Medication Review Services Overview
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Medication Review Services Overview

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Questions and Answers

What is one of the initial actions a pharmacist can take to resolve a drug therapy problem (DTP)?

  • Provide random medication samples.
  • Initiate a new medication without consulting a physician.
  • Ignore patient barriers.
  • Change the patient's prescription. (correct)

    • How often can a patient receive either an MR-S or MR-PC service?

  • Every month.
  • Every 6 months. (correct)
  • Every 3 months.
  • Once a year.

    • Which document is required for all medication review services?

  • Annual Care Evaluation report.
  • Best Possible Medication History (BPMH). (correct)
  • Patient consent form.
  • Health Insurance Approval form.

    • What should a pharmacist do if a patient eligibility check shows they have received an MR-PCN within the last 6 months?

    <p>Hold off on providing MR-S or MR-PC.</p> Signup and view all the answers

    Which of the following best describes the purpose of documenting medication review services?

    <p>To ensure accurate and complete information for continuity of care.</p> Signup and view all the answers

    What is the role of the pharmacist after identifying DTPs during a medication review?

    <p>To prepare a care plan for resolution.</p> Signup and view all the answers

    Which applicant form is optional in documenting a medication review service?

    <p>BPMH worksheet.</p> Signup and view all the answers

    What is an essential follow-up activity for an MR-F service?

    <p>To discuss previous medication changes with the patient.</p> Signup and view all the answers

    What must pharmacists do before conducting a medication review service?

    <p>Review the patient's PharmaNet profile.</p> Signup and view all the answers

    What is a significant barrier pharmacists should aim to eliminate for effective patient self-management?

    <p>Patient misunderstanding of their condition.</p> Signup and view all the answers

    What is the primary goal of a medication review service provided by a pharmacist?

    <p>To enhance patient understanding and improve health outcomes</p> Signup and view all the answers

    Which of the following is NOT one of the types of medication review services found in community pharmacies eligible for PharmaCare payment?

    <p>Comprehensive Medication Management (CMM)</p> Signup and view all the answers

    During a medication review, what document does the pharmacist provide to the patient at the end of the consultation?

    <p>Best Possible Medication History (BPMH)</p> Signup and view all the answers

    What is a requirement for pharmacies to receive payment for medication review services from BC PharmaCare?

    <p>The service must be documented properly and claimed correctly</p> Signup and view all the answers

    What type of medication review is specifically a follow-up service provided to patients?

    <p>Medication Review—Follow-Up (MR-F)</p> Signup and view all the answers

    Which of the following activities is NOT typically performed during a medication review service?

    <p>Creating a comprehensive health assessment report</p> Signup and view all the answers

    Who is primarily responsible for conducting a medication review service?

    <p>Pharmacists in community pharmacies</p> Signup and view all the answers

    How does the reimbursement process for medication review services work under PharmaCare?

    <p>It is based on proper documentation and service claims</p> Signup and view all the answers

    What is the first step in the medication review process conducted by pharmacists?

    <p>Identifying all medications the patient is taking</p> Signup and view all the answers

    What education or certification may benefit pharmacists who conduct medication reviews?

    <p>Certified Diabetes Educator (CDE)</p> Signup and view all the answers

    What is the first step when another healthcare provider requests medication review information?

    <p>Fax a copy of the BPMH.</p> Signup and view all the answers

    Which documentation is required for a completed BPMH?

    <p>Original signed and dated by the patient.</p> Signup and view all the answers

    What is the payment for a Medication Review Standard (MR-S)?

    <p>$60</p> Signup and view all the answers

    Which information must be entered in the Sig field when claiming a medication review service fee?

    <p>10 digit pharmacy phone number.</p> Signup and view all the answers

    What documentation is necessary if another person is acting as a legal representative?

    <p>Documentation of the legal representative's rights.</p> Signup and view all the answers

    What should be done if the original MR-S or MR-PC was provided at another pharmacy?

    <p>Obtain a copy of the required documentation.</p> Signup and view all the answers

    For an MR Follow-Up (MR-F), what is the payment amount?

    <p>$15</p> Signup and view all the answers

    What must be included in the documentation of a request for a copy of BPMH and/or DTP forms?

    <p>Written record of the request.</p> Signup and view all the answers

    What must be done on the day of the medication review service regarding claims?

    <p>Submit claims on PharmaNet.</p> Signup and view all the answers

    What is documented when sharing the BPMH with another healthcare provider?

    <p>Requestor's name and contact information.</p> Signup and view all the answers

    What is a requirement for a patient to be eligible for the Medication Review Service?

    <p>Must have a BC Personal Health Number (PHN)</p> Signup and view all the answers

    Which of the following is NOT considered a qualifying medication for the Medication Review Service?

