scholarly journals Awareness of and Readiness for Medication Therapy Management Among Community Pharmacists in New York City: Results from a Focus Group

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Vibhuti Arya ◽  
Sharrel Pinto ◽  
Tasmiya Khan
Keyword(s):  
New York ◽  
New York City ◽  
Focus Group ◽  
York City ◽  
Large Scale ◽  
Medication Therapy Management ◽  
Original Research ◽  
Community Practice ◽  
Therapy Management ◽  
Medication Therapy

For pharmacist-provided Medication Therapy Management (MTM) services to operate effectively and efficiently, pharmacists must understand the process of MTM delivery, assess the barriers and challenges in creating a sustainable MTM program, and realize the willingness and readiness of their colleagues to deliver such services. In order to assess feasibility of such services among high-risk neighborhoods in New York City (NYC), a focus group design was used to qualitatively assess pharmacists' perceptions of MTM. Findings showed that reimbursement and allocation of resources were the most discussed challenges/barriers to the provision of pharmacist-provided MTM services. Overall, pharmacists were willing, but not yet ready, to provide MTM services on a large scale. Lack of understanding of MTM structure/process, reimbursement challenges, and the need for collaboration between providers were key components to pharmacists' willingness to provide services. Additional training opportunities were deemed necessary for them to feel confident to conduct clinical services. Although pharmacists discussed several issues regarding MTM, they were still interested in participating and seeing how MTM would impact their community practice settings. Understanding these perceptions of pharmacists on MTM allowed us to better understand and assess ways for continuous quality improvement of services that will enhance patient care.   Type: Original Research

A Needs Assessment for Development and Provision of Medication Therapy Management Services in New York City

2011 ◽  
Vol 24 (3) ◽  
pp. 339-344 ◽  
Author(s):  
Bupendra Shah ◽  
Sweta Chawla
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Medication Therapy Management ◽  
Additional Time ◽  
Cross Sectional ◽  
Therapy Management ◽  
Medication Therapy ◽  
Positive Attitudes ◽  
Cross Sectional Design

Objectives: To (1) assess the current extent of medication therapy management (MTM) provision in NYC; (2) investigate New York City pharmacists' attitudes, efforts, interest, and challenges in providing MTM; and 3) examine factors influencing pharmacist interest in providing MTM. Methods: A cross-sectional design was utilized to survey New York City pharmacists attending a continuing education program. The survey questionnaire contained items pertaining to the extent of MTM currently provided by the pharmacists, attitudes, efforts, and interest in providing MTM and challenges to provision of MTM. Results: A total of 93 out of 123 attendees (73.81%) completed the survey. Pharmacists provided an average of 1.65 (±0.36) MTM services as defined by the APhA and NACDS framework. Pharmacists had slightly positive attitudes toward provision of MTM and were very interested in providing some MTM services. There was a positive correlation between pharmacist attitude toward MTM and interest in providing MTM ( r = .31, P = .016). Of all the 6 challenges to provision of MTM listed in the survey, respondents indicated that additional time to be spent with patients and additional pharmacists would be the most difficult to overcome. Conclusions: This study serves as an assessment of the needs of New York City pharmacists with regard to provision of MTM services.

scholarly journals Integrating Components of Medication Therapy Management Services into Community Pharmacy Workflow

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Corey A. Lester ◽  
Jennifer L. Helmke ◽  
Tana N. Kaefer ◽  
Leticia R. Moczygemba ◽  
Jean-Venable R. Goode
Keyword(s):  
Community Pharmacy ◽  
Health Monitoring ◽  
Medication Therapy Management ◽  
Original Research ◽  
Community Practice ◽  
Therapy Management ◽  
Work System ◽  
Medication Therapy ◽  
Before And After ◽  
Management Services

Objective: The objective of this study was to develop and evaluate a process for integrating components of medication therapy management services into a community pharmacy workflow. Secondary objectives were to evaluate outcomes as well as patient and pharmacist satisfaction with this change. Methods: This prospective, 3-month observational study took place in a small, independent community pharmacy. This intervention included a redesigned work system that included a seated private desk area and focus on the pharmacist, rather than the technician, being the first contact when patients entered the pharmacy. Pharmacists participated in a focus group before and after the implementation of the new workflow to better understand the delivery of the intervention and assess satisfaction. Process outcomes included time spent with the patient, the number of medication-related problems identified and recommendations made, the type of disease education provided, type and number of immunizations administered, and health monitoring tests performed. Patient satisfaction surveys were distributed after completing the intervention during the third month of the study. Results: A total of 56 patients were enrolled in this study resulting in 82 encounters. Forty medication-related problems, including experiencing an adverse drug reaction and ineffective therapy, were identified with recommendations made to patients or prescribers. Disease education, such as goals of therapy, was provided 46 times. Health monitoring tests, such as blood pressure, were performed 16 times and eight immunizations were administered. The revised workflow incorporating components of MTM services was successful in that 39% of encounters were less than two minutes and 49% of encounters were between two and five minutes in length. Only 12% of encounters were greater than five minutes. Overall, patients were very satisfied with the intervention. Pharmacists responded positively, but expressed concern that the changes to the work system prevented them from overseeing technician functions. Conclusion: Pharmacists in community practice are able to provide components of medication therapy management services during a brief, face-to-face interaction with patients. Overall, patients and pharmacists were satisfied with the changes to the pharmacy work system and that additional work system changes are needed to further expand the role of the community pharmacist and facilitate patient-pharmacist interactions.   Type: Original Research

