Lynn Nishida, R'Ph'

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Medication Therapy Management Program 2006

• Lynn Nishida, R.Ph.
• Manager - Clinical Pharmacy Services
• American Health Quality Association Conference

November 2005
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Medication Therapy Management Program
Medicare Population
CMS Based Criteria
Medication Check-up

• Asthma, Diabetes, Heart (gt 2)
• gt 2 medications
• gt 2000 / 6 months Part D medications

Controlled Substances Polypharmacy
Targeted Education
Heart - Diabetes Asthma
Highest Risk

• Poor compliance.
• Inappropriate medication use.

Consult
Consult
Pharmacist
Doctor
Patient
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Medication Check-Up

• ? Medication Duplication
• ? Side Effects
• Care Coordination
• Optimize Dose, Regimen,
• Outcome

Medication Check-Up Bag
1. Fill this with your medications.
2. Take the bag to your doctor at the
next visit.
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Polypharmacy
Care Coordination
Controlled Substances C II - CV
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Targeted Education

• Self Management Tools
• Treatment goals and options
• Lifestyle choices
• Medication compliance
• Proper medication use

Asthma
Diabetes
Heart
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Highest Risk Medicare Members

• Diabetes
• High cholesterol
• Poor medication compliance

• Heart
• High cholesterol
• Diabetes
• Poor medication compliance

Patient Consult

• Asthma
• Excessive beta agonists
• Poor inhaled corticosteroid compliance

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Patient Outreach Tools

• Help Members Understand Choices
• Potential Advantages/Disadvantages
• Generic Alternatives

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Measuring Success

• Program Experience
• Markers of Improved Health
• Key medications
• Predictors of improved outcomes
• Medication adherence
• Quantify Cost Savings
• Decreased medication use
• Least costly options

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