Current Legal Issues in Missouri Health-system Pharmacy Practice April 10, 2010 Nancy Konieczny, R.Ph. M.B.A Christine Swyres, R.Ph., Pharm.D. Christian Tadrus, R.Ph., Pharm.D., FASCP Greg Teale, Pharm.D. The speakers have no conflicts in relation to this presentation. Christian Tadrus is on the Board of MPA and MO PCN Leader
Current laws in the State of Missouri do not define Medication Therapy Management (MTM) and the rules applying to hospital pharmacy practice do not address the tasks and responsibilities a pharmacist can and cannot engage in.
Examples include collaborative agreements with your medical staff.
( 6) Modifying Drug Therapy . If allowed in the written protocol, a pharmacist shall be authorized to modify a patient’s non-controlled substance medication therapy, subject to the following:
(A) Modifying medication therapy may include initiating, selecting, modifying or administering medication therapy or devices, …or selecting a different strength, dose, dosage form, dosage schedule or route of administration if the medication or device and the criteria for such modification or selection are specifically identified in the written protocol.
Established a committee responsible for developing a long-term strategy and plan to improve the health of Missouri residents through engagement of employers, hospitals, physicians, insurance companies, and the federal government.
Barriers to Pharmacist Care Pharmacists not readily recognized as “care providers” (Models) Limited rigorous research to provide evidence of impact (Communications) (“Promising Practice”) Adequate compensation, or inclusion in service mix (Payment) Source: Joint Commission of Pharmacy Practioners, 2004
Missouri Pharmacist Care Network Patient-centered. Advocates in Medicine. A patient-centered provider network designed to enhance the quality of care and quality of life for individuals with chronic disease and complex medication needs through increased access to the skills of a pharmacist.
Bringing together all stakeholders Academic Partnerships Alignment with Payers Outcomes and Sustainability Technologies and Support Clinical Program Design Training And Credentialing