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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

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Revealing undetected problems with medication therapy management services.

Akash J Alexander¹, Sharon B S Gatewood

¹Virginia Commonwealth University, School of Pharmacy, Richmond, VA 23298, USA.

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists

|September 4, 2008

Summary

Medication Therapy Management (MTM) services empower pharmacists to improve patient outcomes and reduce costs. This case study shows how MTM identified and resolved medication-related issues for a Medicare patient.

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Area of Science:

Pharmaceutical Practice
Health Outcomes Research
Patient Care

Background:

The Medicare Modernization Act of 2003 established Medication Therapy Management (MTM) services.
MTM services highlight the evolving, progressive roles of community pharmacists.
These services aim to optimize therapeutic outcomes and decrease healthcare expenditures.

Observation:

A case study details an MTM session with a 68-year-old male Medicare Part D enrollee.
The patient had a history of dyslipidemia, depression, and epilepsy.
The pharmacist identified medication-related problems including inappropriate prescribing, self-treatment, and knowledge deficits.

Findings:

Pharmacists performing MTM can obtain detailed medication histories.
They assess patient adherence, side effects, and provide patient education.
Pharmacists can collaborate with prescribers on therapeutic interchanges.

Implications:

MTM services are crucial for achieving desirable therapeutic outcomes.
Effective MTM can lead to reduced healthcare costs.
Open communication between patients, pharmacists, and prescribers is vital for MTM success.