A novel advanced pharmacy practice experience training model focused on medication therapy management delivery within provider offices

2018 ◽  
Vol 10 (9) ◽  
pp. 1288-1294 ◽  
Author(s):  
Wesley Nuffer ◽  
Christy Harmon ◽  
Leigh Dye ◽  
Masayo Nishiyama
Keyword(s):  
Pharmacy Practice ◽  
Training Model ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy ◽  
Practice Experience

Retrospective Analysis of Estimated Cost Avoidance Following Pharmacist-Provided Medication Therapy Management Services

2012 ◽  
Vol 26 (4) ◽  
pp. 420-427 ◽  
Author(s):  
Ashley R. Branham ◽  
Aaron J. Katz ◽  
Joseph S. Moose ◽  
Stefanie P. Ferreri ◽  
Joel F. Farley ◽  
...  
Keyword(s):  
North Carolina ◽  
Retrospective Analysis ◽  
Pharmacy Practice ◽  
Medication Therapy Management ◽  
Common Disease ◽  
Therapy Management ◽  
Cost Avoidance ◽  
Medication Therapy ◽  
Medication Reviews ◽  
Reduced Costs

Objective: To compare the estimated cost avoidance (ECA) of pharmacist-provided medication therapy management (MTM) services among common disease states encountered in community pharmacy practice. Design: Retrospective analysis. Setting: Nine community pharmacies in North Carolina. Patients: Three hundred and sixty-four patients who are 65 years of age or older, a Medicare Part D beneficiary and a North Carolina resident. Interventions: An MTM pharmacist-provider conducted medication reviews to eligible patients between July 2009 and October 2009. For each encounter, patient interventions, pharmacist recommendations, and ECA were recorded. Main outcome measure: ECA. Results: In 9 pharmacy locations, 634 MTM interventions were documented during the study period. The ECA in a 4-month period yielded approximately $494 000. Comprehensive medication reviews, new prescription counseling and appropriate medication administration, and technique counseling made up nearly two-thirds of interventions. Overall, the probability that an MTM intervention would result in an ECA greater than $0 was .35. Conclusions: Pharmacist-provided MTM effectively reduced costs associated with patient medication use. Such interventions reduced costs in overall health care specifically in the areas of cardiovascular, gastroesophageal reflux disease, pulmonary, and diabetes groups.

Expanding the role of pharmacy technicians to facilitate a proactive pharmacist practice

2019 ◽  
Vol 76 (6) ◽  
pp. 398-402 ◽  
Author(s):  
Brandi Newby
Keyword(s):  
Patient Care ◽  
Pharmacy Practice ◽  
Medication Therapy Management ◽  
Direct Patient Care ◽  
Order Entry ◽  
Practice Model ◽  
Therapy Management ◽  
Pharmacy Technician ◽  
Medication Therapy ◽  
Pharmacist Role

Abstract Purpose This study describes a change in pharmacy practice to expand pharmacy technician roles to allow dispensing without a pharmacist check, thereby enhancing the pharmacist role in direct patient care. Summary In an effort to optimize patient care with limited resources, we set out to change our pharmacy practice model. We transferred duties that did not require clinical judgment in the dispensary from the pharmacist to the regulated technician. The transferred roles included order entry, order entry verification, and final check of medications and preparations. The changes in roles were well received by the pharmacy staff. The pharmacist practice changed from a reactive process, where the pharmacist waited for orders to be sent to the pharmacy, to a proactive process where the pharmacist collaborated directly with patients and the health care team. The pharmacists were able to provide daily medication therapy management for every inpatient in the new practice model compared with only reactive targeted care in the former practice model. Implementation of the new practice model at our site led to a reduction in time for medications to be delivered to the patient and reduced pharmacy-related medication errors. Conclusion A new pharmacy practice model was successfully implemented whereby the pharmacy technician roles were expanded to the point where they perform all the distribution roles in the dispensary. This, in turn, allowed a change in the pharmacist role, which was focused on daily proactive direct patient care and medication therapy management.

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