Medication therapy management
Medication Therapy Management (MTM) is a service provided typically by pharmacists that aims to improve outcomes by helping people to better understand their health conditions and the medications used to manage them.[1] This includes providing education on the disease state and medications used to treat the disease state, ensuring that medicines are taken correctly, looking for any side effects, and providing education on how to manage any side effects.[2] MTM is a process that can be broken down into five steps: medication therapy review, personal medication record, medication-related action plan, intervention and or referral, and documentation and follow-up.[3][4]
The medication therapy review part of MTM has the pharmacist review all of the prescribed medications, any over the counter medications, and all dietary supplements an individual is taking. This allows the pharmacist to look for any duplications or dangerous drug interactions.[5][6] This service can be especially valuable for people who are older, have several chronic conditions, take multiple medications, or are seen by multiple doctors.[7][3][4]
In 2014, the US Centers for Medicare and Medicaid Services (CMS) required Part D plans to include MTM services,[8] which led to an expansion of services offered during MTM.[9] It is a free service for members enrolled in Part D who meet three eligibility criteria. Enrollees must have at least two chronic conditions, take multiple drugs covered by Part D, and are predicted to exceed a preset amount in annual out of pocket costs for their covered Part D drugs (set at $3,967 in 2018 and $4,044 in 2019).[10][11]
See also
- Adherence (medicine)
References
^ "Pharmacist-Led Medication Therapy Management Innovations". AHRQ Health Care Innovations Exchange. September 9, 2016..mw-parser-output cite.citation{font-style:inherit}.mw-parser-output q{quotes:"""""""'""'"}.mw-parser-output code.cs1-code{color:inherit;background:inherit;border:inherit;padding:inherit}.mw-parser-output .cs1-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .cs1-lock-limited a,.mw-parser-output .cs1-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/Lock-gray-alt-2.svg/9px-Lock-gray-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .cs1-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/thumb/a/aa/Lock-red-alt-2.svg/9px-Lock-red-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration{color:#555}.mw-parser-output .cs1-subscription span,.mw-parser-output .cs1-registration span{border-bottom:1px dotted;cursor:help}.mw-parser-output .cs1-hidden-error{display:none;font-size:100%}.mw-parser-output .cs1-visible-error{font-size:100%}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration,.mw-parser-output .cs1-format{font-size:95%}.mw-parser-output .cs1-kern-left,.mw-parser-output .cs1-kern-wl-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right,.mw-parser-output .cs1-kern-wl-right{padding-right:0.2em}
^ Pellegrino, AN; Martin, MT; Tilton, JJ; Touchette, DR (2009). "Medication therapy management services: definitions and outcomes". Drugs. 69 (4): 393–406. doi:10.2165/00003495-200969040-00001. PMID 19323584.
^ ab "Medication Therapy Management in Pharmacy Practice Version 2.0" (PDF). American Pharmacists Association and National Association of Chain Drug Stores Foundation. March 2008.
^ ab "Community Pharmacists and Medication Therapy Management". Centers for Disease Control and Prevention. 18 January 2018. Retrieved 21 July 2018.
^ "Leadership for Medication Therapy Management Version 2.0" (PDF). The American Pharmacists Association and The National Association of Chain Drug Stores Foundation. March 2008.
^ "Medication Therapy Management Services". American Pharmacists Association. Retrieved November 20, 2018.
^ Greer, N; Bolduc, J; Geurkink, E; Koeller, E; Rector, T; Olson, K; MacDonald, R; Wilt, TJ (October 2015). "Pharmacist-Led Chronic Disease Management: A Systematic Review of Effectiveness and Harms Compared to Usual Care [Internet]". VA Evidence-based Synthesis Program Reports. PMID 27252999.
^ "CMS proposes requiring expansion of Part D MTM benefits". www.pharmacist.com. Retrieved 2018-11-21.
^ Viswanathan, Meera; Kahwati, Leila C.; Golin, Carol E.; Blalock, Susan; Coker-Schwimmer, Emmanuel; Posey, Rachael; Lohr, Kathleen N. (2014). "Executive Summary". Medication Therapy Management Interventions in Outpatient Settings. Agency for Healthcare Research and Quality (US).
^ "Fact Sheet Summary of 2018 MTM Programs" (PDF). Center for Medicare and Medicaid Services.
^ "Part D: Getting to Know Medication Therapy Management (MTM)" (PDF). National Council on Aging.
External links
 | Wikimedia Commons has media related to Medication therapy management. |
