Delivering Medication Therapy Management
Delivering Medication Therapy Management Services is
an innovative and interactive certificate training program that explores
the pharmacist’s role in providing MTM services to patients.
Pharmacists have a tremendous opportunity to receive reimbursement for
monitoring and improving medication use in patients with complex
medication regimens. This practice-based activity teaches pharmacists
the essential skills necessary to become a successful MTM practitioner.
The certificate training program will enhance pharmacists’
clinical expertise in evaluating complicated medication regimens,
identifying medication-related problems, and making recommendations to
patients, caregivers, and health care professionals.
The goals of the certificate training program are
- Advance public health and patient care through improved medication
- Provide training to enhance pharmacists' ability to effectively
provide MTM services.
- Motivate increased numbers of pharmacists to establish MTM
- Communicate benchmark practices for providing MTM services.
Certificate Training Program Components
Delivering Medication Therapy Management Services is conducted in
A self-study activity and pre-seminar exercise, the live training
seminar, and post-seminar patient interviews. To earn a Certificate of
Achievement, participants must complete all components of the
certificate training program, including the self-study and pre-seminar
exercise, the self-study examination, the live training seminar, and the
post-seminar patient interviews.
Activity Type: Practice-based
Target Audience: Pharmacists in all practice
Date: March 1, 2012; Expiration
Date: March 1, 2015
Self-Study Learning Objectives
After reading each module, pharmacists will be
Module 1. The Current Landscape for MTM
Explain the key components of medication
therapy management (MTM).
Discuss the MTM provisions of the Medicare
Part D benefit, including requirements established by the Centers for
Medicare and Medicaid Services and the Affordable Care Act.
List new opportunities for providing MTM
services that were created by the Affordable Care Act, including
patient-centered medical homes, accountable care organizations, and
transition of care activities.
Cite data that describe the current status
of MTM provision in the United States.
Identify potential sources of reimbursement
for the provision of MTM services.
Define the five core elements of the MTM
Discuss the development of quality measures
for MTM services.
Describe the economic and clinical outcomes
that are affected when pharmacist-provided patient care services
Explain the importance of advocacy to the
development of MTM services.
Becoming an MTM Practitioner: A Plan for
Describe the components of a business
Evaluate the strengths and weaknesses of
current pharmacy operations and list potential services and barriers
using a SWOT analysis and needs assessment.
Write goals for providing medication
therapy management (MTM) services.
Describe appropriate activities for
technicians, student pharmacists, and pharmacy practice residents
involved with MTM services.
Discuss reimbursement strategies to
incorporate in the MTM business model.
Outline the process and key considerations
of making MTM services operational and integrated with existing
Identify measures to track the economic,
clinical, and humanistic outcomes of an MTM service.
Project revenues and expenses to establish
fees for MTM services.
Review elements of a marketing plan for
attracting patients, providers, employers, and payers to MTM
Getting Ready for MTM Service Delivery: Knowledge and
- Identify areas of therapeutic knowledge
essential for providing medication therapy management (MTM) services.
- List at least seven types of
medication-related problems and possible solutions.
- Describe strategies for and limitations of
using clinical practice guidelines during MTM services.
- Explain pharmacodynamic and pharmacokinetic
changes that are common in elderly adults.
- Define the term geriatric syndromes.
- Explain the risks of medication-related
problems in elderly patients, and strategies for reducing their
- List patient assessment strategies that may be
useful during MTM visits.
- Identify patients with low health literacy.
- Describe techniques that support open
communication with patients, including open-ended questions and active
- Describe a strategy for improving the cultural
competence of pharmacists providing patient care during MTM visits.
- Identify the stages of behavior change in the
Transtheoretical Model of Change.
- Describe the communication process used in
- Outline ways to adapt patient communication
strategies when caring for patients with functional
Ready for Action: Conducting an MTM Encounter
- Identify pertinent information that should be
obtained from patients and other health care providers prior to a
medication therapy management (MTM) visit.
- Explain how to greet a patient and begin a
patient interview during a medication therapy review.
- Systematically review a patient’s
medication regimen to assess for medication-related problems (MRPs).
- Assess whether an elderly patient requires
dosage adjustments for drugs that are cleared renally.
- Describe a strategy for prioritizing MRPs.
- Identify components of the personal medication
record and medication-related action plan.
- Describe the steps involved in completing an
assessment of a patient’s medication-related needs.
- Document an MTM visit.
- Explain information that should be included in
a SOAP note.
