Print Page | Contact Us | Sign In | Register
Certification Programs
Share |

  

 

Diabetes Care

MTM

Immunizer

 

The Pharmacists and Patient-Centered Diabetes Care

The Pharmacist and Patient-Centered Diabetes Care Certificate Training Program is a newly revised, intensive educational experience designed to equip pharmacists with the knowledge, skills, and confidence needed to provide effective, evidence-based diabetes care. Five self-study modules provide comprehensive instruction in current diabetes concepts and standards of care. The live seminar incorporates case studies and hands-on skills training focused on the situations most likely to be encountered—as well as the services most needed—in community and ambulatory care practice settings. Participants will gain experience evaluating and adjusting drug therapy regimens for patients with type 1 and type 2 diabetes, counseling patients about lifestyle interventions, analyzing and interpreting self-monitoring of blood glucose results, and assessing the overall health status of patients to identify needed monitoring and interventions.
 
The goals of the certificate training program are to:

  • Provide comprehensive instruction in current standards of care for patients with diabetes.
  • Increase pharmacists’ confidence in serving as the drug therapy expert on the diabetes health care team.
  • Refresh pharmacists’ knowledge of the pathophysiology of diabetes and the acute and long‐term complications of the disease.
  • Familiarize pharmacists with important concepts in nutrition, exercise, and weight control that contribute to optimal diabetes care.
  • Offer hands-on training in diabetes-related devices and physical assessment skills relevant to optimal diabetes care.
  • Introduce pharmacists to the many varied ways in which they can help to improve health outcomes among patients with diabetes.

Self-Study Learning Objectives
At the completion of the self-study program, the participant will be able to:

  • Recall and explain important concepts in glucose homeostasis. 
  • Compare the pathophysiology, clinical manifestations, and treatment of type 1 diabetes with those of type 2 diabetes. 
  • Recite laboratory test values and ranges that represent important diagnostic criteria or treatment goals for patients with diabetes. 
  • Discuss major findings of landmark diabetes trials that influence the current approach to treatment of type 1 and type 2 diabetes. 
  • Differentiate among the many oral and injectable antidiabetic agents available for the treatment of diabetes and categorize agents according to their primary mechanism of action, principal adverse effects, and rational role in therapy. 
  • Explain currently accepted approaches to managing type 1 and type 2 diabetes, as well as the appropriate clinical use of available oral and injectable antidiabetic agents. 
  • Apply concepts and recommendations from current dietary, physical activity, and weight management guidelines to the specific needs of patients with diabetes. 
  • Discuss basic concepts of carbohydrate counting and meal planning for patients with diabetes. 
  • Summarize current recommendations for smoking cessation.
  • Describe the role and application of A1C testing and self-monitoring of blood glucose in type 1 and type 2 diabetes.
  • Specify treatment goals and strategies for controlling cardiovascular risk factors in patients with diabetes. 
  • Identify screening and treatment recommendations for comprehensive diabetes care, including recommendations addressing nephropathy, retinopathy, foot problems, and immunizations. 
  • Propose specific pharmacist-led interventions and services for improving health outcomes in patients with diabetes. 
  • Apply elements of motivational interviewing, goal setting, problem solving, and cultural sensitivity to interactions with patients with diabetes. 
  • Explain how pharmacists can obtain recognized diabetes care credentials or establish a formal diabetes self-management education program. 

Seminar Learning Objectives
At the completion of this seminar, the participant will be able to:

  • Evaluate the overall health status of patients with diabetes in terms of recommended monitoring and interventions, and formulate strategies for closing gaps in care.
  • Propose modifications to a patient’s drug therapy regimen rooted in evidence-based algorithms for diabetes management.
  • Recommend dietary interventions to support optimal glycemic control and weight loss (when indicated) in patients with diabetes.
  • Analyze and interpret a patient’s self-monitoring of blood glucose results and use the results to identify needed changes in the diabetes management plan.
  • Demonstrate proper technique for measuring blood pressure, administering injections, obtaining fingerstick samples for blood glucose monitoring, operating blood glucose meters, and performing monofilament foot testing.
  • Integrate the varied aspects of comprehensive diabetes care into efficient, sensitive, respectful pharmacist–patient interactions that support optimal patient self-management.
  • Describe ways in which pharmacists can keep abreast of new developments and take advantage of professional opportunities in diabetes care
     

Post-Seminar Final Exam

Following completion of the live seminar, participants will be given a period of time to complete the open book final exam. The final exam will be conducted similarly to the self-study exam. Log-in information and completion code will be provided at the seminar. 

