Creation of a Bariatric Surgery Medication Therapy Management Model

Publisher： American Society of Consultant Pharmacists

ISSN： 0888-5109

Source： The Consultant Pharmacist, Vol.30, Iss.7, 2015-07, pp. : 403-406

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

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Abstract

OBJECTIVE: To describe how pharmacist-provided medication therapy management (MTM) services can be applied to bariatric surgery.PRACTICE SETTING: A pharmacy MTM consult service located in a multispecialty medical clinic with a bariatric department attached to a hospital where bariatric surgeries are performed.PRACTICE DESCRIPTION: 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.PRACTICE INNOVATION: Practice innovations are a creation of a specialized service and accompanying specialized medication database within a pharmacotherapy practice.MAIN OUTCOME MEASURES: 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.CONCLUSION: 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.