Pharmacy

Launched in 2015, this Collaborative Process Improvement initiative connects clinical pharmacists with Patient-Centered Medical Home practices to improve patient understanding, compliance and management of their medication plans.  By integrating pharmacists into the medical home team, participants in the initiative aim to improve coordination of care, particularly for patients with multiple medication needs or chronic conditions. Currently, the collaborative is focused on patients with hypertension, hyperlipidemia and diabetes.

The Michigan Pharmacists Transforming Care and Quality program (MPTCQ) has 16 participating physician organizations, and will phase in other participating physician organizations within the next few years.

As a collaborative initiative, participants will collect and analyze data to develop process guidelines and best practices for patient education, medication management and more.

Results

  • Over 15,000 patient encounters between July, 2016 – June, 2017
    • Nearly 13,000 of those encounters were caring for patients with diabetes, hypertension and hyperlipidemia
    • 2,600 visits provided comprehensive medication review services
  • Patients received nearly 9,000 medication changes
  • Many patients have experienced a reduction in A1c and blood pressure levels
    • For patients with a systolic pressure of 140 to 159 and diastolic pressure ≥ 90, the average change in diastolic under pharmacist care is -11.3.
    • For patients with a systolic ≥ 160 and diastolic ≥ 90, average change is -15.2
  • Nearly 3,000 non-therapeutic interventions were provided, including foot exams, eye exam referral and labs ordered
  • Medication cost and adherence barriers assessed with most patients