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Sustaining Ambulatory Comprehensive Medication Management Practices: Perspectives from a Minnesota Pharmacist
Mckaya R Kastner1, Zachariah J Merk2
11 Allina Health, Richfield, Minnesota.
Journal of Managed Care & Specialty Pharmacy
|November 28, 2018
Summary
Pharmacists providing comprehensive medication management (CMM) can sustain practices by combining financial and quality initiatives. This approach, developed by the Health-Systems Alliance for Integrated Medication Management (HAIMM), ensures long-term viability in evolving healthcare.
Area of Science:
- Health Services Research
- Pharmacy Practice
Background:
- Pharmacists delivering comprehensive medication management (CMM) must demonstrate value in evolving healthcare landscapes.
- Minnesota CMM programs, established in 1998, offer a long history of practice and best practice development.
- The Health-Systems for Integrated Medication Management (HAIMM) involves 13 Minnesota health systems, 90 pharmacists, and 121 clinics.
Purpose of the Study:
- To identify and analyze common strategies for sustaining comprehensive medication management (CMM) practices.
- To explore fiscal and quality-based initiatives crucial for CMM practice viability.
- To gather insights on the implementation and lessons learned for CMM sustainability.
Main Methods:
- A poll of pharmacist representatives from HAIMM member health systems identified common sustainability strategies.
- Common trends were analyzed, and the group surveyed for implementation considerations.
- Strategies were categorized into fiscal and quality-based initiatives for discussion.
Main Results:
- Numerous strategies were identified for ensuring the sustainability of CMM practices.
- Common trends in CMM practice sustainability were identified through polling and surveys.
- Implementation options and lessons learned were discussed for each strategy.
Conclusions:
- A combination of fiscal and quality-based strategies is recommended for sustaining CMM practices.
- The HAIMM collaborative identified best practices for long-term CMM program viability.
- Sustaining CMM requires a multifaceted approach addressing both financial and quality metrics.
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