Comprehensive medication management

Comprehensive medication management (CMM) is the process of delivering clinical services aimed at ensuring a patient's medications (including prescribed, over-the-counter, vitamins, supplements and alternative) are individually assessed to determine that they have an appropriate reason for use, are efficacious for treating their respective medical condition or helping meet defined patient or clinical goals, are safe considering comorbidities and other medications being taken, and are able to be taken by the patient as intended without difficulty.[1][2][3][4][5]

CMM is generally delivered directly by a pharmacist in a clinic setting, in collaboration with other health care providers including primary care providers, nurse care coordinators, social workers, dietitians, diabetes educators, behavioral health, and more. Pharmacists who conduct CMM generally have a collaborative practice agreement with a physician at their site of practice, allowing them to prescribe and adjust medications for several chronic conditions including high blood pressure, diabetes, high cholesterol, asthma, chronic-obstructive pulmonary disease, anticoagulation management and smoking cessation among others.[6][7]

Beyond assessing a patient's medications in their present state, the pharmacist delivering CMM will work with the patient to develop goals for the utilization of drug therapy, and schedule continual follow-up to ensure these goals are met.[4][6] A key component of CMM is patient-centeredness, referring to the process by which the patient understands and agrees to the goals of therapy and actively participates in the plan for care.[5][6]

References
  1. "The Patient-Centered Medical Home: A Resource Guide for Integrating Comprehensive Medication Management to Optimize Patient Outcomes (Second Edition)". innovations.ahrq.gov. United States: AHRQ Health Care Innovations Exchange, Government of United States. Retrieved 2019-02-12.
  2. Pestka, Deborah L.; Sorge, Lindsay A.; McClurg, Mary Roth; Sorensen, Todd D. (January 2018). "The Philosophy of Practice for Comprehensive Medication Management: Evaluating Its Meaning and Application by Practitioners". Pharmacotherapy. US: National Center for Biotechnology Information, U.S. National Library of Medicine. 38 (1): 69–79. doi:10.1002/phar.2062. PMID 29155443.
  3. Brummel, Amanda; Carlson, Angeline M. (January 2016). "Comprehensive Medication Management and Medication Adherence for Chronic Conditions". Journal of Managed Care & Specialty Pharmacy. US: National Center for Biotechnology Information, U.S. National Library of Medicine. 22 (1): 56–62. doi:10.18553/jmcp.2016.22.1.56. PMID 27015052.
  4. "The Patient-Centered Medical Home: Integrating Comprehensive Medication Management to Optimize Patient Outcomes RESOURCE GUIDE" (PDF). Patient-Centered Primary Care Collaborative.
  5. "The Patient Care Process for Delivering Comprehensive Medication Management (CMM)" (PDF). American College of Clinical Pharmacy.
  6. "Collaborative Drug Therapy Management and Comprehensive Medication Management―2015" (PDF). American College of Clinical Pharmacy.
  7. "Module 1. Overview and Definition of Medication Therapy Management (MTM)". Power-Pak Continuing Education.
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