Preview Mode Links will not work in preview mode

Ridgeview and the Ridgeview Continuing Medical Education Program are proud to present the Ridgeview Podcast: CME Series. Quality, portable and on-demand continuing medical education, featuring a variety of our exceptional physicians, providers and other staff from Ridgeview and it's affiliates. Hosting the program are Fred Demeuse, PA-C and Jason Hicks, PA-C. Thanks for tuning-in, downloading and listening! 

 

DISCLOSURE ANNOUNCEMENT 

The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview & Ridgeview Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws. 

It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

Apr 9, 2021

In this podcast, Ashley Leland and Alex Ross, clinic pharmacists with Ridgeview, provide a discussion on medication therapy management, through a case study perspective. 

Enjoy the podcast!

Objectives:  
  Upon completion of this podcast, participants should be able to:

  • Describe medication therapy management (MTM) and clinic pharmacists roles and responsibilities.
  • Identify patients who may be candidates for a referral to a clinic pharmacist for medication therapy management (MTM) pharmacy services.
  • Recognize the types of drug therapy problems (drug/ medication related) which a clinic pharmacist could help resolve.

CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org.

To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation.

 CME Evaluation

(**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) 

DISCLOSURE ANNOUNCEMENT 

The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws. 

It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

SHOW NOTES:

CHAPTER 1: 
Medication Therapy Management can also be called CMM or Comprehensive Medical Management. For the sake of this episode, it will be referred to as MTM throughout.

MTM is a pharmacy service for targeted disease states like - asthma, COPD, diabetes, and/or congestive heart failure, and also for patients with polypharmacy. Really, any patient with concerns about their medications, can utilize this service.

The goal is to identify drug therapy problems: side effects, medication compliance, drug interactions, and overall management of symptoms, to improve outcomes, for example, reducing hospital readmissions.

CHAPTER 2: 
In chapter 2, a patient was seen with a complex medical history, including heart failure, diabetes, new a-fib, and a recent hypokalemic event. MTM services identified several drug therapy problems, including drug interactions between the patient's diltiazem and atorvastatin, and between turmeric and Eliquis. Also identified was the need for diabetic management, and that the patient's over-the-counter potassium supplements were not sufficient in maintaining normal levels. In follow-up, the patient was doing well, had started taking farxiga, stopped the turmeric, and switched from diltiazem to metoprolol.

In this chapter, Ashley and Alex briefly discuss natural medications and the use of the Natural Medicines Database to evaluate over-the-counter supplements and herbals. It's noted that some patients want to take a more wholesome approach to their medications, they recommend doing the research for good manufacturing practices or USP verified supplements and herbals. A great resource is your local MTM pharmacist.

Another important service MTM pharmacists is helping patients navigate the financial decisions regarding medication cost. Whether suggesting alternatives or navigating the patient to assistance programs for specific mediations.

CHAPTER 3: 
In chapter 3, a patient who recently changed countries, had several drug therapy problems like adjusting medications to what is available here in the US, adjusting dosages of his current medications, gaining access to a glucose monitor, and updating vaccines. It's a good example of the range of things a MTM pharmacy visit can manage.

Common drug interactions were touched on briefly. Highlighting the importance of knowing not just what over-the-counter medications a patient is taking, but the quantity as well. Also important, knowing the supplements and herbals being taken and how they might interact with any prescribed medications.

It's noted that the structure of an MTM visit, that hour long conversation just about medication management, helps break down barriers, and hone in on the issues that patients can have with their medications. It also brings up areas for opportunity elsewhere, where that medication discussion is happening in much shorter time periods.

CHAPTER 4: 
The last patient case touches on an important demographic for MTM pharmacists, mental health regimens. This patient presented with a new tremor and agitation. Her drug therapy problems included duplicate therapy, suspected serotonergic complications, stimulating compounds, and an emotional attachment to her medications.

The results of her MTM visit included stopping her amitriptyline and her focus supplement. Tapering off her duplicate therapy escitalopram, and then returning for follow-up.

The follow-up time frame for patients depends on the complexity of drug therapy problems identified. Ashley found that setting the follow-up appointment during the current appointment, increases the follow through for patients.

MTM Pharmacy is located at 7-9 Ridgeview primary and specialty clinics. They can be directly consulted by the patient's primary care provider or patient's can reach out to any of the clinics they are located in. Patients that would specifically benefit from these services include those with polypharmacy, those who are not doing well with their current medication regimen, and those with chronic disease states.

Other areas where MTM pharmacy is involved, but not mentioned in depth here include - immunizations, opioid prescribing and stewardship, anticoagulation, and non-surgical weight loss programs.

Thank-you for listening.