title: Creation of a Bariatric Surgery Medication Therapy Management Model.
abstract: OBJECTIVE
  To describe how pharmacist-provided medication therapy management (MTM) services can be applied to bariatric surgery.
  
  
  METHODS
  A pharmacy MTM consult service located in a multispecialty medical clinic with a bariatric department attached to a hospital where bariatric surgeries are performed.
  
  
  METHODS
  MTM bariatric surgery office practice where patients are seen before surgery by a pharmacist to identify medication problems and determine how best to administer alternative dosage forms post-operatively to patients.
  
  
  METHODS
  Practice innovations are a creation of a specialized service and accompanying specialized medication database within a pharmacotherapy practice.
  
  
  METHODS
  Outcome measures are number of patients referred per month and polypharmacy consults scheduled downstream from the bariatric surgery. Improved patient outcomes and prescribing efficiency from usage of the newly developed database of drugs that can be crushed.
  
  
  RESULTS
  All bariatric patients are now referred to the pharmacist MTM pharmacotherapy service for medication review before bariatric surgery.
  
  
  CONCLUSIONS
  Bariatric surgery is a source of another useful MTM practice model. Utilizing MTM pharmacists to consult with bariatric patients presurgery helps ease the physician burden of writing alternative dose prescriptions and helps identify medication problems with patients before their surgery.
authors.affiliation: Mayo Clinic Florida, Jacksonville, Florida, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Schuh
mesh_terms: D050110:Bariatric Surgery / Q000379:methods*; D006801:Humans; D054539:Medication Therapy Management / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010593:Pharmaceutical Services / Q000458:organization & administration*; D010595:Pharmacists / Q000458:organization & administration*; D019338:Polypharmacy; D024382:Professional Role; D012017:Referral and Consultation