Medication Therapy Management Model

The service of Medication Therapy Management (MTM) is designed to maximize collaboration among different healthcare providers such as pharmacists, physicians, nurses and other healthcare professionals to reach the safest and effective use of medications which improve the patient outcomes. According to Medicare Prescription Drug Improvement and Modernization Act of 2003, the main goal is to improve patient’s comprehension of appropriate medication use, increase the patient compliance to the medication regimen, and improve identifying the adverse drug events. MTM service model is built on five core elements focusing on complete assessment and evaluation of the patient’s medication therapy regimen through patient-centered care service and to optimize

PMR components are the patient full name, date of birth, phone number. Emergency contact information, any know allergies for food and medications, and a list of their medication therapies. For each drug listed in the patient’s record, it must include the drug name, dose, interaction, instruction for medication use, and prescriber information. The patients should be encouraged to maintain their PMR updated and carry them all the time. Patients should share their PMR with all healthcare providers to make them aware of the patient’s current medication regimen to be able to achieve the optimal patient

This element is considered as a map for the patient to follow. It contains a list of actions that the patient should take. This document keeps tracking the patient’s medical progress. MAP is usually created by a pharmacist to empower the patient’s compliance behavior. The components of MAP include the pharmacist name, phone number, the date it was created, notes for the patient, and the action steps for the patient to follow. MAP also includes any specific items that require intervention helping the patient in medication self-management.

The fourth core element is intervention and/or referral where the pharmacist should provide consultation and intervention to the patient to identify any medication-related problems. Also, if the patient needs a referral to a physician or another healthcare provider when the problem is out of the pharmacist’s scope of practice. This process needs an effective communication between the patient, the pharmacist, and the other healthcare professionals. The targets of the intervention and/or referral are reaching the optimum safety of the medication