Pharmacy, Health Sciences & Exercise Science
Medication Therapy Management: Congestive Heart Failure
Document Type
Oral Presentation
Location
Indianapolis, IN
Subject Area
Pharmacy, Health Sciences & Exercise Science
Start Date
11-4-2014 10:15 AM
End Date
11-4-2014 11:45 AM
Sponsor
Joseph Jordan (Butler University)
Description
Background: Pharmacist roles are expanding, specifically to include medication therapy management. While this is common in almost all retail settings, this is a new idea emerging in insurance companies, as part of the pharmacy benefits section.
Purpose: To develop a medication therapy management (MTM) program for congestive heart failure (CHF) to be utilized by a pharmacy benefit manager. Overall purpose of MTM is to increase patient survival and decrease morbidity, as well as decreasing healthcare costs.
Method: After doing some research into like insurance companies, a program for congestive heart failure medication therapy management was created. Forms were compiled based on clinical knowledge and research. The first form was created to guide the pharmacist conducting the MTM session through an initial patient screen. Then they will contact the patient, and a sample dialogue form was made so they can be sure all important topics are discussed. When interventions are identified, a pre-built form to fax for the doctor is available. Lastly, a form was created for a follow-up session with the patient. Each form was created to be as generic as possible, applying to most possible disease states that would be encountered in a typical MTM patient. A reference document was also created, including an easy to follow flow chart. This was done in order to help pharmacists who may not deal with the disease state, congestive heart failure, often enough to remember the specifics of suggested medications, target doses, common side effects, drug specific monitoring, and disease state monitoring.
Results: MTM program that involves 4 steps: a pre-assessment, patient contact, physician contact, and follow-up. All in attempt to save overall healthcare costs by increasing disease state management and medication adherence.
Conclusion: After implementation, this MTM program should help pharmacists in a PBM to better assess a congestive heart failure patient. Overall, implementing the MTM program will lead to decreased healthcare costs in those patients who participate.
Medication Therapy Management: Congestive Heart Failure
Indianapolis, IN
Background: Pharmacist roles are expanding, specifically to include medication therapy management. While this is common in almost all retail settings, this is a new idea emerging in insurance companies, as part of the pharmacy benefits section.
Purpose: To develop a medication therapy management (MTM) program for congestive heart failure (CHF) to be utilized by a pharmacy benefit manager. Overall purpose of MTM is to increase patient survival and decrease morbidity, as well as decreasing healthcare costs.
Method: After doing some research into like insurance companies, a program for congestive heart failure medication therapy management was created. Forms were compiled based on clinical knowledge and research. The first form was created to guide the pharmacist conducting the MTM session through an initial patient screen. Then they will contact the patient, and a sample dialogue form was made so they can be sure all important topics are discussed. When interventions are identified, a pre-built form to fax for the doctor is available. Lastly, a form was created for a follow-up session with the patient. Each form was created to be as generic as possible, applying to most possible disease states that would be encountered in a typical MTM patient. A reference document was also created, including an easy to follow flow chart. This was done in order to help pharmacists who may not deal with the disease state, congestive heart failure, often enough to remember the specifics of suggested medications, target doses, common side effects, drug specific monitoring, and disease state monitoring.
Results: MTM program that involves 4 steps: a pre-assessment, patient contact, physician contact, and follow-up. All in attempt to save overall healthcare costs by increasing disease state management and medication adherence.
Conclusion: After implementation, this MTM program should help pharmacists in a PBM to better assess a congestive heart failure patient. Overall, implementing the MTM program will lead to decreased healthcare costs in those patients who participate.