Certificate Training Program Goals and Objectives
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.
Goals of the certificate training program are to:
- Advance public health and patient care through improved medication use.
- Provide training to enhance pharmacists' ability to effrectively provide MTM services.
- Motivate increased numbers of pharmacists to establish MTM services.
- Communicate benchmark practices for providing MTM services.
Certificate Training Program Components
Delivering Medication Therapy Management Services certificate training program is conducted in three parts: self-study
activity and pre-seminar exercise; live interactive seminar;
post-seminar exercise. A Certificate of Achievement will be awarded to
participants who successfully complete all program components, including
an evaluation form.
Self-Study Learning Objectives
After reading each module, pharmacists will be able to:
Module 1. The Current Landscape for MTM Services
- 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 service model.
- Discuss the development of quality measures for MTM services.
- Describe the economic and clinical outcomes that are affected when pharmacist-provided patient care services increase.
- Explain the importance of advocacy to the development of MTM services.
Module 2. Becoming an MTM Practitioner: A Plan for Success
- Describe the components of a business plan.
- Evaluate the
strengths and weaknesses of current pharmacy operations and list
potential services and barriers using a SWOT analysis and needs
- Write goals for providing medication therapy management (MTM) services.
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 services.
- 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 services.
Module 3. Getting Ready for MTM Service Delivery: Knowledge and Skills
- 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 incidence.
- 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 motivational interviewing.
- Outline ways to adapt patient communication strategies when caring for patients with functional impairments.
Module 4. 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 parties.
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 live seminar.
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 confidential.
Seminar Learning Objectives
At the completion of this seminar, the participant will be able to:
Post-Seminar Exercise Learning Objectives
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 for follow-up.
After completing the post-seminar, pharmacists will be able to:
Activity Completion Requirements
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
of Credit and a Certificate of Achievement will be available online
upon successful completion of the necessary activity requirements.
In order to participate in this activity, participants must have access to a computer with minimum system requirements:
- Windows 95
- Pentium 3 or equivalent processor
- 64 MB of free memory (not 64 MB total)
- 60 MB Free Disk Space (if copied to the hard drive)
- Flash Player 8 or higher
- Minimum screen resolution of 1024 x 768
- Audio: Sound card and speakers or earphones
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 CEUs) of continuing
pharmacy education credit (UAN 0202-9999-12-002-H04-P). The live
training seminar is approved for 8 hours (0.8 CEUs) of continuing
pharmacy education credit (UAN 0202-9999-09-005-L04-P). The post-seminar
exercise is approved for 3 hours (0.3 CEUs) of continuing pharmacy
education credit (UAN 0202-9999-12-003-H04-P).
Target Audience: Pharmacists in all practice settings
Activity Type: Practice-based
Release Date: March 1, 2012
Expiration Date: March 1, 2015
Delivering Medication Therapy Management Services in the Community was originally created in 2007 by the American Pharmacists Association and the American Society of Consultant Pharmacists.