Case Study: Boost Diabetes Quality Measures
MEDICATION THERAPY MANAGEMENT TO BOOST DIABETES QUALITY MEASURES
Hayat Pharmacy is one of the top providers of Medicaid medication therapy management services in Wisconsin, with state and nationwide awards to prove it! The pharmacy has multiple locations in Wisconsin including five retail pharmacies, clinic locations, and an exam room in every location in which to conduct on-site MTM visits, enabling easier physician collaboration.
Challenge
Hayat Pharmacy wanted to extend their established MTM services to other patient populations, including Medicare patients with diabetes.
Solutions
- Extended in-pharmacy and at-home Medicaid MTM services to Medicare patients, particularly targeting those with diabetes
- Used standardized forms and checklists to guide conversations with patients and physicians to identify gaps in care and close the gaps
- Once MTM established with patients, applied manual medication synchronization as well (Simplify My Meds solution); plan to upgrade to automated system
Results
- 9% improvement over a six-month period at the Hayat Pharmacy location with focus on performance improvement. They are still trending in the right direction and focusing on improvement.
- Two of the newer locations, although they have a low patient count, are currently at 100% for diabetes treatment measure. They are starting things off right from the beginning.
- 200 patients on medication synchronization system, most of which also benefit from MTM services.
November 2013 snapshot of EQuIPP dashboard for Hayat Pharmacy, showing the diabetes treatment measure.
May 2014 snapshot of EQuIPP dashboard for Hayat Pharmacy, showing the diabetes treatment measure.
HOW TO SUCCEED LIKE HAYAT PHARMACY
If you're interested in implementing an MTM program, here are some suggested steps:
❑ Get educated
- Take the CE course available on Health Mart University: Practical Steps for Integrating MTM into Your Daily Practice
❑ Check for and complete MTM cases daily
- Enroll with one or more MTM vendors such as: Mirixa, Outcomes, State Medicaid, Other
- Implement a process to check for cases on a daily basis and complete them within specified time frame
❑ Involve the whole pharmacy team
- Consider assigning a specific pharmacy technician as the "MTM tech" to help implement and lead the program logistics (performing tasks that technicians are allowed to do under the state pharmacy laws)
- Educate team members on the MTM program and ask for their assistance in identifying patients Enroll with one or more MTM vendors such as: Mirixa, Outcomes, State Medicaid, Other
- Implement a process to check for cases on a daily basis and complete them within specified time frame
❑ Involve the whole pharmacy team
- Consider assigning a specific pharmacy technician as the "MTM tech" to help implement and lead the program logistics (performing tasks that technicians are allowed to do under the state pharmacy laws)
- Educate team members on the MTM program and ask for their assistance in identifying patients