Medication Review Services Overview
79 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    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.

    More Like This

    Medication Review and Management
    30 questions

    Medication Review and Management

    VividLogic avatar
    VividLogic
    Medication Review and Optimization
    54 questions

    Medication Review and Optimization

    PicturesqueHill avatar
    PicturesqueHill
    Pharmacy Exam 4 Review
    22 questions

    Pharmacy Exam 4 Review

    SharpestClimax avatar
    SharpestClimax
    Pharmacy Module 4 Quiz
    40 questions

    Pharmacy Module 4 Quiz

    LuxuryBlueLaceAgate avatar
    LuxuryBlueLaceAgate
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser