Comprehensive Drug Therapy Management

Our guests are Pharmacy residents Tara Kamprath and Angie Soken. They’ll be discussing their residency project that created a collaborative way to better manage the medications people with diabetes take. Here’s the blurb:

Memorial is constantly exploring creative ways to deliver quality, cost effective health care. A great example of this innovation is a project two of our pharmacy residents, Angie Soken and Tara Kamprath, have worked on the past six months.

Explain more about your project
• The Comprehensive Drug Therapy Management service provides pharmacists a unique opportunity to help patients through transitions of care, whether that be after discharge from the hospital with new medications or when a patient is newly diagnosed with a disease that requires extensive medication management. The goal of CDTM services is to integrate pharmacists into the primary care clinic setting which allows for a more collaborative team approach to optimize patient care goals.
• In order to prove the benefit of these services a small pilot, quality improvement study was needed, so we focused a particular group of patients initially.
• We worked with providers at Family Medicine of Yakima and identified their Medicare patients with type 2 diabetes who could benefit from this additional counseling.
• Our hope was that we would see improvements in disease management with this resource.

How did it work and how many patients did you see?
• We met with patients to review their medications and made follow up calls to them as needed.
• We met with 20 patients from the end of January to the beginning of April.

What services did you provide?
• Comprehensive drug therapy management services or CDTM included the following:
• Diabetes knowledge assessment
• Disease and medication focused education
• Medication therapy review
• Completion of personal medication records
• Development of medication-related self-management action plans or MAPs which empower patients to manage their own problems.
• I was able to provide medication assistance for patients who were having drug cost issues and helped patients utilize the resources available to them, such as obtaining nutrition education referrals.

What feedback did you get from patients and their doctors?
• Initial feedback within the clinic during project implementation was positive. Several providers heard positive reviews from their patients and this helped peak their interest in continuing the services.
• At the end of the pilot, the provider reviews were also positive and they hoped we will continue the service development and extend this to other patients.

How will you judge the success of the program?
Study outcomes initially focused on the efficacy of CDTM program implementation and efficacy of pharmacist intervention by describing the following:
• Patient and prescriber participation
• Actual and potential adverse drug events
• Patient and prescriber satisfaction
• Number and type of pharmacist-directed interventions implemented
• Medication compliance
• Differences in patient and provider medication lists

For more information go to yakimamemorial.org.

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