Medicines Management Management

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Medicines adherence levels:

Level 1: Long term conditions (LTC):

- Optimisation of the supply of medicines.


- Optimising the use of prescribed medicines.
- Supporting the adherence of medications.

 The patient will gain knowledge of what medications they are prescribed, why they are
prescribed then and the directions for taking them.

Level 2: Medicines Use Review (MUR):

- Optimisation of the understanding of medications that have been prescribed.


- Supporting patient adherence and identifying and addressing patient specific non-adherence
behaviours e.g. losing medication, forgetting or accidental double doses and arranging
correction methods.

 The patient will not only understand why the medicine has been prescribed but the
importance of medicines adherence. Patients will be engaged in an action plan to address
adherence issues in a personalised manner which empowers their self-management and
education surrounding their condition and medications.

Medicines Optimisation levels:

Level 1: Medicines Therapy Assessment (MTA):

- Optimisation of medications efficacy and effectiveness (e.g. dose, time of day, side-effects,
polypharmacy, pill burden, dosage form etc) and whether medicines are needed, given via
the correct route and dosage form and whether any clinical interactions are likely.
- Identification of suboptimal medicines regimens and recommending improvements e.g. de-
prescribing or dosage changes.
- Identification, prevention and correction of medicines related adverse effects.
- Must have access to patient’s clinical notes and medical records.
 Patients will gain reassurance about their medication concerns regarding effectiveness, side
effects and purpose.

Level 2: Comprehensive Medicines Management (CCM):

- An autonomous pharmacist integrated into the healthcare team providing support and
advice on all matters related to the medication management of patients with complex
clinical needs.
- Managing complex clinical patients including all aspects of the MTA but applied to more
complex patients and to entire health-care environments.
- Monitoring of treatment goals and refining regimens for complex patients where specialist
advice is required by experienced pharmacists.
 Patients with complex conditions and regimens are monitored and evaluated for goals and
refinement.

Medicines management:
Medicines management: A range of patient-centred services that improve medicines related health
outcomes.

Common components of medicines management:

1. Accurate and timely assessment of the patients need for medicines.


2. Appropriate choice of medicines and dosing regimens to meet the patients needs.
3. Efficient medicines preparation and supply.
4. Facilitation of optimal patient utilisation of prescribed medicines.
5. Timely provision of accurate independent medicines education/information to patients and
health care professionals.
6. Regular and efficient monitoring of the impact of medicines on patient health.

The components evolve continuously and are used concurrently by pharmacist practitioners working
autonomously in interdependent relationships with other health-care professionals.

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