Comprehensive Medication Management for the Consultant Pharmacist [2018]


What is Comprehensive Medication
Management and how does it differ from Continuous Medication Management? Find out next! Hi, I’m Blair Thielemier and I work with
pharmacists who want to build their advanced clinical services. Today I’m
going to talk about comprehensive medication management in the CPC plus
payment model. If you’re not familiar with the CPC plus model, don’t be alarmed, it is very new! It was created through MACRA as part of an advanced APM. Now remember, in MACRA there’s two different payment tracks that clinics and
providers can choose: the MIPS route or the Advanced APM route. So the CPC plus
model is application only. It’s only available in certain states and regions
and there are two different track models that the clinics can choose. Specifically,
in track two there’s an option to improve care through comprehensive
medication monitoring. The idea behind comprehensive medication monitoring is
to help patients develop a plan after discharge or for those patients
receiving longitudinal care management. There are four primary change tactics
listed in the CPC plus model’s track two for making these changes.
Number one – conduct comprehensive medication reviews, particularly for
high-risk patients that include action plans, individual therapy goals and
follow-up plans. Number two – provide medication self-management support for
patients to help them stay adherent to their prescribed therapies. Number three –
work together with pharmacists and other healthcare providers to promote
clinically sound, cost-effective medication therapies. Number four – my
favorite, integrate a clinical pharmacist into the care team to provide medication
management services. My thoughts for a program that includes a clinical
pharmacist like this could include: Number one – in collaboration with the
practice creation of a formulary for cost-effective, drug of choice
medications for each of the most common disease states. Number two – in
collaboration with the practice, to identify a list of high-risk medication
or “flagged” medications that warrant extra attention.
Number three – conduct CMRS on an annual basis, starting with those patients with
multiple chronic conditions, recent transitions of care or are on high risk or
flagged medications. Number four – in collaboration with the pharmacy, get the
patient set up on adherence support programs like medication synchronization,
help them with delivery services or any financial support that the patient may
need. And help to create an action plan with the individual so that they know
their specific therapy goals. Providing comprehensive medication management
programs in a CPC plus model is an opportunity for consultant pharmacists
to help providers and focus on patient care outcomes. If this video was helpful
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a friend. If you’re interested in getting more
information on pharmacist led clinical services, check out our website!