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Medication therapy management goes hi-tech: implementing automated software improves pharmacy efficiency.

Adrienne Giordano¹, Carrie Holden¹, Cathrine Misquitta²

¹Clinical Pharmacist, Health Net Clinical Pharmacy Services, Rancho Cordova, CA.

American Health & Drug Benefits

|August 16, 2014

Summary

Pharmacists developed an automated software application to improve medication therapy management (MTM) programs. This system enhanced data collection and increased drug regimen reviews by over 300%, streamlining MTM services.

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Area of Science:

Health Informatics
Pharmaceutical Sciences
Health Services Research

Background:

Centers for Medicare & Medicaid Services (CMS) mandates require Medicare Part D sponsors to offer Medication Therapy Management (MTM) programs.
Existing software applications presented challenges for pharmacists in data collection for MTM programs.

Purpose of the Study:

To develop an automated software application to enhance MTM program efficiency.
To improve the integrity of member profiles and reporting accuracy for drug-related issues.

Main Methods:

Pharmacists collaborated with Cognizant Technology Solutions to create a web-based software application.
Key contributions included developing clinical algorithms, user interface, and program functionality.
Rigorous testing of the final software product was conducted by pharmacists.

Main Results:

The automated system facilitates monthly uploads of member demographics and qualifying parameters.
Drug-related problems are automatically displayed and updated within the software.
A significant increase of over 300% in drug regimen reviews and identified drug problems was observed.

Conclusions:

The automated software application effectively manages medication claims and facilitates communication with physicians and pharmacies.
It enables comprehensive documentation of patient-specific information in freeform text.
Pharmacists can access all necessary patient data from a single, integrated source.