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. 2013 May;146(3):162-8.
doi: 10.1177/1715163513481315.

Enhanced medication management services in the community: A win-win proposal from an economic, clinical and humanistic perspective

Karen Riley  1
Affiliations

Enhanced medication management services in the community: A win-win proposal from an economic, clinical and humanistic perspective

Karen Riley. Can Pharm J (Ott). 2013 May.

Abstract

Background: Pharmacists are now receiving reimbursement by the Ontario government to do medication reviews for patients on 3 or more medications. However, they are often too busy in the community setting to thoroughly review medications with patients. Having a designated pharmacist to provide medication reviews could increase the number of reviews performed.

Methods: Step 1 involved developing a business plan to determine the number of medication reviews that needed to be done to pay a pharmacist a full-time salary. Step 2 involved establishing the core elements of medication therapy management that included medication review, a medication-related action plan, documentation and follow-up. In step 3, eligible patients were called and invited to attend an appointment to review their medications with the pharmacist. Upon completion of the medication reviews, a random group of patients were requested to complete a satisfaction survey after the medication review.

Results: Three hundred thirty-six patients received billable medication reviews from April 4 to July 27, 2012. Twenty-seven additional visits were performed as follow-up visits. Eighty pharmaceutical opinions met the eligibility criteria for billing. Fifteen patients received counselling for smoking cessation. Medication reviews were completed for 19 patients from 8 other pharmacies. Extra revenue was generated through the sales of replacements of expired products. An average of 2.08 drug-related problems per patients was identified. One hundred percent of the patients were very satisfied with the service.

Conclusion: A full-time pharmacist position providing enhanced medication management services generated enough income to pay for a full-time pharmacist's salary. The benefits to the patients were an increase in identification and resolution of drug-related problems, as well as an opportunity to receive disease state education and experience an improvement in disease states. Patients were extremely satisfied with the medication review process and the service provided to them. Can Pharm J 2013;146:162-168.

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References

    1. Romanow RJ. Building on values: the future of health care in Canada—final report. Commission on the Future of Health Care in Canada. Ottawa (ON): Government of Canada, 2002
    1. Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA 2006;296:1858-66 - PubMed
    1. Jyrkka J, Vartiainen L, Hartikainen S, et al. Increasing use of medicines in elderly persons: a 5 year follow-up of the Kuopio 75 Study. Eur J Clin Pharmacol 2006;62:151-8 - PubMed
    1. Cipolle R, Strand L, Morley P. Drug therapy problems. In: Pharmaceutical care practice: The clinician’s guide. 2nd ed. New York: McGraw-Hill; 2004. p. 171-200
    1. Westerlund T, Almarsdóttir AB, Melander A. Factors influencing the detection rate of drug-related problems in community pharmacy. Pharm World Sci 1999;21:245-50 - PubMed