APhA Delivering Medication Therapy Management Certificate

• Advance public health and patient care through improved medication use.
• Provide training to enhance pharmacists’ ability to effectively provide MTM services.
• Motivate increased numbers of pharmacists to establish MTM services.
• Communicate benchmark practices for providing MTM services.

Self-Study Learning Objectives

At the completion of this activity, participants will be able to:

Module 1. The Pharmacists’ Patient Care Process and MTM

• Describe the benefits of a standardized process of care.
• Explain the steps of the Pharmacists’ Patient Care Process.
• Explain the key components of medication therapy management (MTM).
• Define the five core elements of the MTM service model.
• List provisions of recent laws that have affected the evolution of pharmacists’ patient care services.
• List opportunities for providing pharmacists’ patient care services including those that were created by patient-centered medical homes, accountable care organizations, and transition of care activities.
• Discuss quality measures that can be impacted by pharmacists’ patient care services or used to evaluate these services.

Module 2. Becoming an MTM Practitioner: A Plan for Success

• Evaluate the strengths and weaknesses of current pharmacy operations and list potential service opportunities and barriers that threaten success using a SWOT analysis.
• Write goals for providing medication therapy management (MTM) or other patient care services.
• Describe appropriate activities for pharmacy technicians, student pharmacists, and pharmacy residents involved with MTM services.
• Discuss strategies for obtaining compensation for patient care services.
• Outline the processes 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.
• Describe elements of a marketing plan for attracting patients, providers, employers, and payers to engage in MTM services in your practice setting.

Module 3. Getting Ready for MTM Service Delivery: Knowledge and Skills

• List at least seven types of medication-related problems and possible solutions.
• Describe strategies for and limitations of using clinical practice guidelines to guide the development of patient care recommendations.
• Explain strategies for assessing patients and their medication use.
• List specific patient care services that may be provided as a component of MTM services.
• Explain pharmacodynamic and pharmacokinetic changes that are common in elderly adults.
• Describe characteristics of geriatric syndromes.
• Explain the risks of medication-related problems in elderly patients, and strategies for reducing their incidence.
• Assess whether an elderly patient requires dosage adjustments for drugs that are cleared renally.

Module 4. Ready for Action: Conducting an MTM Encounter

• Describe techniques that support open communication with patients, including open-ended questions and active listening techniques.
• Identify and address barriers to patient communication during MTM visits.
• Identify the stages of behavior change in the Transtheoretical Model of Change.
• Describe the communication process used in motivational interviewing.
• Describe the process for communicating with other health professionals.
• Describe the application of the pharmacist’s patient care process to the delivery of MTM services.
• Systematically review a patient’s medication regimen to assess for medication-related problems (MRPs).
• Describe a strategy for prioritizing MRPs, develop a plan to address the MRPs, and implement the plan.
• Identify components of the personal medication record (PMR) and medication-related action plan (MAP).
• Describe how to document MTM services for internal records, patient records, and communications with third parties, including the development of a PMR, an MAP, and a SOAP note.

Live Seminar Learning Objectives

At the completion of this activity, participants will be able to:

• Conduct a thorough medication therapy review (MTR)
• When interviewing a patient, employ effective communication skills to overcome communication barriers
• Complete a personal medication record (PMR)
• Develop a medication-related action plan (MAP)
• Document medication therapy management (MTM) services in a manner that allows for evaluating patient progress, billing, and tracking clinical and financial outcomes
• Create a plan for patient follow-up
• Perform the following tasks, given a patient case that includes one or more medications:
• Assess patient-specific data and issues, and interpret these findings to identify medication-related problems
• Develop a patient problem list and a list of the patient’s medication-related problems
• Establish goals of therapy for each medical condition and medication-related problem identified
• Make recommendations for resolving situations in which a patient’s medications are potentially inappropriate
• Discuss the elements of an effective medication therapy recommendation to another health care practitioner
• Describe the medication use concerns and adverse drug events that are more common in elderly patients
• Account for pharmacokinetic and pharmacodynamic changes when reviewing an elderly person’s medication regimen
• List important considerations when determining the operations of an MTM service
• Identify potential payers for MTM services
• Explain how to bill for MTM services using CPT codes
• Describe strategies for marketing MTM services
• Describe strategies for marketing MTM services

For a complete list of learning objectives and for all APhA accreditation information and policies, please visit the APhA Delivering Medication Therapy Management Certificate training program website.

