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what are 3 key functions of pharmaceutical care planning
- 1. identify the actual and potential drug-related problems of a patient
- 2. resolve the actual drug-related problems
- 3. prevent the potential drug-related problems
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6 basic steps to pharmaceutical care
- 1. establish a relationship with the pt
- 2. collect needed info about the pt
- 3. assess drug related problems
- 4. establish therapeutic goals & solutions to problems
- 5. determine monitoring parameters
- 6. document pt's progress over time
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3 "musts" target beneficiaries need for MTM with medicare part D
- 1. have multiple chronic diseases (2 or more)
- 2. be taking multiple part D drugs (2-8)
- 3. likely to incur part D drug costs > $3017
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7 requirements for MTM programs under section ---- for medicare part D sponsors
- 1. ensure optimum therapeutic
- 2. reduces the risk of adverse events
- 3. in cooperation with licensed and practicing pharmacists and physicians
- 4. describes the resources and time (personnel) and s the fees for pharmacists or others
- 5. may be furnished by pharmacists or other qualified providers
- 6. may distinguish between services in ambulatory and institutional settings
- 7. is coordinated with any care management plan established for a targeted individual under a chronic improvement program CCIP
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9 chronic conditions targeted for MTM
- HTN
- Alzheimer's
- diabetes
- CHF
- respiratory disease - asthma, COPD
- arthritis
- mental illness - depression, schizo, BPD
- ESRD
- dyslipidemia
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2 things required for MTM services under part D
- CMR - comprehensive medication review
- TMR - targeted medication review
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criteria of CMR
- 1. done annually
- 2. must include an interactive consultation by a pharmacist or other qualified provider
- 3. may result in a recommended action plan
- 4. if the beneficiary is not able to participate, another authorized person may step in to provide the information instead
- 5. once enrolled, should conduct w/I 60 days
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criteria of TMR
- 1.quarterly
- 2.assess medication use
- 3.monitor unresolved problems
- 4. determine if there are any new drug therapy problems to address
- 5. ascertain if the beneficiary has transitioned in care
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criteria of PML
- 1. reconciled list of all meds in use by the individual at the time of the CMR
- 2. intended for beneficiary use
- 3. not intended for marketing
- 4. not a wallet card
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Medication action plan MAP
- 1. details what actions need to be taken as a result of the CMR
- 2. intended to help beneficiary
- 3. not marketing
- 4. most important action item listed first
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7 principles for incorporation of pharmacists' clinical service w/I the framework of PCMH
- 1. access to pharmacists' clinical service
- 2. pt focused collaborative care
- 3. flexibility in the medical home design
- 4. development of outcome measures
- 5. access to relevant pt info
- 6. effective HIT
- 7. aligned payment policies
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