Document Detail


Managing Drug-related Morbidity and Mortality in the Patient-centered Medical Home.
MedLine Citation:
PMID:  23047790     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Brian J Isetts; Amanda R Brummel; Djenane Ramalho de Oliveira; David W Moen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical care     Volume:  50     ISSN:  1537-1948     ISO Abbreviation:  Med Care     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  997-1001     Citation Subset:  IM    
Affiliation:
*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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