9:00am

• Welcome, Introductions and Acknowledgements
• The MTM Care Process
• Morning Break
• Patient Communication During MTM Encounters
• Cultural Sensitivity
• Managing Special Needs of Elderly Patients

12:00pm

• Lunch
• Case Studies
• Afternoon Break
• MTM Implementation: Financial and Operational Issues
• Next Steps and Take Home Points
• Post-Seminar Assignment and Final Instructions

Gale Edward Garmong, PharmD
Assistant Professor of Pharmacy Practice
Duquesne University School of Pharmacy
Pittsburgh, PA

Tiffany M. Hatcher, PharmD
Clinical Assistant Professor, Pharmacy Practice 
Duquesne University School of Pharmacy
Pittsburgh, PA

Computer and Internet access are required to complete this activity. Please visit our website to view the Technology System Requirements in order to have a positive learning experience.

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. Copyright © 2021 by the American Pharmacists Association.

The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. The APhA Delivering Medication Therapy Management Services certificate training program is approved for a total of 21.0 contact hours of continuing pharmacy education (CPE) credit (2.1 CEUs). The ACPE Universal Activity Numbers (UAN) for this activity are listed below.

Successful completion of the self-study component involves passing the self-study assessment with a grade of 70% or higher and will result in 10 contact hours of CPE credit (1.0 CEUs). 0202-0000-21-224-H04-P

Successful completion of the live seminar component involves attending the full live seminar and completing the online evaluation. Successful completion of this component will result in 8 contact hours of CPE credit (0.8 CEU). 0202-0000-21-225-L04-P and 0202-9999-21-225-L04-P

Successful completion of the post seminar case exercise component involves completing 3 post cases and submitting an online attestation statement of completion. Successful completion of this component will result in 3 contact hours of CPE credit (0.3 CEU). 0202-0000-21-226-H04-P

If you are a Minnesota Pharmacist and want to enroll in the APhA MTM certificate training, please contact education@aphanet.org, before enrolling.

Successful completion of the post seminar case exercise component for Minnesota pharmacists involves completing 12 post cases and submitting an online attestation statement of completion. Successful completion of this component will result in 12 contact hours of CPE credit (1.2 CEU). 0202-0000-21-227-H04-P

To obtain 21.0 contact hours of CPE credit (2.1 CEUs) for APhA's Delivering Medication Therapy Management Services program, the learner must complete all components listed above, and CLAIM credit for each component. Participants will need to have a valid APhA (pharmacist.com) username and password, as well as a CPE Monitor account to claim credit. After credit has been claimed, please visit CPE monitor for your transcript. The Certificate of Achievement will be available online upon successful completion of the necessary activity requirements on the participant’s My Training.

APhA continuing pharmacy education policy provides you with two opportunities to successfully complete the continuing pharmacy education assessment. Please note that you will not be permitted to submit the assessment a third time. The current policy of the

APhA Education Department is not to release the correct answers to any of our CPE tests. This policy is intended to maintain the integrity of the CPE activity and the assessment.

Release Date: July 2, 2021

Expiration Date: July 2, 2024 - Please note: NO Home Study credit granted after this date; Live Credit can only be granted within 60 days from the day of the seminar attended or before the expiration date, whichever is sooner.

Cancellation

Reservations for the program cannot be held until the registration fee is received. Cancellations received in writing (via email) at least 7 days prior to the activity will receive a full refund if the learning material was not accessed. Cancellation requests made after 7 days will receive a refund minus a $25 cancellation fee if the learning material was not accessed. If the learning material was accessed, a refund minus a $150 cancellation fee will be provided. The learner and the registration fee may be transferred to a future offering to complete the program. Duquesne University reserves the right to cancel the program at any point in time. In that event, each participant will be notified via email and a full refund will be made.

Self-Study Material Information

Once payment is received you will receive an email outlining program information, agenda, objectives, requirements, and next steps. Self-study material will be available 14 days prior to the program date and forwarded to the email address provided at registration.

Online Attendance (Zoom, Teams, etc.)

Log-in via computer, tablet, or any mobile device 1 hour before program start to ensure properly functioning internet connection, microphone, and camera. Join the activity 10 minutes prior to start time for check-in and to adhere to activity schedule. Camera video must be functional and enabled for the duration of the program. Learners must be present and engaged for the entirety of the program and not participating in other activities during the program (e.g. - taking the program while simultaneously at work, while running errands, while babysitting, etc.) to be eligible for completion.

Online Etiquette (Zoom, Teams, etc.)

Continuing education office staff and program faculty, at their discretion, reserve the right to remove a learner for distracting or inappropriate behavior. The learner and the registration fee may be transferred to a future offering to complete the program. However, if a future program is not available, or it is deemed the participant is not eligible for a transfer, the participant will be removed and the registration fee will not be refunded. 

Communications

All program communications will be sent to the email address submitted at registration. It is the registrant's responsibility to ensure that the email address submitted is current and correct. If you need to communicate with the continuing education office, please communicate with the email address used for registration. Please note that communications may be delayed during observed university holidays.