A CMS Health Care Innovations Award – funded care transitions program known as SafeMed has the goal of reducing hospital readmissions and overall healthcare cost through the optimization of drug therapy. In particular they focus on adherence to drug therapy in addition to the efficiency of the drug regimens being undertaken by patients who are taking multiple chronic conditions – much like what we would expect in a patient who is eligible for MTM services.
Hospital readmissions are common in these patients who have an abrupt transition from extensive medical oversight to being unmonitored in their homes. Here, SafeMed decided to expand the role of their pharmacy technicians having them follow up with these patients by giving the patients phone calls after they return home from their hospital stays. These technicians were put through a training program with teachings provided by a pharmacist with expertise in MTM and through their basic understanding of MTM services they were appointed to a role of identification of some drug therapy problems. The idea here is not to have a technician assume the role of a pharmacist but rather be a less expensive extra set of eyes which could help draw attention to problems that could then be more promptly resolved by the pharmacist.
More time would be needed to draw conclusions about the clinical outcomes surrounding this program. However, an increase in DTP pharmacist interventions did result from this method which intuitively should result in more effective outpatient treatment and less hospital readmissions resulting in less medical expenses, a parameter which is to be measured in follow up studying of this method. In addition, they aim to improve the education of these technicians which can provide a very useful arm for the pharmacists helping them spot the patients who could use their expertise most.
Bailey J. SafeMed: using pharmacy technicians in a novel role as community health workers to improve transitions of care.” J Am Pharm Assoc. 2016; 56(1): 73-81.