Comprehensive medication review recipients' opinions, actions, and information recall

Schulte, Nick; Ruisinger, Janelle F.; Prohaska, E; Steele, Katelyn M; Melton, Brittany L.

doi:10.1016/j.japh.2017.01.018

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Comprehensive medication review (CMR) is a service offered to patients in order to optimize their medication regimens to help prevent potential adverse drug reactions and improve their overall disease management [5]. Several studies have been published looking at the perception of CMR for both patients and providers alike which indicate an overall positive reaction to the services when available [5][6][7]. While CMR services are well received, there have only been a handful of studies looking at the effectiveness of the programs on elderly patient outcomes [8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

J Geriatr Med Gerontol

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Background: The purpose of this project was to conduct pharmacotherapeutic management of patients in the outpatient setting in a standardized manner. A CMR program was implemented at select ambulatory care sites within our healthcare system. This review identified and addressed medication-related concerns in order to optimize disease state management and attain positive patient outcomes. Methods: This prospective review included patients 80 years or older with polypharmacy concerns, categorized as having greater than 10 medications. Evaluation assessed for therapeutic duplications, potential interactions, side effects, inappropriate medications in the elderly, pharmacoeconomic issues and adherence concerns. All data was collected through the outpatient electronic health record. The primary outcome was the number and type of interventions identified through CMR. Secondary outcomes included percent of recommendations accepted, reasons for rejection, types of recommendations, and disease states intervened on. Results: Out of a total of 222 patients, 52 patients did not require any interventions and 250 recommendations were made to the providers on the 170 remaining patients. Currently 82% of recommendations were accepted by providers, with 17% still pending provider acknowledgement, and 1% being rejected. A large majority, 141 recommendations, were made in regards to high risk medications. Conclusion: CMR was shown to be highly effective in identifying appropriate medication interventions in order to optimize patient care. This study provided the framework to move pharmacists into other outpatient sites in the healthcare setting to assist in targeting inappropriate prescribing in the elderly.

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Section: Discussionmentioning

confidence: 99%

Untitled

2019

J Geriatr Med Gerontol

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Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format

Brandt

Cooke

Sharma

et al. 2019

JMCP

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BACKGROUND: The Medication Therapy Management (MTM) ProgramStandardized Format (SF) is a written summary of a comprehensive medication review (CMR) that must be provided to Medicare Part D beneficiaries. Concerns have been raised regarding the number of pages of the SF, mailing costs, the static nature of the document, and the lack of integration into beneficiaries' electronic health records. To date, limited research exists on beneficiaries' perceptions of the SF.

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Comprehensive medication review recipients' opinions, actions, and information recall

Cited by 2 publications

References 18 publications

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Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format

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