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Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations

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A checklist for a consistent, comprehensive medication review.

Shannon Vaffis, Harman Dhatt, Elizabeth Anderson

Journal of the American Pharmacists Association : Japha

|July 2, 2023

Summary

This summary is machine-generated.

Pharmacists provide annual comprehensive medication reviews (CMRs) to Medicare beneficiaries. A new checklist helps evaluate and improve the consistency and completeness of CMR services, addressing gaps in care.

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Area of Science:

Health Services Research
Pharmaceutical Sciences
Geriatric Medicine

Background:

Medicare Advantage and Part D plans must offer annual comprehensive medication reviews (CMRs) to eligible beneficiaries.
Pharmacists have flexibility in CMR delivery and content, leading to inconsistent service provision.
Existing guidance lacks specific detail for consistent CMR content coverage.

Purpose of the Study:

To develop and test an ideal checklist for comprehensive medication review (CMR) content coverage.
To evaluate the consistency and completeness of pharmacist-delivered CMR services.
To identify gaps in CMR service delivery for quality improvement.

Main Methods:

An extensive evaluation was conducted to create a CMR Content Checklist.
The checklist was tested in a real-world setting to assess its utility.
The checklist was used to evaluate variations in CMR service coverage.

Main Results:

Real-world testing identified specific gaps in CMR service coverage.
The CMR Content Checklist proved effective in evaluating service comprehensiveness.
The checklist can assess variations in service delivery among pharmacists and sites.

Conclusions:

The CMR Content Checklist is a valuable tool for quality improvement in medication reviews.
It provides detailed insights into key service aspects, informing quality measure development.
Implementing the checklist can enhance the consistency and quality of CMR services for Medicare beneficiaries.