Medication Therapy Management Exam
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Why does the Institute of Medicine say that pharmacists are very much needed for their skills
and expertise? - Answer✔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? - Answer✔Medicare Part D benefit stipulates that all Part D plans have an
MTM program.
What is the main concern of MTM? - Answer✔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.) - Answer✔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? - Answer✔1. have
at least 2 CHRONIC health conditions (usually 3)
2. Take at least 3 medications.
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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? - Answer✔diabetes
MTM services are mostly delivered by which healthcare provider? - Answer✔pharmacists
List the APhA Core Elements of MTM. - Answer✔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 _______?_____ - Answer✔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? - Answer✔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.
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