    <p>Over-the-counter (OTC) medication</p> Signup and view all the answers

    What must a pharmacist document during a Medication Review—Standard (MR-S)

    <p>Details about the patient's allergies and reactions</p> Signup and view all the answers

    Which factor indicates a clinical need for a medication review?

    <p>The prescriber has requested a medication review</p> Signup and view all the answers

    What is the purpose of obtaining the patient's signature on the BPMH form during the medication review?

    <p>To document patient agreement with the medication list</p> Signup and view all the answers

    Which type of medication review service is specifically initiated when a drug therapy problem is identified?

    <p>Medication Review—Pharmacist Consultation (MR-PC)</p> Signup and view all the answers

    Which of the following is a common category of drug therapy problems (DTPs)?

    <p>Adverse drug reaction</p> Signup and view all the answers

    What action must a pharmacist take if they identify a drug therapy problem during a medication review?

    <p>Refer the patient to another healthcare professional or resolve the issue</p> Signup and view all the answers

    In the Medication Review—Standard (MR-S), which source of information is NOT utilized?

    <p>Social media health discussions</p> Signup and view all the answers

    Which of the following statements about medication review services is true?

    <p>Only authorized pharmacists can provide medication reviews</p> Signup and view all the answers

    What is the primary purpose of a medication review service provided by a pharmacist?

    <p>To enhance a patient's understanding of their medication regimen</p> Signup and view all the answers

    Which type of medication review service is focused on follow-up consultations?

    <p>Medication Review—Follow-Up (MR-F)</p> Signup and view all the answers

    What document does a pharmacist provide to the patient after completing a medication review?

    <p>Best Possible Medication History (BPMH)</p> Signup and view all the answers

    Which of the following components is essential when creating a medication management plan?

    <p>Identifying and resolving drug therapy problems</p> Signup and view all the answers

    Which eligibility criteria is necessary for a patient to receive a medication review service funded by PharmaCare?

    <p>The patient must have a chronic health condition requiring medications</p> Signup and view all the answers

    What is one of the activities required to complete a medication review service?

    <p>Discussing the patient's medication allergies</p> Signup and view all the answers

    What is a likely consequence if a pharmacist fails to identify a drug therapy problem during a review?

    <p>Potential deterioration in patient health</p> Signup and view all the answers

    Which of the following types of medication review is NOT eligible for PharmaCare payment?

    <p>Medication Review—Primary Care Network (MR-PCN)</p> Signup and view all the answers

    What information must be recorded when another healthcare provider requests medication review information?

    <p>Date completed and names of forms shared</p> Signup and view all the answers

    Which payment amount is designated for a Medication Review Pharmacist Consultation (MR-PC)?

    <p>$70</p> Signup and view all the answers

    What documentation is required if another person acts as a legal representative during a medication review?

    <p>Documentation of the representative's right</p> Signup and view all the answers

    What specific action is required when submitting a claim for a medication review service fee?

    <p>Include the 10-digit pharmacy phone number in the Sig field</p> Signup and view all the answers

    For a Medication Review Follow-Up (MR-F), what is the payment amount?

    <p>$15</p> Signup and view all the answers

    Which of the following forms is necessary for documenting a new or updated BPMH HCP?

    <p>BPMH—original signed by patient</p> Signup and view all the answers

    Which documentation must be obtained if the original MR-S or MR-PC was provided at another pharmacy?

    <p>Copy of required documentation from the previous pharmacy</p> Signup and view all the answers

    What must be included in documentation when sharing the BPMH with another healthcare provider?

    <p>Requestor's contact information</p> Signup and view all the answers

    What is a requirement for a patient to receive a Medication Review Service?

    <p>Must be a BC resident</p> Signup and view all the answers

    What is categorized as a qualifying medication for a Medication Review Service?

    <p>Prescription medication</p> Signup and view all the answers

    Which patient characteristic does NOT indicate a clinical need for a medication review?

    <p>No history of allergies</p> Signup and view all the answers

    What is the primary focus of the Medication Review—Standard (MR-S)?

    <p>Documenting patient medical issues and medications</p> Signup and view all the answers

    What type of appointment is required for conducting the Medication Review Service?

    <p>A one-on-one in-person appointment</p> Signup and view all the answers

    Which of the following items does NOT qualify as a qualifying medication?

    <p>Homeopathic products</p> Signup and view all the answers

    What must a pharmacist do if a Drug Therapy Problem (DTP) is identified during MR-S?

    <p>Take action to resolve the issue</p> Signup and view all the answers

    What is the minimum number of different medications needed for a patient to qualify for the Medication Review Service?

    <p>5 different medications</p> Signup and view all the answers

    Which form must a patient sign before a medication review service is conducted?

    <p>Patient Acknowledgement on BPMH form</p> Signup and view all the answers

    Which component is NOT part of the MR-PC service?

