Usphs deployment and pharmacy forms
1 / 15

USPHS Deployment and Pharmacy Forms - PowerPoint PPT Presentation

  • Uploaded on

USPHS Deployment and Pharmacy Forms. LCDR Binh T. Nguyen, Pharm.D., M.S. LCDR Connie T. Jung, RPh, Ph.D. Food and Drug Administration PharmPAC 04/04/07. Objectives. How can Medication Therapy Management (MTM) be applied towards emergency health response/preparedness (USPHS deployment)?

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about ' USPHS Deployment and Pharmacy Forms' - judson

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Usphs deployment and pharmacy forms

USPHS Deployment and Pharmacy Forms

LCDR Binh T. Nguyen, Pharm.D., M.S.

LCDR Connie T. Jung, RPh, Ph.D.

Food and Drug Administration

PharmPAC 04/04/07


  • How can Medication Therapy Management (MTM) be applied towards emergency health response/preparedness (USPHS deployment)?

  • Purpose of implementing USPHS Pharmacy MTM forms

  • Other pharmacy deployment forms

Usns comfort mission to latin america and the caribbean
USNS COMFORT Mission to Latin America and the Caribbean

  • 1 ER/FP Physician

  • 1 Preventive Medicine Physician

  • 1 Infectious Disease Physician

  • 1 Internal Medicine Physician

  • 2 Dentists

  • 4 Dental Hygienists

  • 2 Medical-Surgical Nurses (comfortable with patients of all ages, in both in-patient and out-patient environments)

  • 1 Environmental Engineer

  • 1 Environmental Health Officer

  • 1 Veterinarian (primarily large animal focus)

Medicare prescription drug improvement and modernization act of 2003
Medicare Prescription Drug, Improvement, and Modernization Act of 2003

  • MMA 2003, Congress stipulated that Part D sponsors (i.e. plans) must establish an MTM program that is designed “to optimize therapeutic outcomes (for targeted beneficiaries) through improved medication use, and to reduce the risks of ADE and drug interactions. MMA 2003 also said MTM program elements should promote these goals:

    • Counsel patients for appropriate use of medications and risk of ADE

    • Increase adherence to prescription drug regimens through medication refill reminders, special packaging, and other means

    • Detection of ADE and pattern of drug overuse and under-use

Mma 2003
MMA 2003 Act of 2003

  • If properly implemented in community pharmacy, the provision of MTM services will lead to:

    • Improved care for patients

    • Higher patient and customer satisfaction

    • Lower overall health care expenditures

    • New profit centers in community pharmacies

    • Greater professional fulfillment for pharmacists

    • Unprecedented national recognition of pharmacist’s value

What is medication therapy management
What is Medication Therapy Management? Act of 2003

  • MTM includes services not limited to

    • Performing patient health status assessments

    • Formulating prescription drug treatment plans

    • Managing high-cost specialty medications

    • Evaluating and monitoring patient response to drug therapy

    • Providing education and training

    • Coordinating MTM with other care management services

    • Participating in state-permitted drug therapy management

How will mtm be developed
How will MTM be developed? Act of 2003

  • The final rule states that: “MTM must be developed in cooperation with licensed and practicing pharmacists and physicians.”

Medication therapy management components
Medication Therapy Management: Components Act of 2003

  • Medication therapy review (MTR)

    • Monitor ongoing therapy

    • Review of all meds: Rx, OTC, herbal, DS at least annually

    • Outcome: to optimize drug therapies

  • Personal medication record

    • List of patient’s own meds, strength, dosing directions, and other info

    • RPh encourages patients to share this list with all of their health care providers

  • Medication Action Plan (MAP)

    • A MAP contains info to help patient improve their medication management

  • Intervention on medication therapy problems and/or referral

    • RPh intervenes to address med related problems

    • RPh refers patients to other health care providers

  • Documentation of services and follow-up

Applicability to usphs emergency health response
Applicability to USPHS Emergency Health Response Act of 2003

  • Standardized forms for screening

  • Standardized flyers for different types of services: Immunization (influenza, hepatitis…), Diabetes, Cholesterol, Hypertension, Osteoporosis, Hepatitis B, Food Pyramid, Exercise, Heartburn, Asthma, Depression, Generalized Anxiety Disorder

  • Consent forms

  • Electronic prescribing and dispensing

  • PharmPAC health work group

    • Use MTM model to support USPHS pharmacy response to public health emergencies

Patient services pharmacists may provide

Disease management Act of 2003

Hypertension (26%)

Arthritis (20%)

Respiratory disease (19%)

Cholesterol disorders (13%)

Chronic Mental conditions (13%)

Heart disease (11%) – Cardiac risk / CHF

Eye disorders (10%)

Asthma (10%) - COPD

Diabetes (10%)


Anticoagulant therapy

Women’s health




Pediatric services

Hormone replacement therapy (bioidentical therapies)


Generalized Anxiety Disoder


Lab Testing/Screening

Blood lipids

Bone density


Blood glucose

Blood pressure


Helicobacter pylori

Pulse oximetry

Prothrombin time test

Peak flow monitoring / education

Wellness Program


Smoking cessation

Health status assessment


Travel health clinics

Emergency contraception

Weight loss management

Patient services pharmacists may provide:

Quality s indicators for pharmacists services

Diabetes Act of 2003

Adherence with healthy eating and physical activity

Adherence with drug therapy (i.e. insulin, oral antidiabetes medications)

Percentage of patients with A1C < 7%*

Percentage of patients with blood pressure of < 130/80 mm Hg

Percentage of patients who:

Self-monitor blood glucose

Receive annual eye exam, lipid panel, flu shot, and comprehensive foot exam


Adherence with healthy eating and physical activity

Adherence with antihypertensive drugs

Percentage of patients who reach target blood pressure goals*. For example:

<140/90 mmHg in those with hypertension

<130/80 mmHg in those with hypertension and diabetes or renal disease

Quality’s indicators for pharmacists’ services

Sg health priorities healthy people 2010 guide to public health research needs 2006

key scientific based references Act of 2003

1) lifestyle modifications with regard to obesity, exercise, healthy eating and smoking.

2) reducing health disparity, specifically as it relates to the very young and the very old.

3) emergency preparedness and response readiness to chemical, biological, and other terrorist threats

4) reduction and prevention of medication errors


5) misuse and abuse of drugs (Rx, OTC, herbal, alcohol, tobacco)

pharmacist involvement and intervention

1) pharmacist role as Medication Therapy Management specialists, in terms of providing the public with important clinical drug and health information relating to different disease states;

2) pharmacists as immunization specialists - being able to give vaccinations;

3) pharmacist's role in providing good IT support/communication technology to make sure drug and health information for patients are known and can be addressed during disaster relief;

4) pharmacy response at the community and local level, during any emergency, including distribution of drugs where they are most needed, including the National Stockpile;

5) pharmacists as pharmacogenomic specialists, in terms of knowledge of pharmacokinetics and factors affecting drug metabolism.

SG Health Priorities: Healthy People 2010 &Guide to Public Health Research Needs, 2006

Mtm forms vapsa and hospital practice

MTM forms Act of 2003

Patient OTC Medication, Usage, and Family History form

Pharmaceutical Care Drug Assessment & Diagnosis form

Patient’s Question / Concern and Pharmacist’s Assessment / Response form

Patient Proper Medication Use form

Pharmacist Communication to Physician form

Health Clinic

Health passport






Diet and Exercise


Hospital Practice

Immunization form

MTM forms, VAPSA and Hospital Practice

Other deployment forms
Other deployment forms Act of 2003

  • Narcotic inventory CII and CIII-V log

  • Controlled substance dispensing log

  • Immunization log

  • Pharmacist’s record

  • Temperature log form (Freezer/Refrigerator)

  • Prescription form

  • Important contacts

Thank you
Thank you Act of 2003

  • PharmPAC

  • All officers who provided comments and feedbacks

  • Pharmacy Work Group members

  • RDF Pharmacy Team Leadership