Establishing a common language for the comprehensive medication management patient care process: Applying implementation science to standardize care delivery

Author(s):  
Carrie M. Blanchard ◽  
Mary Yannayon ◽  
Lindsay Sorge ◽  
Caitlin Frail ◽  
Kylee Funk ◽  
...  
2019 ◽  
Vol 10 (2) ◽  
pp. 7 ◽  
Author(s):  
Alex Adams ◽  
Krystalyn Weaver

Objective: Explore the intersection of the Pharmacists’ Patient Care Process (PPCP) and state laws in order to identify laws that may impede the delivery of optimal patient care. Summary: A review of the PPCP identified six areas in which state laws can limit full pharmacist engagement: 1) ordering and interpreting laboratory tests; 2) participating in a collaborative practice agreement; 3) independently prescribing certain medications; 4) independently adapting medications; 5) administering medications; and 6) effective delegation. A framework is put forth to organize how these scope of practice matters are interrelated. Conclusion: For pharmacists to fully engage in the PPCP, state laws must enable full participation. By unleashing pharmacists to fully engage in the process, patient care delivery and outcomes can be improved, and total health care costs can be reduced.   Article Type: Commentary


2017 ◽  
Vol 8 (3) ◽  
pp. 7 ◽  
Author(s):  
Claire Kolar ◽  
Keri D. Hager ◽  
Victoria Losinski

The adoption of a standard pharmacists’ patient care process (PPCP) for the profession, and inclusion of the PPCP in the ACPE Standards 2016, are positive steps for pharmacy education and creates consistency among pharmacy practitioners, regardless of practice setting. The PPCP, and its implications for practice, needs to continue to be embraced by educators and emphasized with students. The PPCP should be the patient care process taught to students and integrated throughout didactic courses and experiential experiences. However, teaching the PPCP or a particular service, such as Medication Therapy Management (MTM) or Comprehensive Medication Management (CMM), is not enough. The patient care process must be taught as one component of pharmaceutical care. Without also learning the philosophy of practice and practice management systems, student pharmacists will not be prepared for the realities of practice. Pharmacists are taking on new roles, getting paid in new ways, and in positions to take responsibility for a patient’s medication-related needs. Student pharmacists need to be in a position to take advantage of these opportunities as they progress throughout their careers. Conflict of Interest We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received), employment, gifts, stock holdings or options, honoraria, consultancies, expert testimony, patents and royalties.   Type: Idea Paper


2020 ◽  
Vol 16 (72) ◽  
pp. 027
Author(s):  
А.О. Gavrilyuk ◽  
R.G. Zharlinska ◽  
А.А. Mishchuk ◽  
К.М. Vergeles ◽  
А.М. Berezovskyi ◽  
...  

2012 ◽  
Vol 60 (4) ◽  
pp. S114 ◽  
Author(s):  
M.Y. Yiadom ◽  
J.B. Hopkins ◽  
J. Imperato ◽  
L. Sanchez ◽  
J. Fisher ◽  
...  

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 180 ◽  
Author(s):  
Isabela Viana Oliveira ◽  
Yone de Almeida Nascimento ◽  
Djenane Ramalho-de-Oliveira

In Comprehensive medication management (CMM), the practitioner applies a decision-making method to assess patients’ pharmacotherapy in order to identify and solve drug therapy problems. Grounded theory was used to understand how pharmacists make clinical decisions when providing CMM service. Data collection included individual semi structured interviews with 11 pharmacists, observation of clinical case discussions and CMM consultations provided by the participating pharmacists. Two main categories emerged: 1. Understanding the rational method of decision-making: the foundation of the patient care process. 2. Balancing the care equation: the objective and the subjective, which includes a theoretical proposal explaining the pharmacists’ decision-making process and the factors that can modify this process. The pharmacotherapy knowledge should guide the anamnesis. Thus, the professional can evaluate the indication, effectiveness, safety and convenience of medications used by the patient. After exploring patients’ medication experiences, pharmacists can follow two courses of action: helping the patient overcome barriers to medication use; or matching the pharmacotherapy to the patient’s routine. Professional autonomy and absence of the patient at the time of the decision were some factors that influenced the pharmacist’s decision. Findings provide a broad understanding of pharmacists’ decision-making process during the care of patients using medications. It can be applied as a basis for educational interventions to train professionals on decision-making.


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