    <p>Documenting over-the-counter drugs</p> Signup and view all the answers

    What type of information is NOT collected during the MR-S?

    <p>Patient preferences for medication</p> Signup and view all the answers

    When are prescriptions with a 'Discontinued' status not counted in qualifying medications?

    <p>Anytime during the eligibility check</p> Signup and view all the answers

    What does a pharmacist need to document during a medication review?

    <p>Details about medications and care plans</p> Signup and view all the answers

    What is an essential step a pharmacist must take after preparing a care plan to resolve a drug therapy problem?

    <p>Implement the care plan</p> Signup and view all the answers

    Which of the following is a recommended action by pharmacists to eliminate barriers to patient self-management?

    <p>Offer patient-specific education</p> Signup and view all the answers

    Which activity is NOT part of the required follow-up for an MR-F service?

    <p>Discuss the differences in service eligibility</p> Signup and view all the answers

    What is one reason a pharmacist must document the activities taken during a medication review service?

    <p>To provide legal proof for regulatory compliance</p> Signup and view all the answers

    What is a significant requirement for a patient to be eligible for the follow-up medication review services?

    <p>Must have received an MR-S within the last year</p> Signup and view all the answers

    What is the purpose of the Health Care Professionals section in the Best Possible Medication History (BPMH)?

    <p>To document clinician-specific information for continuity of care</p> Signup and view all the answers

    In the documentation of medication review services, which item is NOT necessary to include?

    <p>Pharmacist’s personal opinions</p> Signup and view all the answers

    Which factor is NOT considered a drug therapy problem (DTP)?

    <p>Patient preference for their healthcare provider</p> Signup and view all the answers

    What is the primary purpose of initiating monitoring after a care plan is implemented?

    <p>To validate the effectiveness of the pharmacist’s intervention</p> Signup and view all the answers

    What must a pharmacist do if they identify a drug therapy problem during the medication review?

    <p>Create a care plan to address the DTP</p> Signup and view all the answers

    Study Notes

    Medication Review Service Overview

    • A medication review is a patient-care service provided by a pharmacist.
    • Pharmacists work to enhance the patient's understanding of their medication regimen.
    • They identify and resolve drug therapy problems.
    • They help improve health outcomes.

    BC PharmaCare Medication Review Service

    • This service is funded by PharmaCare.
    • There are 3 types of medication review services provided at community pharmacies.
    • Pharmacists can claim reimbursement for services provided.

    Types of Medication Reviews

    • Medication Review - Standard (MR-S): This review focuses on documenting present medications and their interactions.
    • Medication Review - Pharmacist Consultation (MR-PC): This review occurs if a drug therapy problem is identified, resolved, and documented.
    • Medication Review - Follow-Up (MR-F): This review occurs if a medication change or a drug therapy problem needs further assessment.

    Patient Eligibility Criteria

    • To be eligible for a medication review, patients must be BC residents.
    • They must possess a BC Personal Health Number (PHN).
    • The patient must have a minimum of 5 qualifying medications entered in PharmaNet within the past 6 months.
    • They must have a clinical need for the service.
    • Patients are not eligible if they are covered under PharmaCare Plan B.
    • Patients must sign an acknowledgement on the Best Possible Medication History (BPMH) form.

    Qualifying Medications

    • Qualifying medications include prescriptions, compounded medications, and insulin.
    • Non-qualifying medications include non-prescription items, vitamins, supplements, homeopathic products, vaccines, and discontinued prescriptions.

    Clinical Need for Medication Review

    • A prescriber may request a medication review.
    • The patient may have multiple diseases, especially chronic illnesses.
    • The patient may be taking non-prescription medications or natural health products (NHPs).
    • The patient may have a drug therapy problem, a recent hospital discharge, multiple prescribers, or medications requiring laboratory monitoring.

    Drug Therapy Problems (DTPs)

    • DTPs are identified during medication reviews and can be categorized as:
      • Unnecessary drug
      • Needs additional drug
      • Ineffective drug
      • Dosage too low
      • Dosage too high
      • Adverse drug reaction
      • Patient self-management (non-adherence)

    Resolving Drug Therapy Problems

    • Pharmacists can resolve DTPs through actions like:
      • Adapting prescriptions
      • Giving immunizations
      • Contacting prescribers for changes to medication regimens
      • Changing or stopping non-prescription medications
      • Eliminating barriers for the patient
      • Providing education
      • Initiating monitoring
      • Referring to medical physicians or other health professionals
      • Making other recommendations

    Allowable Number of Services

    • Patients are eligible for one MR-S or MR-PC every 6 months.
    • They are eligible for up to four MR-F every 12 months.
    • To receive an MR-F service, patients must have already received an MR-S, MR-PC, or MR-PCN within the last year.

