Medication therapy management clinic: perception of healthcare professionals in a University medical center setting
Main Article Content
Keywords
Medication Therapy Management, Professional Practice, Academic Medical Centers, Personal Satisfaction, Attitude of Health Personnel, Pharmacists, United States
Abstract
Objective: To determine the overall perception and utilization of the pharmacist managed medication therapy management (MTM) clinic services, by healthcare professionals in a large, urban, university medical care setting.
Methods: This was a cross-sectional, anonymous survey sent to 195 healthcare professionals, including physicians, nurses, and pharmacists at The University of Illinois Outpatient Care Center to determine their perception and utilization of the MTM clinic. The survey consisted of 12 questions and was delivered through a secure online application.
Results: Sixty-two healthcare professionals (32%) completed the survey. 82% were familiar with the MTM clinic, and 63% had referred patients to the clinic. Medication adherence and disease state management was the most common reason for referral. Lack of knowledge on the appropriate referral procedure was the prominent reason for not referring patients to the MTM clinic. Of the providers that were aware of MTM services, 44% rated care as ‘excellent’, 44% as ‘good’, 5% as ‘fair’, and 0% stated ‘poor’. Strengths of MTM clinic identified by healthcare providers included in-depth education to patients, close follow-up, and detailed medication reconciliation provided by MTM clinic pharmacists. Of those familiar with MTM clinic, recommendations included; increase marketing efforts to raise awareness of the MTM clinic service, create collaborative practice agreements between MTM pharmacists and physicians, and ensure that progress notes are more concise.
Conclusion: In a large, urban, academic institution MTM clinic is perceived as a valuable resource to optimize patient care by providing patients with in-depth education as it relates to their prescribed medications and disease states. These identified benefits of MTM clinic lead to frequent patient referrals specifically for aid with medication adherence and disease state management.
References
2. Grumbach K, Bodenheimer T. Can health care teams improve primary care practice? JAMA. 2004;291(10):1246-1251.
3. Chisholm-Burns MA, Kim Lee J, Spivey CA, Slack M, Herrier RN, Hall-Lipsy E, Graff Zivin J, Abraham I, Palmer J, Martin JR, Kramer SS, Wunz T. US pharmacists' effect as team members on patient care: systematic review and meta-analyses. Med Care. 2010;48(10):923-933. doi: 10.1097/MLR.0b013e3181e57962
4. Pharmacy Manpower Project Inc. Final Report of the National Pharmacist Workforce Study 2009. http://www.aacp.org/resources/research/pharmacymanpower/Documents/2009%20National%20Pharmacist%20Workforce%20Survey%20-%20FINAL%20REPORT.pdf (Accessed August 7, 2012).
5. Government Printing Office. Medicare Prescription Drug, Improvement, and Modernization Act of 2003. http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=108_cong_public_laws&docid=f:publ173.108 (Accessed August 30, 2012).
6. Centers for Medicare & Medicaid Services. Fact Sheet: 2011 Medicare Part D Medication Therapy Management (MTM) Programs. http://www.cms.gov/PrescriptionDrugCovContra/downloads/MTMFact-Sheet2011063011Final.pdf (Accessed November 1, 2012).
7. Webb EC. Prescribing medications: changing the paradigm for a changing health care system. Am J Health Syst Pharm. 1995;52(15):1693-1695.
8. Thompson CA. Physician leaders hear details on pharmacist collaborative drug therapy management. Am J Health Syst Pharm. 2001;58(10):843-846.
9. McGrath SH, Snyder ME, Dueñas GG, Pringle JL, Smith RB, McGivney MS. Physician perceptions of pharmacist-provided medication therapy management: qualitative analysis. J Am Pharm Assoc (2003). 2010;50(1):67-71. doi: 10.1331/JAPhA.2010.08186
10. Alkhateeb FM, Unni E, Latif D, Shawaqfeh MS, Al-Rousan RM. Physician attitudes toward collaborative agreements with pharmacists and their expectations of community pharmacists' responsibilities in West Virginia. J Am Pharm Assoc (2003). 2009;49(6):797-800. doi: 10.1331/JAPhA.2009.08111
11. Maracle H, Ramalho de Oliveira D, Brummel A. Primary Care Providers’ experiences with Pharmaceutical Care-based Medication Therapy Management Services. Innovations in pharmacy. 2012;3(1):72.
12. Kliethermes MA, Schullo-Feulner AM, Tilton J, Kim S, Pellegrino AN. Model for medication therapy management in a university clinic. Am J Health Syst Pharm. 2008;65(9):844-56. doi: 10.2146/ajhp070338
13. Questionnaire Design. http://biostat.mc.vanderbilt.edu. (Accessed August 30, 2012).
14. McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, Thomas R, Harvey E, Garratt A, Bond J. Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. Health Technol Assess. 2001;5(31):1-256.
15. Fincham JE. Response rates and responsiveness for surveys, standards, and the Journal. Am J Pharm Educ. 2008;72(2):43.