| Managing Drug-related Morbidity and Mortality in the Patient-centered Medical Home. | |
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MedLine Citation:
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PMID: 23047790 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: : The appropriate use of medications can influence quality performance measures and costs. Drug-related morbidity and mortality represents a public health challenge due to the ineffective and unsafe consequences of medication use. This article addresses the impact of team-based care that incorporates comprehensive medication therapy management on per capita expenditures, quality performance measures, and resolution of drug therapy problems. METHODS: : A team-based medication therapy management system developed over 13 years in an integrated health system in 4 Minnesota innovation clinic sites was assessed in terms of: (1) differences in total median health expenditures compared with noninnovation clinics, (2) improvements on 5 performance benchmarks for patients with diabetes in comparison with statewide results, and (3) resolution of drug therapy problems. RESULTS: : Spending growth was 11% less in innovation clinics than that in 38 noninnovation clinics. Median per member per month health care costs measured at 5 intervals over a 15-month period were significantly lower in innovation than in noninnovation sites (P=0.05). Forty percent of patients with diabetes in the innovation clinics achieved all 5 performance benchmark treatment goals in 2009, with a range from 34% to 45%, compared with the statewide result of 17.5% of patients achieving all 5 benchmarks. In addition, over 4000 drug therapy problems were reported to be resolved. CONCLUSIONS: : Team-based care helped to achieve quality performance and control spending growth through medication therapy management in a patient-centered medical home innovation. |
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Authors:
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Brian J Isetts; Amanda R Brummel; Djenane Ramalho de Oliveira; David W Moen |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical care Volume: 50 ISSN: 1537-1948 ISO Abbreviation: Med Care Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-10-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0230027 Medline TA: Med Care Country: United States |
Other Details:
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Languages: eng Pagination: 997-1001 Citation Subset: IM |
Affiliation:
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*Department of Pharmaceutical Care & Health Systems, University of Minnesota College of Pharmacy †Ambulatory Clinical Pharmacy Services, Fairview Pharmacy Services ‡Fairview Pharmacy Services, LLC ¶President-Fairview Physician Associates, Minneapolis, MN §Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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