The practice management components needed to support comprehensive medication management in primary care clinics. Issue 2 (22nd October 2019)

• Record Type: Journal Article
• Authors: Pestka, Deborah L.; Frail, Caitlin K.; Sorge, Lindsay A.; Funk, Kylee A.; Roth McClurg, Mary T.; Sorensen, Todd D.
• Is Part Of: Journal of the American College of Clinical Pharmacy. Volume 3:Issue 2(2020)
• Page Start: 438
• Page End: 447
• Publication Date: 2019-10-22
• Subjects: clinical pharmacy services -- medication therapy management -- practice management; Pharmacy -- Periodicals; Pharmacy Service, Hospital; Periodicals; Electronic journals; Periodical; 615.105
• DOI: 10.1002/jac5.1181
• Languages: English
• ISSNs: 2574-9870

Abstract

Abstract: Background: Practice management (ie, the necessary resources and support to provide comprehensive medication management [CMM] in an efficient and productive manner) is a central part of CMM practice. However, research identifying the key components of CMM practice management was previously lacking. Methods: Pharmacists providing CMM from 35 primary care clinics across five states were divided into three cohorts. One‐on‐one semi‐structured interviews were conducted with the lead pharmacist from all clinics in Cohort 1. Participants were asked to describe the essential components of CMM practice management as they applied to their practice. Inductive coding of transcripts led to an initial practice management framework. Participants in Cohorts 2 and 3 reviewed the essential components and participated in individual cognitive interviews. Throughout this process, a series of four focus groups with managers who oversaw pharmacists providing CMM also occurred to obtain their initial perspectives, as well as feedback on the evolving essential components of practice management. Results: Thirteen essential components of CMM practice management emerged: leadership support, availability and adequacy of clinic space, billing and revenue systems, methods for identifying patients in need of CMM, scheduling CMM services, care documentation, presence and scope of collaborative practice agreements, interprofessional collaboration, engagement of support staff, measuring CMM data, reporting CMM data and outcomes, quality assurance processes, and practitioner training. These essential components were grouped into five overarching domains: organizational support, care delivery processes, care team engagement, evaluating CMM services, and ensuring consistent and quality care. Conclusion: This study defined the essential components of CMM practice management which may be used to guide CMM practice development and advancement.