Delivering Medication Therapy Management Services in the Community hosted by St. John s University College of Pharmacy and Health Sciences
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1 American Pharmacists Association s Delivering Medication Therapy Management Services in the Community hosted by St. John s University College of Pharmacy and Health Sciences Delivering Medication Therapy Management Services in the Community, originally developed by the American Pharmacists Association and the American Society of Consultant Pharmacists, is an innovative and interactive certificate training program that explores the pharmacist's role in providing MTM services to patients. Pharmacists have a tremendous opportunity to receive reimbursement for monitoring and improving medication use in patients with complex medication regimens. This practice-based activity teaches pharmacists the essential skills necessary to become a successful MTM practitioner. The certificate training program will enhance pharmacists' clinical expertise in evaluating complicated medication regimens, identifying medication-related problems, and making recommendations to patients, caregivers, and health care professionals. SPRING 2018 SCHEDULE Wednesday, April 18 th 9 A.M. 6 P.M. Tuition - $425 The goals of the certificate training program are to: Communicate benchmark practices for providing MTM services. Acknowledgements and Disclosures Advance public health and patient care through improved medication use. Provide training to enhance pharmacists ability to effectively provide MTM services. Motivate increased numbers of pharmacists to establish MTM services. This ACPE activity does not provide a certification in this topic but rather advanced professional training. Self-Study Learning Objectives At the completion of the self-study program, the participant will be able to: Explain the key components of medication therapy management (MTM). Define the five core elements of the MTM service model. Discuss the MTM provisions of the Medicare Part D benefit, including requirements established by the Centers for Medicare and Medicaid Services and the Affordable Care Act. List opportunities for providing MTM services including those that were created by the Affordable Care Act, such as patientcentered medical homes, accountable care organizations, and transition of care activities. Cite data that describe the current status of MTM provision in the United States. Discuss quality measures that can be impacted by MTM services or used to evaluate MTM services. Apply concepts and recommendations from current dietary, physical activity, and weight management guidelines to the specific needs of patients with diabetes. Discuss quality measures that can be impacted by MTM services or used to evaluate MTM services. Describe economic and clinical outcomes that are affected by pharmacist-provided patient care services Describe the components of a business plan. Evaluate the strengths and weaknesses of current pharmacy operations and list potential service opportunities and barriers that threaten success using a SWOT analysis. Write goals for providing medication therapy management (MTM) services. Describe appropriate activities for pharmacy technicians, student pharmacists, and pharmacy residents involved with MTM services. Discuss strategies for obtaining compensation for MTM services. Outline the processes and key considerations of making MTM services operational and integrated with existing services.
2 Identify measures to track the economic, clinical, and humanistic outcomes of an MTM service. Describe elements of a marketing plan for attracting patients, providers, employers, and payers to engage in MTM services in your practice setting. List at least seven types of medication-related problems and possible solutions. Describe strategies for and limitations of using clinical practice guidelines during MTM services. Explain pharmacodynamic and pharmacokinetic changes that are common in elderly adults. Define the term geriatric syndromes. Explain the risks of medication-related problems in elderly patients, and strategies for reducing their incidence. List patient assessment strategies that may be useful during MTM visits. Identify patients with low health literacy. Describe techniques that support open communication with patients, including open-ended questions and active listening techniques. Describe a strategy for improving the cultural competence of pharmacists providing patient care during MTM visits. Identify the stages of behavior change in the Transtheoretical Model of Change. Describe the communication process used in motivational interviewing. Outline ways to adapt patient communication strategies when caring for patients with functional impairments. Identify pertinent information that should be obtained from patients and other health care providers prior to a medication therapy management (MTM) visit. Explain how to greet a patient and begin a patient interview during a medication therapy review. Systematically review a patient s medication regimen to assess for medication-related problems (MRPs). Assess whether an elderly patient requires dosage adjustments for drugs that are cleared renally. Describe a strategy for prioritizing MRPs. Identify components of the personal medication record and medication-related action plan. Describe the steps involved in completing an assessment of a patient s medication-related needs. Document an MTM visit. Explain information that should be included in a SOAP note. Describe how to document MTM services for internal records, patient records, and communications with third parties. Assess pre- and post-discharge medication lists as part of the medication reconciliation process. Live Seminar Learning Objectives At the completion of this seminar, the participant will be able to: Conduct a thorough medication therapy review (MTR) Complete a personal medication record (PMR) Develop a medication-related action plan (MAP) When interviewing a patient, employ effective communication skills to overcome communication barriers Document medication therapy management (MTM) services in a manner that allows for evaluating patient progress, billing, and tracking clinical and financial outcomes Create a plan for patient follow-up Assess patient-specific data and issues, and interpret these findings to identify medication-related problems Develop a patient problem list and a list of the patient s medication-related problems Establish goals of therapy for each medical condition and medication-related problem identified Make recommendations for resolving situations in which a patient s medications are potentially inappropriate Discuss the elements of an effective medication therapy recommendation to another health care practitioner Describe the medication use concerns and adverse drug events that are more common in elderly patients Account for pharmacokinetic and pharmacodynamic changes when reviewing an elderly person s medication regimen List important considerations when determining the operations of an MTM service Identify potential payers for MTM services Explain how to bill for MTM services using CPT codes Describe strategies for marketing MTM services Describe emerging opportunities for delivering MTM services Post-Seminar Exercise Following the same format as the pre-seminar exercises and using cases from the pharmacist's practice, participants must perform and document a medication therapy review for three additional patient cases. For each case, participants will identify and prioritize the patient's medication-related problems, develop appropriate interventions, complete the appropriate documentation, and devise a plan for follow-up. After completing the post-seminar, pharmacists will be able to: Conduct a thorough patient medication history for three patients.