scholarly journals Evaluation of a Consumer-Generated Marketing Plan for Medication Therapy Management Services

2012 ◽  
Vol 3 (1) ◽  
Author(s):  
Brian J. Isetts ◽  
Jon C. Schommer ◽  
Sarah M. Westberg ◽  
Julie K. Johnson ◽  
Nickie Froiland ◽  
...  
Keyword(s):  
Focus Group ◽  
Design Thinking ◽  
Group Analysis ◽  
Medication Therapy Management ◽  
Marketing Plan ◽  
Original Research ◽  
Care Providers ◽  
Therapy Management ◽  
Medication Therapy ◽  
Management Services

The purpose of this project was to utilize a consumer-directed, care model redesign methodology to develop and evaluate a marketing plan for medication therapy management services (MTMS) provided in community pharmacies. This was accomplished through a six-step process: (1) application of "design thinking" for eliciting consumer input on redesigning MTMS and marketing approaches, (2) exploratory research, (3) focus group analysis, (4) marketing plan development, (5) marketing plan implementation, and (6) marketing plan evaluation. The findings showed that the application of "design thinking" and focus group analysis was useful for creating a consumer-directed marketing plan for medication therapy management services (MTMS). Implementation and evaluation of the MTMS Marketing Plan revealed that the most successful pharmacies were those that had established business associate agreements with the medical clinics closest to their site of practice, including access to electronic health records. This "virtual electronic presence" of pharmacists in the medical care system was highly consistent with the consumer demand we uncovered for a visible relationship between pharmacists, physicians and other health care providers.   Type: Original Research

Jane Jacobs

2018 ◽  
Vol 1 (2) ◽  
pp. 156-169
Author(s):  
Paul Kidder ◽  
Keyword(s):  
New York ◽  
New York City ◽  
Urban Development ◽  
York City ◽  
Large Scale ◽  
Population Densities ◽  
Jane Jacobs ◽  
The People ◽  
Architectural Preservation ◽  
American Cities

Jane Jacobs’s classic 1961 book, The Death and Life of Great American Cities, famously indicted a vision of urban development based on large scale projects, low population densities, and automobile-centered transportation infrastructure by showing that small plans, mixed uses, architectural preservation, and district autonomy contributed better to urban vitality and thus the appeal of cities. Implicit in her thinking is something that could be called “the urban good,” and recognizable within her vision of the good is the principle of subsidiarity—the idea that governance is best when it is closest to the people it serves and the needs it addresses—a principle found in Catholic papal encyclicals and related documents. Jacobs’s work illustrates and illuminates the principle of subsidiarity, not merely through her writings on cities, but also through her activism in New York City, which was influential in altering the direction of that city’s subsequent planning and development.

scholarly journals Development and implementation of a community pharmacy medication therapy management-based transition of care program in the managed Medicaid population

2013 ◽  
Vol 4 (4) ◽  
Author(s):  
Sarah E. Kelling ◽  
David R. Bright ◽  
Timothy R. Ulbrich ◽  
Donald L. Sullivan ◽  
James Gartner ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Care Service ◽  
Care Program ◽  
Medication Therapy Management ◽  
Original Research ◽  
Transition Of Care ◽  
Therapy Management ◽  
Medication Therapy ◽  
Medicaid Population ◽  
Managed Medicaid

Objective: To describe successes and barriers with the development and implementation of a community pharmacy medication therapy management-based transition of care program in the managed Medicaid population. Setting: A single supermarket chain pharmacy Practice description: Community pharmacists provide dispensing and non-dispensing pharmacy services including medication therapy management, biometric wellness screenings, and immunizations. Practice innovation: Developed and implemented a community pharmacy medication therapy management-based transition of care program for patients with managed Medicaid Main outcome measures: Feasibility of developing and implementing a transition of care service in a community pharmacy Results: During the first six months, a total of 17 patients were seen as part of the program. Study pharmacists identified successes and potential strategies for overcoming barriers. Conclusion: Developing and implementing a community pharmacy transition of care program for patients with managed Medicaid was logistically feasible.   Type: Original Research

