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Medication Therapy Management Training: Designing Your Patient-Centered Practice

Release Date: March 15, 2009
Expiration Date: March 14, 2012


STATEMENT OF NEED
January 2006 marked an important advancement in patient care for Medicare beneficiaries with the introduction of medication therapy management (MTM) as a covered benefit for patients who qualify. Since then, pharmacies across the country have been searching for and developing strategies to create sustainable MTM practices. The University of Pittsburgh School of Pharmacy developed a replicable and sustainable MTM practice model in which pharmacists provide individual care and education to patients while sharing this information as part of the patient's health care team. This model sets a new standard of pharmacy practice founded on three critical elements:

  • private patient-pharmacist conversations;
  • individualized patient care teams that include the patient, physician(s), and pharmacist (at minimum); and
  • pharmacist-prepared written communications to the patient and to the prescribing physician.

With a vision to create a state-wide standard of care based on this model, all of the schools of pharmacy (University of Pittsburgh, Duquesne University, Lake Erie College of Osteopathic Medicine, Temple University, Thomas Jefferson University, University of the Sciences in Philadelphia, and Wilkes University) in Pennsylvania have collaborated to implement The Pennsylvania Project. The goal of this joint initiative is to create and maintain a standardized training program for pharmacists throughout Pennsylvania, facilitating the growth of pharmacist-run MTM practices.

THE PENNSYLVANIA PROJECT: VISION FOR COMMUNITY PHARMACY PRACTICE IN PENNSYLVANIA
As an integral part of a patient's interprofessional health care team, pharmacists will provide the medication-related knowledge and skills patients need to reach and maintain optimal health and well being.

The Pennsylvania Project's mission is to facilitate the development of comprehensive, standardized medication therapy management practices for patients in Pennsylvania communities. The goals of these pharmacist-provided patient care services are to:

  • promote safe and effective evidence-based use of medications while optimizing the treatment of chronic diseases; and
  • improve patient-specific communications between pharmacists and other health care providers to further optimize patient care.

Pennsylvania pharmacists, working together, will strive to:

  • provide MTM services to improve and maintain patient quality of life through medication therapy management;
  • use a standardized model, enabling patients and practitioners to have a consistent expectation of a pharmacist's care;
  • develop a network of referrals within the profession of pharmacy, collaborating with other pharmacists to care for patient's medication related needs regardless of where drug product is dispensed;
  • develop a relationship of trust when working with patients and their health care providers;
  • conduct data analysis on a routine basis and use the information to improve the quality of services; and
  • educate other health care providers about medication therapy management and raise expectations for pharmacist services.

TABLE OF CONTENTS
Session 1: Medication Therapy Management (4.75 hours)
Activity 1A: Defining MTM vs. Patient Counseling
Activity 1B: Identifying the Steps of the Patient Care Process
Activity 1C: Engaging Your Colleagues and Co-workers
Activity 1D: Identifying Strengths and Weaknesses within the Pharmacy and Formulating Solutions

Session 2: Your Patient's Medication Therapy Needs (3.75 hours)
Activity 2A: Patient Expectations and Experience
Activity 2B: Medication Therapy Problems

Session 3: A Systematic Approach to Patient Assessment (3.25 hours)
Activity 3A: Meeting the Patient: Variability
Activity 3B: Outlining the Patient Assessment Process
Activity 3C: Goals of a Pharmacotherapy Work-Up
Activity 3D: Analyzing the Information
Activity 3E: Your Own Patient Encounter

Session 4: Community Outreach Physician Outreach (2.50 hours)
Activity 4A: Market Analysis
Activity 4B: Community Outreach
Activity 4C: Physician Outreach
Activity 4D: Self-evaluation of the Outreach Process

Session 5: Course Evaluation

ACCREDITATION STATEMENTS:

ACPE LogoCreative Educational Concepts, Inc. (CEC) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity has been assigned ACPE # 0245-9999-09-012-H01-P and will award 14.25 contact hours (1.425 CEUs) of continuing pharmacy education credit. CEC complies with the Criteria for Quality for continuing education programming.

Statements of credit will be issued immediately online to those who complete the entire course and evaluation.

FACULTY INFORMATION
Training Coordinator:
Melissa Somma McGivney, PharmD
University of Pittsburgh School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Project Director:
Susan M. Meyer, PhD
University of Pittsburgh School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

COURSE CONTENT AND VISIONING PANEL
Elizabeth A. Coast-Senior, BS Pharm, PharmD
formerly at Duquesne University Mylan School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Abby Kahaleh, PhD, MPH
Lake Erie College of Medicine – School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Katherine F. Koffer, PharmD
University of the Sciences in Philadelphia, Philadelphia College of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Robert L. Maher Jr, PharmD, BCPS, CGP
Duquesne University Mylan School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Charles Ruchalski, PharmD, BCPS
Temple University School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Adam C. Welch, PharmD
Wilkes University Nesbitt School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

Cynthia A. Sanoski, PharmD
Thomas Jefferson University School of Pharmacy
No actual or potential conflict of interest in relation to this program was disclosed.

PLANNERS
The planners and managers have no financial or other relationship to products or devices with commercial interests related to the content of this CE activity.

FEE
This activity is offered at no cost to the participant.

INSTRUCTIONS
This first session will familiarize you with the terminology used in MTM. The readings will clarify the differences between MTM and patient counseling. You will be asked to think critically about the workflow of your pharmacy, the physical layout, and the role of each person associated with the pharmacy; identify potential challenges to implementation of MTM, and consider all possible solutions. The session will end with your consideration about how your responsibilities will change with the implementation of MTM.

To receive continuing credit, you must review the full content of the activity and complete all of the component assignments and activities in this session and the accompanying three sessions. Your work may be saved at any point for continuation at another point in time. Your statement of credit will be issued upon successful completion of the Sessions 1, 2, 3, and 4, and the evaluation of the entire activity.

DISCLOSURE DECLARATION
It is the policy of CEC to ensure independence, balance, objectivity, scientific rigor, and integrity in their continuing education activities.

Those involved in the development of this continuing education activity have made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education activity. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the reader is advised to check the manufacturer's package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.

Fair balance is achieved through ongoing and thorough review of all presentation materials produced by faculty, and all educational and advertising materials produced by supporting organizations, prior to educational offerings. Approval of credit for this continuing education activity does not imply endorsement by CEC of any product or manufacturer identified.

Any medications or treatment methods suggested in this CE activity should not be used by the practitioner without evaluation of their patient's condition(s) and possible contraindication(s) or danger(s) of use of any specific medication.

UNLABELED USE DISCLOSURE
This activity will not include discussions of products or devices that are not currently approved for use by the Food and Drug Administration (FDA), or are currently investigational.

COMMERCIAL SUPPORT
Development of this activity is supported by grants and gifts from the following organizations:
DSF Charitable Foundation Logo Highmark Foundation Logo Pfizer Logo

SOFTWARE REQUIREMENTS

PC
Windows 2000 or above
Internet Explorer 5.5 or Firefox
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)

*Required to view Printable PDF Version

MAC
MAC OS 10.2.8
Safari
*Adobe Acrobat Reader
Flash Player Plugin(v7.0.1.9 or greater)
Internet Explorer is not supported on the Macintosh

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