The evaluation of comprehensive medication management for chronic diseases in primary care clinics, a Texas delivery system reform incentive payment program

BMC Health Services Research
Tong Han ChungYen-Chi L Le

Abstract

The Institute of Medicine reported that more than 1.5 million preventable adverse drug events occur annually in the United States. Comprehensive Medication Management (CMM) is the medication review process to improve clinical outcomes, enhance patient adherence, reduce drug therapy problems and reduce health care costs. University of Texas (UT) Physicians implemented a CMM program in several community-based clinics. We evaluated the effectiveness of CMM to reduce drug therapy problems and achieve medical cost savings. This was a retrospective, observational study of CMM participants from October 2015 to September 2016. Program participants included patients aged 18 years or older who had taken more than 4 prescribed medications and were diagnosed with at least one of the following chronic diseases: hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma or diabetes. Under the CMM program, a clinical pharmacist reviewed patients' electronic health records and created action plans to resolve identified drug problems. As part of the evaluation of the clinical process, two independent physicians conducted peer review on the recommendations issued by the pharmacist in order to establish inter-rater reli...Continue Reading

References

Mar 25, 2010·Journal of Managed Care Pharmacy : JMCP·Djenane Ramalho de OliveiraDavid B Miller
Apr 8, 2011·Health Affairs·Marie SmithMichael P Starkowski
Aug 13, 2014·Pharmacotherapy·UNKNOWN American College of Clinical Pharmacy
Oct 23, 2016·Journal of the American Pharmacists Association : JAPhA·Magaly Rodriguez de BittnerFadia Tohme Shaya
Jan 7, 2019·Journal of the American Pharmacists Association : JAPhA·Patricia H FabelRobert E Davis

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Citations

Jan 21, 2021·The American Journal of Medicine·M Shawn McFarlandUNKNOWN writing on behalf of the Get the Medications Right Institute
Sep 8, 2021·Frontiers in Pharmacology·Xiao-Feng NiLing-Li Zhang

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

SAS
Allscripts
DSRIP

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