The term "Medication Therapy Management" was defined by the Medicare Modernization Act of 2003, which established Medicare Part D (the Medicare "Drug Coverage Plan" for seniors). Patients may communicate with their MTM clinical pharmacists face-to-face, via telephone, or on the Internet.
Today MTM services are available to patients of all ages.
MTM services are based on comprehensive, personalized patient encounters that leverage the school's pharmacists' expertise in assessing complex drug regimens. Services include:
- Conducting comprehensive medication reviews, including all prescription, over-the-counter, nutritional, and herbal supplements the patient is taking
- Providing education and counseling to patients on their medications – prescription and nonprescription products
- Detecting and solving adherence problems and promoting the appropriate use of medications
- Monitoring patient laboratory results and response to therapy
- Selecting, initiating, modifying, or administering medication therapy collaboratively with prescribers (e.g., cost-efficacy management; resolving drug therapy problems)
Patients take medications to improve the quality of their health and their lives, but many are unsure about whether they are really benefitting from them the way they should. Many patients also take a combination of prescribed and over-the-counter medications as well as natural and vitamin supplements.
Experts who can help manage these medication regimens contribute to both the well-being and safety of the patient. Employers who offer MTM services benefit both in productivity and in savings. They also create a work environment that encourages wellness for all. Advantages include:
- Improved patient adherence and utilization of medications
- Increased percentage of patients meeting their treatment goals (e.g., blood pressure, blood glucose, cholesterol)
- Reduced drug duplication, harmful side effects, or interactions between medications, vitamins, and supplements
- Greater medication cost savings, and medical resource cost savings (e.g., fewer emergency department visits), due to more effective use of drug therapy
The Importance of Medication Adherence
Research demonstrates that medication nonadherence has a significant negative impact on patient outcomes and overall health-care costs.
For Patients, Employers, Medical Groups, and Health Plans
- Personalized medication consultations
- Comprehensive medication management
- Medication monitoring with improved outcomes
- Streamlined medication regimens
- Medication adherence improvement assistance
- Optimized drug formulary utilization
- Innovative patient education programs
- Medication reconciliation to resolve discrepancies
- Enhanced specialty drug management
The Power of Academic Pharmacy
The Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of California, San Diego offers students an innovative curriculum leading to the doctor of pharmacy (Pharm.D.) degree, taught by a stellar health sciences faculty in a program closely associated with the outstanding clinical, research, and academic programs in the School of Medicine.
Additional Specialty MTM Capabilities
The clinical faculty of the Skaggs School of Pharmacy includes pharmacists with expertise in the following MTM fields:
- Chronic kidney disease
- Transplantation (anti-rejection therapy)
- Mental health
- Anticoagulation (blood thinners)
- Palliative care and pain management