Comprehensive medication reviews: Optimal delivery setting and recommendations for quality assessment

J Am Pharm Assoc (2003). 2019 Sep-Oct;59(5):642-645. doi: 10.1016/j.japh.2019.06.004. Epub 2019 Jul 12.

Abstract

Objectives: To propose a metric evaluating the quality of comprehensive medication reviews (CMRs), and to discuss the optimal setting for CMR delivery.

Summary: First, we provide a current assessment of the quality of CMRs performed in community, payer, and health system/clinic settings, with recommended opportunities for improvement. Thereafter, a companion metric for CMR quality is discussed, because this is critical to ensuring that patients are not just receiving CMR services, but that CMRs reflect evidence-based recommendations supporting optimal patient outcomes.

Conclusion: Based on the data currently available, accessibility to electronic medical records would enhance patient-specific recommendations to optimize CMR delivery and patient outcomes. Future studies may help to identify additional factors, such as pharmacist-physician collaboration in clinic and use of evidence-based recommendations, that can further enhance CMR quality.

MeSH terms

  • Community Pharmacy Services / organization & administration*
  • Electronic Health Records
  • Humans
  • Medicare Part D / standards
  • Medication Therapy Management / organization & administration
  • Patient Outcome Assessment
  • Quality Assurance, Health Care / standards*
  • United States