Activity Completion Requirements

Successful completion of the self-study involves passing the self-study assessment with a grade of 70% or higher and successful completion of the live seminar involves passing the final exam with a grade of 70% or higher and demonstrating competency in blood pressure testing, self-injection techniques, diabetic foot exam, and blood glucose testing. 

Once credit is claimed, Statements of Credit will be available online within 24 hours on the participant’s CPE Monitor profile at www.nabp.net.  The Certificate of Achievement will be available online upon successful completion of the necessary activity requirements on the participant’s “My Training” page on www.pharmacist.com
 

Continuing Pharmacy Education (CPE) Information
The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education.The self-study portion of The Pharmacist & Patient-Centered Diabetes Care Certificate Training Program is approved for 15 hours (1.5 CEUs) of continuing pharmacy education credit (UAN 0202-9999-12-108-H04-P). The live seminar is approved for 8 hours (0.8 CEUs) of continuing pharmacy education credit (UAN 0202-9999-12-107-L01-P).

Release Date: February 1, 2012
Expiration Date: February 1, 2015
Acitivity Type: Practice-based
Target Audience: Pharmacists in all practice settings

Technology requirements and suggestions for a better learning experience.

In order to participate in this activity, participants must have access to a computer with these minimum system requirements:

Hardware Requirements:
128 MB of RAM
16-bit video card capable of 1024x768 screen resolution or better
Speakers or headphones
Software Requirements

Microsoft Windows Users
Microsoft Windows 98 SE, Windows NT 4.0 SP6a, Windows 2000 SP4, or Windows XP Service Pack 1,Service Pack 2, or Service Pack 3, Windows Vista, Windows 7, or Windows 8
Internet Explorer 8.0 or later, Firefox 1.5 or later, or Chrome
Apple Users
Mac OS X 10.3 or later
Safari, Firefox, or Chrome
Adobe Flash Player Version 10
Adobe Acrobat Reader
Additional software (for, Windows, Mac OS and all other operating systems, including mobile platforms)
APhA’s learning activities are designed with multimedia which is best experienced while using a PC or Mac that is equipped with the hardware and software components described above. Although activities may also be viewed using portable devices, it is not recommended.

The Pharmacist & Patient-Centered Diabetes Care certificate training program was developed by the American Pharmacists Association.
 

________________________________________________

Delivering Medication Therapy Management Services

Delivering Medication Therapy Management Services is an innovative and interactive certificate training program that explores the pharmacist’s role in providing MTM services to patients. Pharmacists have a tremendous opportunity to receive reimbursement for monitoring and improving medication use in patients with complex medication regimens. This practice-based activity teaches pharmacists the essential skills necessary to become a successful MTM practitioner. The certificate training program will enhance pharmacists’ clinical expertise in evaluating complicated medication regimens, identifying medication-related problems, and making recommendations to patients, caregivers, and health care professionals.

The goals of the certificate training program are to:

  • Advance public health and patient care through improved medication use.
  • Provide training to enhance pharmacists' ability to effectively provide MTM services.
  • Motivate increased numbers of pharmacists to establish MTM services.
  • Communicate benchmark practices for providing MTM services.

Self-Study Learning Objectives:

After reading each module, pharmacists will be able to:

Module 1. The Current Landscape for MTM Services

  • Explain the key components of medication therapy management (MTM).
  • Discuss the MTM provisions of the Medicare Part D benefit, including requirements established by the Centers for Medicare and Medicaid Services and the Affordable Care Act.
  • List new opportunities for providing MTM services that were created by the Affordable Care Act, including patient-centered medical homes, accountable care organizations, and transition of care activities.
  • Cite data that describe the current status of MTM provision in the United States.
  • Identify potential sources of reimbursement for the provision of MTM services.
  • Define the five core elements of the MTM service model.
  • Discuss the development of quality measures for MTM services.
  • Describe the economic and clinical outcomes that are affected when pharmacist-provided patient care services increase.
  • Explain the importance of advocacy to the development of MTM services. 

