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Doody's Review ServiceReviewer: Melissa M. Ranieri, BS, PharmD (Temple University School of Pharmacy)
Description: This book highlights opportunities for pharmacists to implement medication therapy management (MTM) services in the community or clinic setting. It reviews chronic disease states and offers examples of how pharmacists can get involved in the care of patients.
Purpose: It is intended to provide pharmacists with the necessary tools to start MTM services in their community. The authors have experience in developing these types of pharmacy services and they offer practical and clinical advice for implementing a successful practice. The authors do an excellent job of reviewing the history of MTM and highlighting examples of pharmacy involvement. However, the true success of these pharmacy services will only be realized when pharmacists are recognized as healthcare providers and are reimbursed for their time and expertise.
Audience: This book is perfect for pharmacists working in a community setting hoping to expand their role in disease state management. Pharmacy students and residents learning about MTM also can benefit, because the book is clearly outlined and contains practical information for starting these types of services. The authors have developed an extensive community outreach program through the University of Mississippi, servicing independent and chain community pharmacies, clinics, and employee health settings. The contributing authors also have worked in similar MTM services and provide real-world experience for developing a successful practice.
Features: The book is uniquely organized in a way that provides the practical, how-to information first, such as medication therapy management, documentation skills, and patient interview techniques. Chapters are then outlined by disease state, highlighting those ailments that are best suited for pharmacist involvement. The variety of disease states is comprehensive, including asthma, hyperlipidemia, smoking cessation, and osteoporosis. The comprehensive tables are among the best features. For instance, the chapter on immunization services includes tables on immunization laws by state and vaccine-specific recommendations. The practical information the book provides is also exceptional, such as suggestions for managing tobacco cravings and example questionnaires to assess readiness to quit smoking. The clinical pearls highlighted for each disease state are current and nicely organized. Patient cases help readers apply the information to a clinical scenario. The only caveat is that the book is sometimes idealistic, and it must be read in the context that these pharmacy services can be challenging to implement, since they are not fully embraced by healthcare practitioners and insurance providers at this time. However, this book provides excellent motivation for pharmacists to continue being involved in such patient care activities, since this is how our contributions will be slowly accepted over time.
Assessment: This is a worthwhile investment for pharmacists interested in starting MTM services in the community or clinic setting. It offers excellent examples of assessment surveys, patient information, and helpful strategies for success. Perhaps future editions could focus more on reimbursement and opportunities for pharmacists to advance legislation in support of MTM services.