    Documenting Medication Review Services

    • Medication review documentation provides proof that the service was provided and ensures accurate information for patients, caregivers, and other healthcare professionals.
    • BC PharmaCare provides template forms for documentation.
    • Pharmacies must retain documentation to support claims.

    Forms Used in Medication Review

    • Best Possible Medication History (BPMH): This form has both a patient and health care professional section.
    • Drug Therapy Problem (DTP) form: This form is used when a pharmacist identifies and/or resolves a DTP.
    • Best Possible Medication History Worksheet: This form is optional.

    BPMH Forms

    • Patient Section: This section contains a list of all medications the patient is currently taking and is given to the patient after the service.
    • Health Care Professionals Section: This section includes a summary of information for other healthcare professionals and acts as a record of care provided.

    Requesting Medication Review Information

    • Other healthcare providers can request medication review information by faxing a copy of the BPMH.

    Claiming Medication Review Service Fees

    • Claims must be submitted on PharmaNet on the date of the medication review service.
    • Pharmacists enter their 10-digit pharmacy phone number in the Sig field and their College Reg ID number in the Prescriber ID field.
    • Payment rates for each service include:
      • $60 for MR-S
      • $70 for MR-PC
      • $15 for MR-F

    Medication Review Service

    • Pharmacists provide medication review services to enhance patient understanding of their medication regimen, identify and resolve drug therapy problems, and improve health outcomes.

    Eligibility Criteria

    • Patients must be BC residents with a BC Personal Health Number (PHN).
    • They cannot be covered under PharmaCare Plan B.
    • They must have at least 5 qualifying medications entered in PharmaNet within the past 6 months.
    • They must have a clinical need for the service and have not exceeded the allowable number of medication reviews.

    Qualifying Medications

    • Qualifying medications include prescription medications, compounded prescription medications (with a discrete PIN), and insulin.
    • Qualifying medications do NOT include non-prescription products, over-the-counter medications, nutritional supplements, natural/homeopathic products, non-prescription compounds, vaccines, prescriptions with a “Discontinued,” “Reversed”, or “Not Filled” status on PharmaNet, or non-drug supplies (e.g., glucose testing supplies, insulin pump supplies, medical equipment & supplies).

    Clinical Need for Medication Review

    • Prescribers may request a medication review.
    • Patients may have multiple diseases or chronic conditions.
    • Patients may be taking non-prescription medications or natural health products.
    • Patients may have a drug therapy problem.
    • Patients may have been recently discharged from the hospital.
    • Patients may have multiple prescribers.
    • Patients may be receiving medications that require laboratory monitoring.

    Types of Medication Review Services

    • Medication Review-Standard (MR-S): A comprehensive review of the patient's medication regimen.
    • Medication Review-Pharmacist Consultation (MR-PC): A review that has identified and resolved a drug therapy problem.
    • Medication Review-Follow-Up (MR-F): A follow-up review after a medication change or to evaluate progress with a drug therapy problem.
    • Medication Review-Primary Care Network (MR-PCN): A medication review provided by pharmacists in a primary care network (not eligible for PharmaCare payment).

    Drug Therapy Problems (DTPs)

    • Categories:
      • Unnecessary drug
      • Needs additional drug
      • Ineffective drug
      • Dosage too low
      • Dosage too high
      • Adverse drug reaction
      • Patient self-management (non-adherence)
    • Actions by Pharmacist to Resolve DTP:
      • Adapt prescription
      • Give immunization
      • Contact prescriber to change/start/stop RX
      • Change/start/stop non-RX
      • Eliminate patient barrier
      • Provide education
      • Initiate monitoring
      • Refer to medical physician
      • Refer to other health professional
      • Other recommendation (specify)

    Patient Eligibility for MR-F

    • Patients must meet the same eligibility criteria as MR-S and MR-PC.
    • They must have already received an MR-S, MR-PC, or MR-PCN within the past year.

    Allowable Number of Medication Reviews

    • Patients are eligible for one MR-S or MR-PC every six months (but not both).
    • Patients can receive up to four MR-F every 12 months.

    Claiming Medication Review Service Fees

    • Claims must be submitted on PharmaNet on the date of service.
    • Fees:
      • MR-S: $60
      • MR-PC: $70
      • MR-F: $15
    • Pharmacist's 10-digit phone number must be entered in the "Sig" field on PharmaNet.
    • Pharmacist's College registration ID number must be entered in the "Prescriber ID" field on PharmaNet.

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    Description

    Explore the essential aspects of medication review services provided by pharmacists. This quiz covers various types of medication reviews funded by BC PharmaCare, including Standard, Pharmacist Consultation, and Follow-Up reviews. Enhance your knowledge of how pharmacists improve patient outcomes through effective medication management.

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