Medication Therapy Management Questions and Answers 100% Pass

Medication Therapy Management Questions and Answers 100% Pass Why does the Institute of Medicine say that pharmacists are very much needed for their skills and expertise? It is impossible for nurses and physicians to keep up with information regarding medication use since there is an immense variety and complexity of medications that are now available. What does the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) stipulate? Medicare Part D benefit stipulates that all Part D plans have an MTM program. What is the main concern of MTM? identifying and resolving drug-related problems MTM focuses on assessing and reviewing drug regimen of a patient and involves more patient-centered care rather than focusing on the actual drug products themselves. List some elements that indicate a sound MTM program. (There are 7.) 1. communication 2. team-based approach 3. patient-centered approach 4. population and individual patient perspective 5. flexibility for broad application 6. evidence-based medicine 7. promotion of MTM services What are the criteria that must be met in order to be eligible for Medicare? 1. have at least 2 CHRONIC health conditions (usually 3) 2. Take at least 3 medications. 3. Estimated annual drug cost is likely to be more than a specified pre-determined level 4. Enrollment targeted at least quarterly Which chronic disease is targeted by most MTM programs? diabetes MTM services are mostly delivered by which healthcare provider? pharmacists List the APhA Core Elements of MTM. 1. Medication Therapy Review 2. Intervention &/or Referral 3. Personal Medication Record (PMR) 4. Medication-related Action Plan (MAP) 5. Documentation & follow-up Describe the general process of performing an MTR. 1. COLLECTING ____?______ 2. ASSESSING ______?______ 3. DEVELOPING ______?_____ 4. CREATING _______?_____ 1) COLLECTING patient-specific information 2) ASSESSING medication therapies to identify medication-related problems 3) DEVELOPING a prioritized list of medication-related problems 4) CREATING a plan to resolve them When should you perform MTR? before AND during patient visit Before the patient visits, you should review all records to identify all the disease states of the patient and all medications that he/she has/had been taking so that you can have a general idea of possible medication-related problems. During the visit, you use what you've learned to supplement the interview. During this time, you should try to draw more information from the patient by having them complete a health history form. This way, you can have a more comprehensive knowledge about the patient's current state of health and can then more effectively identify problems and find solutions. What are the 2 types of MTR and what are the differences between them? 1. comprehensive - you review ALL of the patient's medication and attempt to find all types of potential problems and find ways to resolve them 2. targeted - you focus on only one actual, specific problem or potential problem and find options to resolve it What is the purpose of conducting an MTR? MTR allows pharmacists to focus on the medication regimen of a patient and to find ways to better accommodate the patient's needs to improve their health by finding and resolving medication-related problems. In the process of doing so, you have the opportunity to improve the patient's knowledge of their medication, and in addition, they are better at self-managing their medications and conditions. From all of this, you are able to grow as a pharmacist and develop professional relationships. What is a PMR and what is the main intention of a PMR? PMR is a comprehensive record of all the patient's medications that is created via collaboration of healthcare professionals. The purpose of PMR is to aid patients in self-managing their medications by supplying information on medication (how to use it, when to use it, why use it, etc.) In addition, PMR will greatly aid healthcare professionals in obtaining accurate information when consulting with patients. Enhanced communication and uniformity of information produced by a PRM can enhance the continuity of care. In addition to a comprehensive list of drugs, what kind of specific information is contained in PMR? 1. What the medication is used for 2. How to take the medication 3. start and stop dates 4. contact information for pharmacist and physician 5. date PMR was created 6. other special instructions When should you update a patient's PMR? 1. when the patient receives new medication 2. when the patient discontinues a medication 3. when there is an instruction change 4. when the patient begins using a new prescription, OTC product, herbal/dietary products 5. when the patient has any other changes in medication regimen What is a medication-related action plan (MAP)? It is a patient-centered document that details actions and notes that patients can follow in order to track their progress on self-managing their medication and health. What specific type of information can be found in a MAP? 1. date MAP was created 2. action steps/notes 3. appointment schedules What type of information should be documented after patient visits? 1. health history form 2. PMR 3. MAP 4. any notation of communication with other providers Why is it important to perform documentation in MTM? 1. for billing purposes (demonstrates value) 2. allows you to regularly schedule patient consultations to monitor and evaluate their progress (continuity of care) 3. for collaborative purposes with other healthcare providers 4. for compliance with laws and regulation (liability) What does CPT codes stand for? Current Procedural Terminology codes What are the different ways to pay for medication management services? 1. MTM specific CPT codes 2. Evaluation and Management (E&M) CPT codes 3. Capitated Payment Approach 4. Fee-for-service MTM services can help bring down the cost of healthcare. Medicare beneficiaries with _____ or more chronic conditions account for ______ % of Medicare spending, which totaled $402 billion in 2006. Medicare beneficiaries with __4__ or more chronic conditions account for ___80___ % of Medicare spending, which totaled $402 billion in 2006. What kinds of details about MTM programs are plans now required to report? (There are 5 items.) 1. # of beneficiaries targeted 2. # of beneficiaries participating 3. # of beneficiaries who declined MTM 4. # of beneficiaries who dis-enrolled 5. total cost PMPM per patient receiving MTM services