Implementation of a medication therapy management collaborative within a pediatric health system
Summary
A collaborative medication therapy management (MTM) model was implemented in a pediatric health system, improving medication safety. This MTM program successfully addressed drug-related problems through pharmacist collaboration in outpatient settings.
Area of Science:
- Pharmacology and Health Services Research
- Medication Safety and Quality Improvement
- Pediatric Healthcare Delivery
Background:
- Medication therapy management (MTM) is crucial for ensuring safe and effective medication use, particularly in pediatric populations.
- Implementing MTM services in outpatient settings presents unique challenges and opportunities for optimizing patient care.
- A collaborative approach involving pharmacists across different practice environments can enhance MTM service delivery.
Purpose of the Study:
- To describe the implementation of a novel MTM collaborative model within a pediatric health system.
- To ensure the safe and appropriate use of medications for patients receiving care within the health system.
- To evaluate the effectiveness and impact of the collaborative MTM program.
Main Methods:
- A collaborative MTM model was developed and implemented across outpatient pharmacies and clinics.
- Pharmacists in different roles (outpatient vs. ambulatory clinical) focused on targeted medication reviews (TMRs) and comprehensive medication reviews (CMRs).
- Plan-do-study-act cycles were utilized for continuous program improvement, with data collected on MTM activities and staff perceptions.
Main Results:
- Over 6 months, 409 MTM interventions were completed, including 349 TMRs and 60 CMRs.
- Pharmacist-initiated interventions facilitated medication counseling and follow-up for patients starting new therapies.
- High intervention rates were observed: 39% for CMRs and 44% for TMRs, with ambulatory clinical pharmacists resolving drug-related problems in over half of CMRs.
Conclusions:
- The collaborative MTM model successfully addressed drug-related problems and promoted appropriate medication use in a pediatric health system.
- Key program elements included role-specific training, technician champions, and pharmacist-initiated interventions.
- This interdisciplinary, collaborative approach demonstrated a valuable strategy for enhancing MTM services in pediatric outpatient care.
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