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Medication therapy management or MTM is a term used to describe a broad range of health care services provided by pharmacists, the medication experts on the health care team. MTM services include medication therapy reviews, pharmacotherapy consults, anti coagulation management, immunizations, health and wellness programs and many other clinical services. Pharmacists provide medication therapy management to help patients get the best benefits from their medications by actively managing drug therapy and by identifying, preventing and resolving medication-related problems.
Medication synchronization involves a pharmacist looking at an individual’s refill prescriptions and then syncing all of them up for one pick-up versus having the individual making multiple trips to his/her pharmacy. This is becoming a common practice in today’s pharmacies and is a promising practice that improved medication adherence.
Adherence-specific Quality Measures
As the US healthcare system moved from a free-for-service driven model to value-based reimbursement, it is imperative to ensure medication adherence improvement strategies are recognized in these models. Prescriptions for a Healthy America is working with the Pharmacy Quality Alliance to expand and improve the quality and performance improvement measures related to medication adherence in federal and state programs. Goals are to:
- Ensure adherence measures are consistently used across federal programs
- Develop appropriate new measures to incentivize better adherence through prescribers, pharmacists, and health plans.
Coordinating Care and Medication Management Services
There are a variety of medication management services offered throughout the Medicare program, but these efforts are ad hoc and not specific to medication adherence. Prescriptions for a Healthy America is developing a plan for coordinating care among the various medication management services (i.e. Comprehensive Medication Management, MTM, etc.) offered in Parts A, B, and D to promote coordination of services.
SMART Health IT Apps
Smart Health IT is a technology platform that enables innovators to crate health apps that can securely run across a healthcare system. Dozens of apps have been built using SMART’s platform and applications. These apps are being used to provide clinical care at a number of healthcare institutions, including Duke Medicine and Boston Children’s Hospital.
Health IT Tools
Meaningful Use Stage 3, which focuses on improving outcomes has been postponed until 2017. Medication adherence interventions have the potential to significantly reduce health spending and improve health outcomes. Prescriptions for a Healthy America is working with the Administration to promote incentives to adopt and use technologies that promote increased adherence. Goals are:
- Promote standards that coordinate different EHR functions, such as e-prescribing, medication reconciliation and patient reminders, into a working , electronic adherence-based system.
- Promote the bidirectional exchange of information and interoperability across prescribers, pharmacists, and patients.
Patient Centered Medical Home Model (PCMH)
PCMH is a team-based model of care led by a personal physician who provides continuous and coordinated care throughout a patient’s lifetime to maximize health outcomes.
Interoperable Health IT Infrastructure
The Office of the National Coordinator for Health IT’s Interoperable Health IT Infrastructure presents a path to achieve the vision of a ‘learning health system’ where health information flows seamlessly and is available to the right people at the right time. The overarching goal of this infrastructure is to better inform decision making to improve individual health, community health, and population health.