3 Complete a personal medication record (PMR) for three patients. Develop a medication-related action plan (MAP) for three patients. Given three patient cases: Identify patient-specific data and issues and interpret these findings to assess the patient's medication-related needs. Apply the principles of pharmacokinetic and pharmacodynamic changes when reviewing an elderly persons medication regimen. Generate a list of medication-related problems for the patient. Establish goals of therapy for each identified medical condition and medication-related problem. Provide recommendations for modifying potentially inappropriate medication regimens. Document services provided to three patients in a manner appropriate for evaluating patient progress, sufficient for billing purposes, and applicable to tracking of clinical and financial outcomes. Activity Completion Requirements The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. The APhA Delivering Medication Therapy Management Services certificate training program is approved for a total of 21.0 contact hours of continuing pharmacy education (CPE) credit (2.1 CEUs). The ACPE Universal Activity Numbers (UAN) for this activity are listed below. Successful completion of the self-study component involves passing the self-study assessment with a grade of 70% or higher and will result in 10 contact hours of CPE credit (1.0 CEUs). ACPE UAN: H04-P/ H04-P Successful completion of the live seminar component involves attending the full live seminar and completing the online evaluation. Successful completion of this component will result in 8 contact hours of CPE credit (0.8 CEU). ACPE UAN: L04-P/ L04-P Successful completion of the post seminar case exercise component involves completing 3 post cases and submitting an online attestation statement of completion. Successful completion of this component will result in 3 contact hours of CPE credit (0.3 CEU). ACPE UAN: H04-P>/ H04-P If you are a Minnesota Pharmacist and want to enroll in the APhA MTM certificate training, please contact education@aphanet.org. Minnesota pharmacists are required to complete 12 post cases & will receive 12 contact hours of CPE credit. To obtain 21.0 contact hours of CPE credit (2.1 CEUs) for APhA's Delivering Medication Therapy Management Services program, the learner must complete all components listed above, and CLAIM credit for each component. Participants will need to have a valid APhA (pharmacist.com) username and password, as well as a CPE Monitor account to claim credit. After credit has been claimed, please visit CPE monitor for your transcript. The Certificate of Achievement will be available online upon successful completion of the necessary activity requirements on the participant s My Training page. APhA continuing pharmacy education policy provides you with two opportunities to successfully complete the continuing pharmacy education assessment. Please note that you will not be permitted to submit the assessment a third time. The current policy of the APhA Education Department is not to release the correct answers to any of our CPE tests. This policy is intended to maintain the integrity of the CPE activity and the assessment. Release Date: July 31, 2017 Expiration Date: June 30, NO HOME STUDY CREDIT GRANTED AFTER THIS DATE. LIVE CREDIT CAN ONLY BE GRANTED WITHIN 60 DAYS FROM THE DATE OF THE LIVE PROGRAM ATTENDED. Activity Type: Practice-based Target Audience: Pharmacists in all practice settings
4 Technology requirements and suggestions for a better learning experience: In order to participate in this activity, participants must have access to a computer with these minimum system requirements: Hardware Requirements 128 MB of RAM 16-bit video card capable of 1024x768 screen resolution or better Speakers or headphones Software Requirements Internet Browsers IE 8 and greater Microsoft Edge 12 and greater Firefox 4 and greater Google Chrome Safari 5 and greater Operating Systems Windows XP, 7, 8, Vista Mac OSX ios devices (tablets and phones): Please note: ipads do not currently allow Adobe Support to be downloaded onto the device. Android devices (tablets and phones) Windows 10
5 Faculty: Emily Ambizas, Pharm.D., Associate Clinical Professor Carmela Avena-Woods, Pharm.D., Associate Clinical Professor Danielle Ezzo, Pharm.D., Associate Clinical Professor Olga Hilas, Pharm.D., Associate Clinical Professor Maria Mantione, Pharm.D., Associate Clinical Professor Nissa Mazzolla, Pharm.D., Associate Clinical Professor Spring 2018 SCHEDULE Queens campus Wednesday, April 18, a.m. 6 p.m Utopia Parkway Jamaica, NY PROGRAM FEE: $425 SJU Preceptor fee - $175 SJU Student fee - $175 (No CE credit awarded) You will receive a confirmation and log-in information, by , once your registration is completed. For registration or information, please call (718) FAX: (718) APhA s DELIVERING MEDICATION THERAPY MANAGEMENT SERVICES IN THE COMMUNITY To register for this program, please complete and return this form no later than 2 weeks prior to class date to: Name Please Print or Type St. John s University College of Pharmacy and Health Sciences, Office of Continuing Professional Education, 8000 Utopia Parkway, Jamaica, NY FOR INFORMATION: PROGRAM FEE: $425 (payable to St. John s University) This program is limited to the first 32 registered participants X#: (if available) Mailing Address City State Zip OFFICIAL USE ONLY Self-Study info. sent: Please check: April 18, 2018 Telephone Number Address Current Position: Pharmacist Preceptor (site : ) Student NOTE: This program is subject to postponement or cancellation if the minimum number of registrants is not met at least 10 days prior. Tuition Pharmacist $425 SJU Preceptor $175 Student $175 (no CE credit) Check payable to: St. John s University Credit Card: Please call (718) for instructions to pay by credit card Refunds must be requested in writing and received no later than 1 week prior to the date of class. Please be advised, once you have redeemed your enrollment code on APhA s training program site, if you withdraw from the class prior to the live program, a $150 fee will be deducted from any refund requested.
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