Medication therapy management in pharmacy practice: core elements of an MTM service model (version 2.0).
OBJECTIVE
To further develop the service model for medication therapy management (MTM) delivery by pharmacists in settings where patients or their caregivers can be actively involved in managing their medications.


METHODS
Peer-reviewed literature, structured discussions with pharmacy leaders from diverse patient care settings, input from pharmacists and pharmacy associations, recommendations on patient-centered documents (personal medication record and medication-related action plan) from experts in the field of health literacy, and incorporation of extensive feedback received during an extended public comment period open to all MTM stakeholders and interested parties.


CONCLUSIONS
Built on an MTM consensus definition adopted by 11 national pharmacy organizations in July 2004, Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service (Version 1.0) described core elements of an MTM service model that can be provided by pharmacists across the spectrum of community pharmacy. Version 2.0 of that model, presented in this article, maintains the original five core elements of an MTM service: medication therapy review (MTR), a personal medication record (PMR), a medication-related action plan (MAP), intervention and referral, and documentation and follow-up. The MTR can be comprehensive or targeted, depending on the needs of the patient. In Version 2.0, the PMR and MAP have been redesigned with the assistance of a health literacy expert to be more "patient friendly," effective, and efficient for patients to use in medication self-management.


CONCLUSIONS
The developing service model presented in this article for use by pharmacists involved in providing MTM services in diverse patient care settings consists of five core elements. The service model provides a consistent and recognizable framework for MTM service delivery by pharmacists that enhances efficient delivery of the service and improves patient outcomes.
D003157:Community Pharmacy Services / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D006801:Humans; D054539:Medication Therapy Management / Q000458:organization & administration*; D017146:Models, Organizational; D010595:Pharmacists / Q000458:organization & administration*; D024382:Professional Role; D016896:Treatment Outcome