Terry McInnis, MD MPH President- Blue Thorn, Inc - Mobile Co-Chair- Center for Public Payer Implementation Co-Lead Medication Management Task Force The Patient –Centered Primary Care Collaborative © Blue Thorn, Inc. 2011, All Rights Reserved

1 The Institute of Medicine, National Academy of Sciences. Informing the future: Critical issues in health. Fourth edition, page

ASSESSMENTCARE PLANEVALUATION Ensure all drug therapy is indicated, effective, safe and convenient. Identify drug therapy problems Resolve drug therapy problems Achieve goals of therapy Prevent drug therapy problems Record actual patient outcomes Evaluate status in meeting goals of therapy Reassess for new problems Continuous Follow-up

 The PCPCC Guide Defines comprehensive medication management in the patient centered medical home.  Describes specific features and benefits of comprehensive medication management in the medical home cross-walking with the PCMH principles.  Authored by the Medication Management Task Force who examined various programs outlining the value of medication management and important implications to the patient centered medical home. PCPCC Resource Guide- Integrating Comprehensive Medication Management to Optimize Patient Outcomes

“Most patient care interactions involve medications and the limitations both in knowledge and time on my part make the addition of a clinical pharmacist on the medical home team MANDATORY ! I would have a difficult time maintaining our current standards without this person on board.” James Bergman, M.D. – Staff Physician, Group Health Permanente, Associate Professor, Family Medicine, University of Washington, Seattle- 2009

“I think this should be part of your primary care visit. This would benefit both Mayo & the patient to coordinate all meds prescribed from various physicians.” “ I think this service should be available to every patient. It was probably one of the most helpful appointments I have ever had.” MAYO Clinic Comprehensive Medication Management Patients Used with permission- Laura O’Dell PharmD- MTM Supervisor MAYO

But Will They?

“As these newer models (ACO/PCMH) become more common, will the pharmacist become a member or will others provide the patients’ drug therapy needs? The answer to this question will impact pharmacy’s future significantly. I am concerned that too many pharmacists are spending too much energy holding onto the current dispensing practice model instead of investing time and money on establishing a new model.” “What advice would I give to those working on the incorporation of pharmacists into the PCMH and the ACO?” It would be to make sure you position pharmacists to take care of the patient.” Fred Eckel, RPh, MS Professor- UNC Sch. of Pharmacy Exec. Dir. NC Assoc. of Pharmacists Pharmacy Times- The Patient-Centered Medical Home and ACOs...What Should Be the Pharmacist's Role? Be-the-Pharmacistu2019s-Role Be-the-Pharmacistu2019s-Role