Allergies, Anticoagulant, COPD (Chronic Obstructive Pulmonary Disease), Chronic Disease, Clinical Assessment, Clinical Outcomes, Congestive Heart Failure, Disease, Disease Prevention and Control, Drug Interactions, Healthcare Providers, Management Strategy, Medications, Needs Assessment, Patient Assessment, Patient Education, Pharmacy, Side Effects
MAIN FUNCTION:
Medication Therapy Management Services
- Conduct comprehensive medication reviews (CMRs) and targeted medication reviews (TMRs)
- Assess medication regimens for:
- Appropriate medication selection
- Appropriate dose
- Appropriate route
- Appropriate frequency
- Appropriate indication
- Therapeutic effectiveness
- Safety concerns
- Patient adherence and barriers
- Identify, prevent, and resolve medication-related problems
- Develop individualized medication action plans
- Communicate recommendations to providers and healthcare teams
- Follow up on medication changes and clinical outcomes
Clinical Pharmacist Assessment
Evaluate patient-specific factors including:
- Drug-drug interactions
- Drug-disease interactions
- Allergies and intolerances
- Renal function considerations
- Hepatic function considerations
- Laboratory monitoring needs
- Contraindications and precautions
- Duplicate therapy
- Medication affordability and access barriers
Patient Care & Education
- Provide medication counseling and education to patients and caregivers
- Promote medication adherence and self-management strategies
- Educate patients regarding:
- Medication purpose
- Expected benefits
- Potential adverse effects
- Monitoring requirements
- Lifestyle modifications
- Support patients in understanding and managing chronic conditions
Chronic Disease Management Support
Provide pharmacist-led interventions and monitoring for conditions such as:
- Diabetes
- Hypertension
- Hyperlipidemia
- Anticoagulation therapy
- Asthma/COPD
- Heart failure
- Other chronic disease states as identified by clinic needs