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Implementation of technician-driven medication therapy management program in community pharmacies.
Journal of the American Pharmacists Association : Japha
|July 22, 2019
Summary
A medication therapy management (MTM) training program successfully streamlined workflow and expanded technician roles in community pharmacies. Competing priorities and staffing remain barriers to full MTM service implementation.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Implementation Science
Background:
- Pharmacists face challenges integrating medication therapy management (MTM) services into community pharmacy operations.
- A community pharmacy chain developed a comprehensive MTM training program with a detailed workflow and templates for easy adoption.
Purpose of the Study:
- To assess the adoption and implementation of a standardized MTM workflow program in community pharmacies.
- To identify barriers encountered during the implementation of MTM services.
Main Methods:
- A qualitative cross-sectional study involving semistructured interviews with pharmacists and technicians one year post-training.
- Participants were from 12 community pharmacies in Arkansas that received the MTM training.
Main Results:
- The MTM training program was successfully implemented in all participating pharmacies without difficulty.
- Pharmacists and technicians reported improved workflow, expanded technician responsibilities, and increased confidence in delivering MTM services.
- Despite the program's success, competing priorities and staffing limitations were identified as key barriers to MTM implementation.
Conclusions:
- The developed training program enabled diverse community pharmacies to effectively implement MTM services.
- Further research is recommended to investigate the long-term sustainability and the impact of MTM services on financial and patient outcomes.
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