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What is comprehensive medication management and how does it differ from continuous medication management?
Comprehensive Medication Management is a program created by CMS to be included in the new Comprehensive Primary Care Plus (CPC+) clinic model
The CPC+ model was created by MACRA as part of an advanced APM.
The CPC+ model is application-only and it’s only available in certain states and regions.
“There are 2,900 primary care practices currently participating in Comprehensive Primary Care Plus (CPC+) in 18 regions: Arkansas, Colorado, Hawaii, Greater Kansas City Region of Kansas and Missouri, Louisiana, Michigan, Montana, Nebraska, North Dakota, Greater Buffalo Region of New York, North Hudson-Capital Region of New York, New Jersey, Ohio and Northern Kentucky Region, Oklahoma, Oregon, Greater Philadelphia Region of Pennsylvania, Rhode Island, and Tennessee.”
There are two different track models a CPC+ clinic can opt in to.
In Track 2, there’s an option mentioned to improve care through comprehensive medication monitoring.
The idea behind comprehensive medication monitoring is to develop a plan after discharge or for those patients receiving longitudinal care management.
There are four primary “change tactics” mentioned in Track 2 of the CPC+ model:
- Conduct comprehensive medication reviews (CMRs) particularly for high risk patients that include Action Plans individual therapy goals and follow up plans.
- Provide medication self-management support for patients to help them stay here to their prescribed therapies.
- Work together with pharmacists and other health care providers to promote clinically sound cost effective medication therapies.
- Integrate a clinical pharmacist into the care team to provide medication management services.
My thoughts for a program that includes a clinical pharmacist like this could include services like:
- In collaboration with the practice creation of a formulary for cost effective drug of choice medications for each of the most common disease states.
- In collaboration with the practice to identify a list of high risk medications or flagged medications that warrant extra attention.
- Conduct CMRs on an annual basis starting with those patients with multiple chronic conditions, recent transitions of care or on high risk or flagged medications.
- In collaboration with the pharmacy get the patient set up on adherence support programs like medication synchronization help them with delivery services or any financial support that the patient may need
- Help to create an action plan with the individual so that they know their specific therapy goals
Providing comprehensive medication management programs and a CPC+ model is an opportunity for consultant pharmacists to help providers and focus on patient care outcomes.
If you are interested in building clinical services like comprehensive medication management…