An Innovations Exchange Learning Community

An Innovations Exchange Learning Community

According to an AHRQ report, medication therapy management (MTM) services are intended to address issues of polypharmacy, preventable adverse drug events, medication adherence, and medication misuse. In line with this report, the AHRQ Health Care Innovations Exchange has identified MTM as a high-priority area for further research.

As defined by the American Pharmacists Association, “Medication therapy management is a service or group of services that optimize therapeutic outcomes for individual patients. Medication therapy management services include medication therapy reviews, pharmacotherapy consults, anticoagulation management, immunizations, health and wellness programs, and many other clinical services. Pharmacists provide medication therapy management to help patients get the best benefits from their medications by actively managing drug therapy and by identifying, preventing, and resolving medication-related problems.”

Medication Therapy Management Learning Community (MTM LC) Intervention

The MTM LC specifically explored inter-professional care in ambulatory care settings, particularly within clinics that serve at-risk patients with both chronic conditions and socioeconomic complexity. Frequently, these populations face challenges in understanding how to take their medications appropriately and why it is important to be actively engaged in the self-management of their health conditions. The MTM LC addressed this challenge by incorporating pharmacists within the primary care team.

The MTM LC built upon the work of the Managing Your Medications (MyRx) Medication Adherence Program, which consists of a bundle of MTM interventions that were independently tested using comparative effectiveness research (CER) methodology.  In collaboration with Texas Southern University College of Pharmacy and Health Sciences, three affiliated clinics of the Spring Branch federally qualified health center (FQHC) in Houston, Texas served as pilot sites for adapting the MyRx innovation and incorporating pharmacists within the primary care team.

Learning Community Aims

Aim #1: Pilot test the team-based Medication Therapy Management innovation in three FQHC-affiliated community-based clinics.

Aim #2: Improve medication adherence among patients with uncontrolled diabetes treated in ambulatory care settings.

Aim #3: Prevent and reduce potential medication-related errors prior to discharge from clinic visits.

Aim #4: Leverage the expertise of LC members to enhance lessons learned about the pilot.

To meet these aims, the AHRQ Health Care Innovations Exchange worked with the Texas Southern University College of Pharmacy and Health Sciences and the Spring Branch Community Health Center (SBCHC). The MTM LC had a national representation which included fourteen primary care and pharmaceutical sites working collaboratively to implement the adapted MyRx innovation. Participants received technical assistance and support from nationally recognized experts.

Learning Community Outcomes

In August 2016, the Innovations Exchange made available a MTM Learning Community Two-Year Summary that describes the Learning Community’s accomplishments and outcomes.

The Learning Community also developed a case study report entitled Implementation of a Medication Therapy Management Intervention in Ambulatory Care Settings: Experiences and Lessons Learned from the MyRx Pilot. The document represents the collective work of the MTM LC, conveying the expertise, knowledge, and experiences gained throughout its 2 years. The document:

  • Provides lessons learned and anecdotal stories from the MyRx pilot to highlight “real-world” experiences in implementing an MTM program in an ambulatory care setting; and
  • Discusses potential solutions that mitigate barriers to implementing MTM programs, based on both the MyRx experience and the collective experiences of LC members.

PDF Download as a PDF (2.25 MB) (Adobe Reader is required to view or print the PDF. Download a free copy here.)

Participating Organizations

Access Health– Richmond, TX
Harris Health System– Houston, TX
Healthy York Network– Gettysburg, PA
Hope Dispensary of Greater Bridgeport– Bridgeport, CT
Houston Area Community Services (FQHC)– Houston, TX
Primary Care Coalition of Montgomery County– Silver Spring, MD
San Jose Clinic (Charity Clinic)– Houston, TX
Spring Branch Community Health Center (FQHC)– Houston, TX
St. Hope Clinic (FQHC)– Houston, TX
Texas Southern University College of Pharmacy and Health Sciences– Houston, TX
Trinity Health– Livonia, MI
University of Houston College of Pharmacy and Texas Children's Health Plan– Houston, TX
University of Texas Rio Grande Valley/University of Texas at Austin College of Pharmacy Cooperative Pharmacy Program– Edinburg, TX
Walgreens Pharmacy– Houston, TX

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