a pharmacist regarding MTM; and (3) to determine whether Missouri physicians feel MTM is beneficial for their patients. Methods: A cross-sectional prospective survey study of 2021 family and general practice physicians registered with MO HealthNet, Missouri’s Medicaid program. Results: The majority (52.8%) of physicians preferred MTM data to be communicated via fax. Most physicians who provided care to patients in long-term care (LTC) facilities (81.0%) preferred to be contacted at their practice location as opposed to the LTC facility. The greatest barriers to communication were lack of time and inefficient communication practices. Improved/enhanced communication was the most common suggestion for improvement in the MTM process. Approximately 67% of respondents reported MTM as beneficial or somewhat beneficial for their patients. Conclusions: Survey respondents saw value in the MTM services offered by pharmacists. However, pharmacists should use the identified preferences and barriers to improve their currently utilized communication practices in hopes of increasing acceptance of recommendations. Ultimately, this may assist MTM providers in working collaboratively with patients’ physicians.

Pharmacy technician involvement in community pharmacy medication therapy management

2018 ◽  
Vol 58 (2) ◽  
pp. 179-185.e2 ◽  
Author(s):  
Matthew Lengel ◽  
Catherine H. Kuhn ◽  
Marcia Worley ◽  
Allison M. Wehr ◽  
James W. McAuley
Keyword(s):  
Community Pharmacy ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Pharmacy Technician ◽  
Medication Therapy

Comprehensive Medication Therapy Management: Identifying and Resolving Drug-Related Issues in a Community Pharmacy

2005 ◽  
Vol 27 (7) ◽  
pp. 1104-1111 ◽  
Author(s):  
William R. Doucette ◽  
Randal P. McDonough ◽  
Donald Klepser ◽  
Renee McCarthy
Keyword(s):  
Community Pharmacy ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy
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