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Positive Impact of Technician-Driven MTM Program on Performance Measures.

Leslie D Moore1, Megan G Smith2

  • 1Harps Food Stores, Springdale, AR, USA.

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Summary

A technician-led medication therapy management (MTM) program improved medication adherence for cholesterol, diabetes, and RASA medications in a community pharmacy chain. This quality improvement initiative shows potential for enhancing patient health outcomes.

Keywords:
community pharmacy servicesmedication therapy managementpharmacy technicianprogram evaluation

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Area of Science:

  • Pharmacy Practice
  • Health Services Research
  • Quality Improvement

Background:

  • Community pharmacies play a vital role in medication therapy management (MTM).
  • Optimizing MTM programs is crucial for improving patient adherence and health outcomes.
  • Medicare Part D Star Ratings incentivize quality performance in community pharmacies.

Purpose of the Study:

  • To evaluate the impact of a technician-driven MTM program on key quality performance measures.
  • To assess changes in medication adherence and high-risk medication use within a community pharmacy chain.

Main Methods:

  • A technician-driven MTM program was implemented across 35 stores in a regional pharmacy chain.
  • Quality measures, including proportion of days covered (PDC) for specific drug classes and high-risk medication use, were compared pre- and post-implementation.
  • Data were analyzed using t-tests, comparing one year of data before and after the program's introduction.

Main Results:

  • Significant increases in PDC were observed for renin-angiotensin system antagonists (RASA), cholesterol, and diabetes medications (P < .001, P = .011, P = .001).
  • The overall mean PDC score for these drug classes rose by 5.6% from 2015 to 2016 (74.2% to 79.8%, P < .001).
  • A non-significant decrease in high-risk medication use was noted across the chain.

Conclusions:

  • A technician-driven MTM program can effectively enhance pharmacy quality performance.
  • This model demonstrates potential for improving patient adherence and overall health outcomes.
  • Empowering pharmacy technicians in MTM can lead to measurable quality improvements.