- Describe how to document MTM services for
internal records, patient records, and communications with third
After completion of the self-study portion of
the certificate training program, participants must complete two
pre-seminar patient cases. The pre-seminar exercises are intended
to provide participants with initial experience in conducting a
medication therapy review. Completing these exercises will give
participants a baseline understanding of the process and allow them to
identify questions and specific areas of difficulty to address during
the live seminar. This activity is integral to a comprehensive
learning experience and is useful for indentifying personal areas for
additional practice and improvement. Participants should be
prepared to use these patient cases during interactive portions of the
To maintain patient privacy, participants must
ensure that no patient identification information is included on the
medication therapy review forms. Friends, family, and/or other patients
with whom the pharmacist feels comfortable are all appropriate
candidates for this activity. The pharmacist should explain to the
patient that the interview and documentation is for educational purposes
only, and the patient’s identity will remain
Live Seminar Learning Objectives
After completing the live seminar, participants
will be able to:
Explain how to overcome communication barriers and employ
active listening when interviewing a patient.
Conduct a thorough medication therapy review.
Complete a personal medication record (PMR).
Develop a medication-related action plan (MAP).
Perform the following tasks, given a patient case including one
or more medications:
Assess patient-specific data and issues, and interpret these
findings to identify the patient's medication-related
Account for pharmacokinetic and pharmacodynamic changes when
reviewing an elderly person's medication regimen.
Develop a list of the patient's drug therapy
Establish goals of therapy for each medical condition and
medication-related problem identified.
Make recommendations for resolving situations in which a
patient's medications are potentially inappropriate.
Document services in a manner appropriate for evaluating
patient progress, sufficient for billing purposes, and that facilitates
tracking clinical and financial outcomes.
Discuss the elements of an effective recommendation to another
health care practitioner.
Describe the medication use concerns and adverse drug events
that affect senior patients.
Explain how to bill for MTM services using the appropriate CPT
Post-Seminar Exercise Learning Objectives
Following the same format as the pre-seminar exercises and using
cases from the pharmacist's practice, participants must perform and
document a medication therapy review for three additional patient cases.
For each case, participants will identify and prioritize the
patient's medication-related problems, develop appropriate
interventions, complete the appropriate documentation, and devise a plan
After completing the post-seminar, pharmacists will be
Conduct a thorough patient medication history for three
Complete a personal medication record (PMR) for three
Develop a medication-related action plan (MAP) for three
Given three patient cases:
Identify patient-specific data and issues and interpret these
findings to assess the patient's medication-related needs.
Apply the principles of pharmacokinetic and pharmacodynamic
changes when reviewing an elderly persons medication regimen.
Generate a list of medication-related problems for the
Establish goals of therapy for each identified medical
condition and medication-related problem.
Provide recommendations for modifying potentially
inappropriate medication regimens.
Document services provided to three patients in a manner
appropriate for evaluating patient progress, sufficient for billing
purposes, and applicable to tracking of clinical and financial
Activity Completion Requirements
A Certificate of Achievement is awarded to participants who
successfully complete all activity requirements, which include the
self-study activity and pre-seminar exercises, the self-study
examination, the live training seminar, and the post-seminar patient
interviews. Successful completion is defined as a submission of
the pre-work and post-work, a self-study examination score of 70% or
better, and attendance at the live seminar.
Statements of Credit and a Certificate of Achievement will be
available online upon successful completion of the necessary activity
Continuing Pharmacy Education (CPE) Information
American Pharmacists Association is accredited by the Accreditation
Council for Pharmacy Education as providers of continuing pharmacy
education. The self-study learning portion of the Delivering
Medication Therapy Management Services certificate training
program is approved for 10 hours (1.0 CEU) of continuing pharmacy
education credit (UAN 202-999-12-002-H04-P). The live training seminar
is approved for 8 hours (0.8 CEU) of continuing pharmacy education
credit (UAN 202-999-09-005-L04-P). The post-seminar exercise is approved
for 3 hours (0.3 CEU) of continuing pharmacy education credit (UAN
Initial Release Date: March 1, 2012; Expiration Date: March 1,
Activity Type: Practice-based; Target Audience: Pharmacists in all practice
For more information on the certificate training program curriculum
or agenda, contact the APhA Certificate Training Department by e-mailing email@example.com.
If your company or organization is interested in offering this
certificate training program to its pharmacists, please contact the APhA
Certificate Training Department (firstname.lastname@example.org).
Delivering Medication Therapy Management Services in the
Community was originally created in 2007 by the American
Pharmacists Association and the American Society of