‘from a musical point of view, the world is musical at any given moment’: an interview with bill fontana

2005 ◽  
Vol 10 (2) ◽  
pp. 97-101 ◽  
Author(s):  
jøran rudi
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Large Scale ◽  
Urban Environments ◽  
Point Of View ◽  
Naturally Occurring ◽  
The World ◽  
American Composer ◽  
Brooklyn Bridge

bill fontana is an american composer and artist who has been working with large-scale sound installations since the 1970s. in his installations he recontextualises sounds by transmitting them from one location to another, and uses the transported sounds as acoustical ‘overlay’, masking the sounds naturally occurring in the installation spaces. his installations often occur in central urban environments, and he has, for example, been commissioned in conjunction with the fifty-year anniversary of d-day (1994, paris), and the 100-year anniversary of brooklyn bridge (1983, new york city).

scholarly journals Are Neighbors Friends or Foes? Assessing Airbnb Listings’ Agglomeration Effect in New York City

2019 ◽  
Vol 61 (2) ◽  
pp. 128-141 ◽  
Author(s):  
Karen L. Xie ◽  
Linchi Kwok ◽  
Cindy Yoonjoung Heo
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Large Scale ◽  
Service Providers ◽  
Operational Experience ◽  
Agglomeration Effect ◽  
Managerial Implications ◽  
Negative Impacts ◽  
Econometric Analyses

This study investigates the agglomeration effect of Airbnb listings in New York City (NYC) and answers two research questions: (a) Does agglomeration benefit or hurt the performance of individual Airbnb listings? (b) How does the effect of agglomeration vary by hosts regarding their operational experience (measured by their capacity and tenure on Airbnb)? A series of econometric analyses using large-scale data of Airbnb in NYC reveal that agglomeration positively affects the revenue performance of each Airbnb listing. In addition, such an effect is strengthened as host tenure spans but mitigated as host capacity expands, indicating a nonsymmetric agglomeration effect across service providers. This research contributes an important but less researched perspective to the home-sharing literature. Managerial implications on leveraging agglomeration for improved revenue performance are provided to Airbnb and its hosts, as well as the hotel chains that want to combat Airbnb’s negative impacts or have already entered the short-term residential rental market to compete head-to-head with Airbnb.

scholarly journals Researcher, PI and CEO - Managing a Large Scale Environmental Restoration Project in New York City; Creating Expectations, Establishing Structure, Protocols and Realistic Outcomes

2017 ◽  
Author(s):  
Lauren Beth Birney ◽  
George Diamantakos
Keyword(s):  
Middle School ◽  
New York ◽  
New York City ◽  
Middle School Students ◽  
York City ◽  
Large Scale ◽  
Project Based Learning ◽  
Environmental Restoration ◽  
School Students ◽  
Project Model

Abstract Research consistently shows that children who have opportunities to actively investigate natural settings and engage in problem-based learning greatly benefit from the experiences? This project developed a model of curriculum and community enterprise to address that issue within the nation's largest urban school system. Middle school students will study New York Harbor and the extensive watershed that empties into it, as they conducted field research in support of restoring native oyster habitats. The project builds on the existing Billion Oyster Project, and was implemented by a broad partnership of institutions and community resources, including Pace University, the New York City Department of Education, the Columbia University Lamont-Doherty Earth Observatory, the New York Academy of Sciences, the New York Harbor Foundation, the New York Aquarium, and others. The project model includes five interrelated components: A teacher education curriculum, a digital platform for project resources, museum exhibits, and an afterschool STEM mentoring program. It targets middle-school students in low-income neighborhoods with high populations of English language learners and students from groups underrepresented in STEM fields and education pathways. This paper explores the management of this large-scale project and provides insight with regard to the governance of the various project components.   Key words (project-based learning, environmental restoration, educational technology)

When Cities Borrow State Power: New York State's Empire State Development Corporation in New York City

2021 ◽  
pp. 107808742110671
Author(s):  
Elizabeth M. Marcello
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Large Scale ◽  
Local Level ◽  
City Government ◽  
Columbia University ◽  
State Development ◽  
Development Corporation ◽  
City State

Since the late 1960's New York State's Urban Development Corporation (UDC), now operating as the Empire State Development Corporation (ESDC), has been leveraged by New York City government to pursue large-scale projects. This paper examines two cases from New York City in which the city borrowed a state-controlled public authority's power to accomplish projects initiated at the local level: the case of Queens West, a development in western Queens, proposed in the early 1980s, and the case of Columbia - Manhattanville, an expansion of the Columbia University campus into Harlem, announced in 2003. These cases highlight how cities might, at times, embrace state involvement rather than lament its restrictions or rue its indifference. The study concludes by suggesting a theoretical path for incorporating such a city-state dynamic.

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