What question did this study set out to answer?

To evaluate the clinical, economic, and humanistic outcomes of providing face-to-face medication therapy management services over a 10-year period in a large integrated health system.

August 28, 2020Journal of Managed Care & Specialty PharmacyOpen Access

Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System

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Authors

DODjenane Ramalho de OliveiraUniversidade Federal de Minas Gerais ABAmanda BrummelFairview Health Services DMDavid B. MillerCollege of Healthcare Management

Discussion

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Implication

Retrospective analysis demonstrates improved clinical goals and positive return on investment in primary care patients, highlighting the value of pharmacist-led medication therapy management.

Key Points

To evaluate the clinical, economic, and humanistic outcomes of providing face-to-face medication therapy management services over a 10-year period in a large integrated health system.
Retrospective cohort analysis of electronic therapeutic records from 9,068 adult patients across 48 primary care clinics between September 1998 and September 2008.
Evaluated 33,706 face-to-face encounters to track drug therapy problems, clinical goal attainment, 3-month cost savings from avoided health care utilization, return on investment (ROI), and patient satisfaction.
Pharmacists identified and addressed 38,631 drug therapy problems across 33,706 encounters, most frequently a need for additional drug therapy (28.1%, n=10,870) and subtherapeutic dosage (26.1%, n=10,100).
Among 12,851 medical conditions not at treatment goal at baseline in 4,849 patients, 55.0% (n=7,068) improved, 23.0% (n=2,956) remained unchanged, and 22.0% (n=2,827) worsened following pharmacist interventions.
Estimated cost savings reached $2,913,850 ($86 per encounter) compared to $2,258,302 in program costs ($67 per encounter), yielding an estimated ROI of $1.29 per $1 spent, with 95.3% of surveyed patients reporting improved health and well-being.

Cite This Study

Oliveira et al. (2020) studied this question.

synapsesocial.com/papers/6a71d815f44fa9f079df8881 https://doi.org/10.18553/jmcp.2020.26.9.1057

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Implication

Retrospective analysis demonstrates improved clinical goals and positive return on investment in primary care patients, highlighting the value of pharmacist-led medication therapy management.

Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System

Discussion

Member takes

Implication

Key Points

Cite This Study

Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System

Discussion

Member takes

Implication

Key Points

Cite This Study

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