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Medication assessment tool to detect care issues from routine data: a pilot study in primary care
International Journal of Clinical Pharmacy
|August 21, 2013
Summary
A medication assessment tool for cardiovascular conditions (MAT CVC) identified numerous medication management issues in primary care patients. Over 40% of identified issues were unexplained, highlighting significant opportunities for improving medication therapy management (MTM).
Area of Science:
- Pharmacotherapy
- Primary Care Medicine
- Health Informatics
Background:
- Medication assessment tools (MATs) can be integrated into electronic health records to identify patients needing medication therapy management (MTM) optimization.
- This can facilitate follow-up by multi-disciplinary teams.
Purpose of the Study:
- To demonstrate the utility of a MAT for cardiovascular conditions (MAT CVC) in profiling MTM optimization opportunities in primary care.
- To evaluate the performance of MAT CVC in identifying actual care improvement opportunities.
Main Methods:
- MAT CVC, comprising 21 criteria, was used to assess linked electronic records from general practitioners (GPs) and community pharmacists (CPs).
- The tool identified 'open unexplained' care issues, and a sample of these patients was reviewed by their GP.
Main Results:
- MAT CVC identified 6,915 care issues in 1,876 patients, with 40.1% being 'open unexplained'.
- 1,277 patients (68.1%) had at least one 'open unexplained' issue. The number needed to review (NNR) for patients with four or more issues was 2.
Conclusions:
- The MAT CVC shows potential as a core component of a collaborative MTM system.
- Enhancing documentation and sharing of explanations for guideline deviations can improve the tool's effectiveness.
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