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1. What is CMS Center for Medicare & Medicaid Services (CMS) provides coverage for
and what does
it pro-vide? people over the age of 65, blind, or disabled individuals, people with
end -stage renal disease
2. What is
Medicare Part
D?
1st outpatient prescription drug coverage program available to all
3. What was the Medicare ben-eficiaries. Private companies approved by Medicare
MMA and provide the coverage.
what did it
do?
Medicare Prescription Drug Improvement and Modernization Act:
4. What is Med- Required Medicare Pt. D patients with chronic diseases to receive MTM
ication services.
Therapy
Management?
A system of care that is used to assess patient medications and verify the
5. What are the patient knows how to use them. In addition, this program attempts to
overall steps of
Medication validate all prescrip-tions with the patients' conditions and optimize care.
Ther-apy This is typically done through collaborative practice with other
Manage-ment? healthcare professionals.
6. How is MTM dif-
ferent from 1. Gather Patient Info (Medical Records, Lab Results, Insurance
oth-er Companies)
pharmacy ser- 2. Finding issues with patient's medications (Duplicate drugs,
vices?
Expired prescrip-tions, Poor Adherence due to Side Ettects or Cost)
7. What are the 3. Determining an Action Plan or MAP
overall goals 5. Documentation and Follow Up
and outcomes
of MTM?
-It is PATIENT CENTERED instead of product centered
-a more comprehensive approach focusing on complete health care
-focuses on whole regimen not just one drug
-collaboration of pharmacist and other health care providers
Outcomes:
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-inc. patient understanding adverse events and associated cost
-
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:
-reduced medication Cost
-reduced preventable
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8. How are
patients chosen 1. Have at least 2 chronic disease states *most programs require 3*
for MTM? 2. Taking multiple chronic maintenance medications
3. Likely to incur a high annual medication cost
*patients can also elect to have MTM services themselves*
9. What are
some - Heart Failure
examples of -Hypertension (High Blood Pressure)
Chronic
Health -Diabetes
Conditions? -Hiperlipidema (High Cholesterol)
10. What is a Personal Medication List or Personal Medication Record: goal is to
Person-al
Medication List provide user friendly list of all the patients current medications
or PMR and
what is its job?
11. What is some
im-portant dosing, frequency, tips for admin, potential adverse ettects, reason for
informa-tion to taking
include
in the
patients
PMR?
12. What is a Ther-
apeutic Action The Medication Action Plan: identify the goals of MTM service including
Plan or MAP
and what is it's changes in medications and other actions to help resolve patients health
job? problems or get to check points
13. What is
"continu-ity of
care"? continuation of care smoothly from one provider to another, so that
the patient receives the most benefit and no interruption in care.
14. Is MTM a
one time No continuity of care is important!
process?
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