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. 2017 Oct;42(10):632-637.

Provision of Medication Therapy Management by Pharmacists to Patients With Type-2 Diabetes Mellitus in a Federally Qualified Health Center

Uche Anadu Ndefo, Aisha Morris Moultry, Portia N Davis, Raven Askew

Provision of Medication Therapy Management by Pharmacists to Patients With Type-2 Diabetes Mellitus in a Federally Qualified Health Center

Uche Anadu Ndefo et al. P T. 2017 Oct.

Abstract

Background: Type-2 diabetes mellitus is a complex condition for which pharmacists are well suited to improve patient outcomes by delivering medication therapy management (MTM) services. When diabetes is well controlled, patients can avoid its long-term complications, such as cardiovascular and renal diseases. This article describes an MTM pilot program that was implemented at a federally qualified health center (FQHC).

Methods: This program was implemented at three clinics involving patients with uncontrolled diabetes, defined as hemoglobin A1c (HbA1c) greater than 8%. The primary endpoint assessed was HbA1c. Secondary endpoints included knowledge scores, medication adherence, and patient satisfaction. Outcomes were compared with a group of patients from the same clinics who did not receive MTM.

Results: Fifty-seven patients met the established criteria and were enrolled in the six-month program. Thirty-seven patients completed the program and had an average 15% reduction in HbA1c (P < 0.05). Their average knowledge scores and medication adherence scores also increased from baseline.

Conclusion: MTM provided by pharmacists as part of a health care team at an FQHC led to significant reductions in HbA1c.

Keywords: federally qualified health center (FQHC); medication therapy management (MTM); type-2 diabetes mellitus.

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Conflict of interest statement

Disclosures: The authors report no commercial or financial interests in regard to this article. This project was funded under contract number HHSA290201100001C from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. The opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ or the U.S. Department of Health and Human Services.

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