Module 2.  Becoming an MTM Practitioner: A Plan for Success

  • Describe the components of a business plan.
  • Evaluate the strengths and weaknesses of current pharmacy operations and list potential services and barriers using a SWOT analysis and needs assessment.
  • Write goals for providing medication therapy management (MTM) services.
  • Describe appropriate activities for technicians, student pharmacists, and pharmacy practice residents involved with MTM services.
  • Discuss reimbursement strategies to incorporate in the MTM business model.
  • Outline the process and key considerations of making MTM services operational and integrated with existing services.
  • Identify measures to track the economic, clinical, and humanistic outcomes of an MTM service.
  • Project revenues and expenses to establish fees for MTM services.
  • Review elements of a marketing plan for attracting patients, providers, employers, and payers to MTM services.

Module 3.  Getting Ready for MTM Service Delivery: Knowledge and Skills

  • Identify areas of therapeutic knowledge essential for providing medication therapy management (MTM) services.
  • List at least seven types of medication-related problems and possible solutions.
  • Describe strategies for and limitations of using clinical practice guidelines during MTM services.
  • Explain pharmacodynamic and pharmacokinetic changes that are common in elderly adults.
  • Define the term geriatric syndromes.
  • Explain the risks of medication-related problems in elderly patients, and strategies for reducing their incidence.
  • List patient assessment strategies that may be useful during MTM visits.
  • Identify patients with low health literacy.
  • Describe techniques that support open communication with patients, including open-ended questions and active listening techniques.
  • Describe a strategy for improving the cultural competence of pharmacists providing patient care during MTM visits.
  • Identify the stages of behavior change in the Transtheoretical Model of Change.
  • Describe the communication process used in motivational interviewing.
  • Outline ways to adapt patient communication strategies when caring for patients with functional impairments.

Module 4.  Ready for Action: Conducting an MTM Encounter

  • Identify pertinent information that should be obtained from patients and other health care providers prior to a medication therapy management (MTM) visit.
  • Explain how to greet a patient and begin a patient interview during a medication therapy review.
    Systematically review a patient’s medication regimen to assess for medication-related problems (MRPs).
  • Assess whether an elderly patient requires dosage adjustments for drugs that are cleared renally.
  • Describe a strategy for prioritizing MRPs.
    Identify components of the personal medication record and medication-related action plan.
  • Describe the steps involved in completing an assessment of a patient’s medication-related needs.
  • Document an MTM visit.
  • Explain information that should be included in a SOAP note.
  • Describe how to document MTM services for internal records, patient records, and communications with third parties.

Pre-Seminar Exercise

After completion of the self-study portion of the certificate training program, participants must complete two pre-seminar patient cases.

The pre-seminar exercises are intended to provide participants with initial experience in conducting a medication therapy review.  Completing these exercises will give participants a baseline understanding of the process and allow them to identify questions and specific areas of difficulty to address during the live seminar.  This activity is integral to a comprehensive learning experience and is useful for indentifying personal areas for additional practice and improvement.  Participants should be prepared to use these patient cases during interactive portions of the live seminar.

To maintain patient privacy, participants must ensure that no patient identification information is included on the medication therapy review forms. Friends, family, and/or other patients with whom the pharmacist feels comfortable are all appropriate candidates for this activity. The pharmacist should explain to the patient that the interview and documentation is for educational purposes only, and the patient’s identity will remain confidential.

Seminar Learning Objectives:
 
After completing the live seminar, participants will be able to:

  • Explain how to overcome communication barriers and employ active listening when interviewing a patient.
  • Conduct a thorough medication therapy review.
  • Complete a personal medication record (PMR).
  • Develop a medication-related action plan (MAP).
  • Perform the following tasks, given a patient case including one or more medications:
  • Assess patient-specific data and issues, and interpret these findings to identify the patient's medication-related problems.
  • Account for pharmacokinetic and pharmacodynamic changes when reviewing an elderly person's medication regimen.
  • Develop a list of the patient's drug therapy problems.
  • Establish goals of therapy for each medical condition and medication-related problem identified.
  • Make recommendations for resolving situations in which a patient's medications are potentially inappropriate.
  • Document services in a manner appropriate for evaluating patient progress, sufficient for billing purposes, and that facilitates tracking clinical and financial outcomes.
  • Discuss the elements of an effective recommendation to another health care practitioner.
  • Describe the medication use concerns and adverse drug events that affect senior patients.
  • Explain how to bill for MTM services using the appropriate CPT code(s).
     

