Building a pharmacist-managed pharmacotherapy medication therapy management practice.

Area of Science:

• Clinical Pharmacy
• Healthcare Management
• Pharmacotherapy

Background:

• Medication Therapy Management (MTM) is crucial for optimizing patient outcomes.
• Developing sustainable MTM practices within healthcare systems presents unique challenges.
• A multispecialty clinic setting offers opportunities for integrated MTM services.

Purpose of the Study:

• To describe the establishment and expansion of a pharmacotherapy MTM practice.
• To highlight the key elements contributing to the practice's financial self-sustainability.
• To provide a replicable model for other institutions seeking to implement MTM.

Main Methods:

• The MTM practice is situated within a multispecialty medical clinic and community pharmacy.
• Services are provided to internal medicine, family medicine, bariatric surgery, and solid-organ transplant patients.
• A single pharmacist dedicates 50-75% of their time to MTM, serving 30-40 patients monthly.

Main Results:

• The pharmacotherapy MTM practice experienced initial slow growth but evolved into multiple operational models.
• The practice demonstrated financial self-sustainability, a key differentiator from many MTM initiatives.
• The model successfully integrates MTM services for both primary and specialty care patients.

Conclusions:

• The described MTM practice model offers a viable framework for institutional implementation.
• Successful MTM practice development requires strategic planning and adaptation to different patient populations.
• Financial viability and sustainable growth are achievable for MTM services in physician office settings.