Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered Medication Therapy Management (Indiana)

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Summary:

Medications are used widely in the United States. Among individuals ages 65 and older, 90% use prescription drugs. Medication-related problems occurring in the ambulatory setting are estimated to cost over $177 billion. In the 65 years and older Medicare population, the costs of preventable adverse drug events in the ambulatory setting are estimated at $887 million annually.

Medication therapy management (MTM) is a service or group of services designed to optimize therapeutic outcomes for individual patients; however, actual outcomes from MTM are inconsistent. Clinical decision support (CDS) provides an opportunity to optimize MTM, improve health outcomes, and reduce the economic burden of medication-related problems. Although CDS improves specific care processes in other health care contexts, limited research exists regarding the use of CDS in community pharmacies and MTM delivery. This project will assess how CDS for MTM has been designed and delivered in community pharmacy practices historically and apply this information to develop design recommendations for MTM CDS to aid more effective care delivery.

The specific aims of this project are as follows:

  • Evaluate the extent to which computerized CDS for community pharmacist-delivered MTM aligns with established human factors principles. 
  • Assess the usability of MTM computerized CDS for community pharmacists, as well as pharmacists’ perspectives on the usefulness and usability of these technologies for patient care. 

The long-term goal of this research is to enhance CDS for community pharmacist-delivered MTM in order to reduce medication-related problems among individuals ages 65 years and older receiving care in the ambulatory setting for chronic conditions.

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