Post-Seminar Exercise Learning Objectives

Following the same format as the pre-seminar exercises and using cases from the pharmacist's practice, participants must perform and document a medication therapy review for three additional patient cases.   For each case, participants will identify and prioritize the patient's medication-related problems, develop appropriate interventions, complete the appropriate documentation, and devise a plan for follow-up. 

After completing the post-seminar, pharmacists will be able to:

  • Conduct a thorough patient medication history for three patients.
  • Complete a personal medication record (PMR) for three patients.
  • Develop a medication-related action plan (MAP) for three patients.
  • Given three patient cases:
  • Identify patient-specific data and issues and interpret these findings to assess the patient's medication-related needs.
  • Apply the principles of pharmacokinetic and pharmacodynamic changes when reviewing an elderly persons medication regimen.
  • Generate a list of medication-related problems for the patient.
  • Establish goals of therapy for each identified medical condition and medication-related problem.
  • Provide recommendations for modifying potentially inappropriate medication regimens.
  • Document services provided to three patients in a manner appropriate for evaluating patient progress, sufficient for billing purposes, and applicable to tracking of clinical and financial outcomes. 
     

Activity Completion Requirements
 
A Certificate of Achievement is awarded to participants who successfully complete all activity requirements, which include the self-study activity and pre-seminar exercises, the self-study examination, the live training seminar, and the post-seminar patient interviews.  Successful completion is defined as a submission of the pre-work and post-work, a self-study examination score of 70% or better, and attendance at the live seminar.  

Once credit is claimed, Statements of Credit will be available online within 24 hours on the participant’s CPE Monitor profile at www.nabp.net.  The Certificate of Achievement will be available online upon successful completion of the necessary activity requirements on the participant’s “My Training” page on www.pharmacist.com

Continuing Pharmacy Education (CPE) Information
The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education. The self-study learning portion of the Delivering Medication Therapy Management Services certificate training program is approved for 10 hours (1.0 CEUs) of continuing pharmacy education credit (UAN 0202-9999-12-002-H04-P). The live training seminar is approved for 8 hours (0.8 CEUs) of continuing pharmacy education credit (UAN 0202-9999-12-001-L04-P). The post-seminar exercise is approved for 3 hours (0.3 CEUs) of continuing pharmacy education credit (UAN 0202-9999-12-003-H04-P).

Initial Release Date: March 1, 2012; Expiration Date: February 1, 2015
Activity Type:  Practice-based
Target Audience:  Pharmacists in all practice settings

Technology requirements and suggestions for a better learning experience.
In order to participate in this activity, participants must have access to a computer with these minimum system requirements:

Hardware Requirements:
128 MB of RAM
16-bit video card capable of 1024x768 screen resolution or better
Speakers or headphones
Software Requirements

Microsoft Windows Users
Microsoft Windows 98 SE, Windows NT 4.0 SP6a, Windows 2000 SP4, or Windows XP Service Pack 1,Service Pack 2, or Service Pack 3, Windows Vista, Windows 7, or Windows 8
Internet Explorer 8.0 or later, Firefox 1.5 or later, or Chrome
Apple Users
Mac OS X 10.3 or later
Safari, Firefox, or Chrome
Adobe Flash Player Version 10
Adobe Acrobat Reader
Additional software (for, Windows, Mac OS and all other operating systems, including mobile platforms)
APhA’s learning activities are designed with multimedia which is best experienced while using a PC or Mac that is equipped with the hardware and software components described above. Although activities may also be viewed using portable devices, it is not recommended.

Delivering Medication Therapy Management Services in the Community was originally created in 2007 by the American Pharmacists Association and the American Society of Consultant Pharmacists

________________________________________________

 

 

IMMUNIZER INFORMATION Update