Setting Out: The Analysis of Early Therapeutic States

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Minnesota implemented MTM services for low-income patients with complex medical and drug-related needs. They resolved an average of 3. Patients averaged six medical conditions and 14 drugs each. The savings exceeded the cost of MTM services by more than 12 to 1.

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Clinical and economic outcomes of medication therapy management services: The Minnesota experience. J Am Pharm Assoc.


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Started January , focusing on diabetes and asthma education. Subsequent phases will integrate chronic obstructive pulmonary disease, cardio-vascular disease, depression, gastro-intestinal disease, migraine, osteoporosis, and various other conditions. North Carolina's ChecKmeds program is available to all , Medicare Part D patients, paid for by a state operated trust fund.

ETF is working with its PBM, Navitus, to determine areas of duplication, as well as efficiency and quality enhancement opportunities. Under federal statutes Ensures optimum therapeutic outcomes for targeted beneficiaries through improved medication use. Describes the resources and time required to implement the program if using outside personnel and establishes the fees for pharmacists or others.

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Is coordinated with any care management plan established for a targeted individual under a chronic care improvement program CCIP. CMS requirements online. This analysis includes characteristics of MTMP applications approved during the Annual Review and changes approved during the March and June update windows as of July 21, Updated J Manag Care Pharm ;15 1 Evaluation of a pilot medication therapy management project within the North Carolina State Health Plan.

J Am Pharm Assoc ;47 4 Pharmacists identified drug therapy problems The study authors "recommend that the Center for Medicare and Medicaid Innovation support the evaluation of pharmacist-provided medication management services in primary care medical homes, accountable care organizations, and community health care transition teams, as well as research to explore how to enhance team-based care.

An abstract of the study is available here.

Policy & Research Resources

In Connecticut: Improving patient medication management in primary care. Health Aff. A clinical pharmacist counseling type 2 diabetes patients improved patients' HbA1c levels, lowered patients' blood pressure, and reduced hospitalizations and emergency room visits, according to a case study published in the February 15, The model, implemented in February , provided medication and disease counseling by a clinical pharmacist to diabetes patients in Polk County, Fla. Program participants had six, minute visits with the clinical pharmacist. Patients also received copayment waivers for disease-related medications, supplies, and nonprescription products.

Patients were required to sign an agreement to comply with program rules and were terminated from the program if they did not. There were patients enrolled in the program, with patients who remained enrolled at the end of the program's first year. An employer-based, pharmacist intervention model for patients with type 2 diabetes. Am J Health-Syst Pharm. Twenty studies found pharmacists improved economic and clinical outcomes through direct patient care, according to a systemic review in the October 1, , American Journal of Health-System Pharmacy.

Pharmacists improved outcomes for patients with a variety of health conditions, from patients with multiple diseases to those with asthma, infections, or patients in need of anticoagulation management. Economic effects of pharmacists on health outcomes in the United States: a systematic review. Featured Story, Oct. Complying with the growing number of CMS requirements for medication therapy management MTM programs is becoming tougher as the number of Medicare Part D beneficiaries eligible to enroll in such pro-grams also expands. At the same time, CMS began requiring Part D plans to expand their current MTM programs to include an annual comprehensive review of medications, a process to assess the medication use of individuals who are at risk, and automatic enrollment of targeted beneficiaries who qualify on a quarterly basis.

In interviews with several plans to see how they are complying with the requirements, Schlaifer found that one plan had to hire more staff and provide additional training for its internal call center staff. Other plans either contracted with an outside call center or an MTM pharmacy network to provide person-to-person comprehensive medication reviews and other services.

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Taking note of the increased work and investment necessary on behalf of plans, many payers often question how these MTM providers determine ROI. However, some providers say they can provide solid numbers. ROI can be calculated by assessing improved quality of care, drug product costs, number of physician visits, hospital admissions and emergency room visits, among other things.

WellPoint, Inc. WellPoint is planning to launch a similar program in California later this year. SUMMARY: Many healthcare organizations reported a strong effort to improve medication adherence levels, with a serious focus on patient education and primary responsibility assigned to either the PCP or pharmacist. We wanted to see which medication adherence-related tasks were reimbursable for pharmacists.

The January Medication Adherence e-survey by the Healthcare Intelligence Network captured the industry's efforts to improve medication adherence. Sixty-nine percent of responding healthcare organizations include a pharmacist on their medication adherence team. By answering these types of questions, you can begin to identify solutions and come up with a plan for change.

SFBT was developed by Milwaukee psychotherapists Steve De Shazer and Insoo Kim Berg in the late s, early s out of an interest in paying more attention to what people want and what works best for the individual, in contrast to more traditional psychotherapies that presume to know what works for different types of problems. Working from the theory that all individuals are at least somewhat motivated to find solutions, SFBT begins with what the individual is currently doing to initiate behavioral and lifestyle changes.

SFBT techniques can be incorporated into other forms of counseling and therapy. Look for a licensed, experienced counselor, social worker, psychotherapist or other mental health professional with training in SFBT. In addition to finding someone with the appropriate educational background, experience and positive approach, look for a therapist with whom you feel comfortable discussing personal issues.

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When It's Used

Hoarding Solution-Focused Brief Therapy. When It's Used SFBT can stand alone as a therapeutic intervention , or it can be used along with other therapy styles and treatments. What to Expect Goal-setting is at the foundation of SFBT; one of the first steps is to identify and clarify your goals.


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