Academic-community partnership to implement medication therapy management (MTM) services in rural Arizona communities improves safety for patients with complex chronic conditions
Methods: UAMMC collaborated with five rural facilities (two community health centers and three independent pharmacies) to implement MTM services for patients with multiple chronic conditions, including diabetes mellitus and/or hypertension. UAMMC met telephonically with partners to: build consensus on project goals, develop patient recruitment procedures, and develop strategies to facilitate participation. UAMMC pharmacists participated in regular telephonic patient conferences to: identify and resolve safety concerns and gaps in medication care and adherence, address medication cost and optimization, and identify adherence to national consensus preventive care treatment guidelines. Information was shared with local providers.
Results: Patients (n=600) with diabetes, hypertension, or both were recruited. Medication safety outcomes measured included identifying: therapeutic duplications, interactions (e.g., drug-drug, drug-disease, and drug-age), dosing concerns and adverse drug reactions, and recommendations implemented. Analysis occured across participating sites and included percentage of successful safety based interventions and rate of provider recommendation acceptance.
Learning Areas:Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Describe a community-academic partnership to provide medication therapy management (MTM) services to patients with complex chronic conditions living in rural Arizona communities. Assess the impact of a community-academic partnership to provide MTM services on medication-related patient safety outcomes including therapeutic duplications, interactions (e.g., drug-drug, drug-disease, and drug-age), dosing concerns and adverse drug reactions. Assess the acceptance rate and successful implementation of safety recommendations made.
Keyword(s): Chronic Disease Management and Care, Rural Health
Qualified on the content I am responsible for because: I am pharmacist and have worked in Medication Therapy Management (MTM) for years. I have lead projects that aim to address health disparities and collaborate with local communities to do so.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.