TY - JOUR
KW - Cooperative Behavior
KW - Delivery of Health Care, Integrated/organization & administration
KW - Follow-Up Studies
KW - Homeless Persons
KW - Humans
KW - Medication Therapy Management/organization & administration
KW - Models, Organizational
KW - Patient Acceptance of Health Care
KW - Patient-Centered Care/organization & administration
KW - Pharmaceutical Services/organization & administration
KW - Pharmacists/organization & administration
KW - Professional Role
AU - L. R. Moczygemba
AU - J. V. Goode
AU - S. B. Gatewood
AU - R. D. Osborn
AU - A. J. Alexander
AU - A. K. Kennedy
AU - L. P. Stevens
AU - G. R. Matzke
A1 - 
AB - OBJECTIVE: To describe the integration of collaborative medication therapy management (CMTM) into a safety net patient-centered medical home (PCMH). SETTING: Federally qualified Health Care for the Homeless clinic in Richmond, VA, from October 2008 to June 2010. PRACTICE DESCRIPTION: A CMTM model was developed by pharmacists, physicians, nurse practitioners, and social workers and integrated with a PCMH. CMTM, as delivered, consisted of (1) medication assessment, (2) development of care plan, and (3) follow-up. PRACTICE INNOVATION: CMTM is integrated with the medical and mental health clinics of PCMH in a safety net setting that serves homeless individuals. MAIN OUTCOME MEASURES: Number of patients having a CMTM encounter, number and type of medication-related problems identified for a subset of patients in the mental health and medical clinics, pharmacist recommendations, and acceptance rate of pharmacist recommendations. RESULTS: Since October 2008, 695 patients have had a CMTM encounter. An analysis of 209 patients in the mental health clinic indicated that 425 medication-related problems were identified (2.0/patient). Pharmacists made 452 recommendations to resolve problems, and 384 (85%) pharmacist recommendations were accepted by providers and/or patients. For 40 patients in the medical clinic, 205 medication-related problems were identified (5.1/patient). Pharmacists made 217 recommendations to resolve the problems, and 194 (89%) recommendations were accepted. CONCLUSION: Integrating CMTM with a safety net PCMH was a valuable patient-centered strategy for addressing medication-related problems among homeless individuals. The high acceptance rate of pharmacist recommendations demonstrates the successful integration of pharmacist services.
BT - Journal of the American Pharmacists Association : JAPhA
C5 - Medical Home
CP - 2
CY - United States
DO - 10.1331/JAPhA.2011.10191
IS - 2
JF - Journal of the American Pharmacists Association : JAPhA
N2 - OBJECTIVE: To describe the integration of collaborative medication therapy management (CMTM) into a safety net patient-centered medical home (PCMH). SETTING: Federally qualified Health Care for the Homeless clinic in Richmond, VA, from October 2008 to June 2010. PRACTICE DESCRIPTION: A CMTM model was developed by pharmacists, physicians, nurse practitioners, and social workers and integrated with a PCMH. CMTM, as delivered, consisted of (1) medication assessment, (2) development of care plan, and (3) follow-up. PRACTICE INNOVATION: CMTM is integrated with the medical and mental health clinics of PCMH in a safety net setting that serves homeless individuals. MAIN OUTCOME MEASURES: Number of patients having a CMTM encounter, number and type of medication-related problems identified for a subset of patients in the mental health and medical clinics, pharmacist recommendations, and acceptance rate of pharmacist recommendations. RESULTS: Since October 2008, 695 patients have had a CMTM encounter. An analysis of 209 patients in the mental health clinic indicated that 425 medication-related problems were identified (2.0/patient). Pharmacists made 452 recommendations to resolve problems, and 384 (85%) pharmacist recommendations were accepted by providers and/or patients. For 40 patients in the medical clinic, 205 medication-related problems were identified (5.1/patient). Pharmacists made 217 recommendations to resolve the problems, and 194 (89%) recommendations were accepted. CONCLUSION: Integrating CMTM with a safety net PCMH was a valuable patient-centered strategy for addressing medication-related problems among homeless individuals. The high acceptance rate of pharmacist recommendations demonstrates the successful integration of pharmacist services.
PP - United States
PY - 2011
SN - 1544-3450; 1086-5802
SP - 167
EP - 172
EP - 
T1 - Integration of collaborative medication therapy management in a safety net patient-centered medical home
T2 - Journal of the American Pharmacists Association : JAPhA
TI - Integration of collaborative medication therapy management in a safety net patient-centered medical home
U1 - Medical Home
U2 - 21382806
U3 - 10.1331/JAPhA.2011.10191
VL - 51
VO - 1544-3450; 1086-5802
Y1 - 2011
ER -