Should Pharmacists perform physical exams?

[Old Timer]

Old Timer - for once I agree with you whole-heartedly!

See, proof there is a GOD

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[bananaface]

MTM does not cover acute inpt work - those of us who work as pharmacists just do that as part of our daily work & have for decades.

Outpt, outside of Kaiser & the VA....we do statin, htn pts with comorbidity (ie dm), seroquel with dosing>300mg/d, dm with >2 po drugs or insulin + 1 po drug in addition to immunizations, ec & travel medications (yellow fever, japanese encephalitis, meningococcal, antimalarials & antidiarrheals). There may be more.....can't think of them right now.

Yes - we do get compensated as outpt pharmacists. Not by the pt (unless they are getting travelers meds), but by the MTM company their insurance has hired to have us follow them.

It is in the insurance interests to have the pt managed better because historically their payments are reduced - even if they have to pay pharmacists to follow their patients. Some are followed weekly (seroquel), some less often, but at least monthly.

Ah. I was referring to protocols in general, not just MTM. Protocols seemed to be what Taurus wanted more information on. We haven't got that much outpatient MTM activity going on yet. Do you think that increase in pharmacists utilization is primarily a product of the difference in accessibility of care in your area? Or, are prescribers in your area just more educated about and open to options that involve pharmacist facilitated care?

 

[Epic]

Let this thread die.

 

[pharmacogenomic]

Let this thread die.

enfuf said.....if you don't know yet, wait.....you'll find out or it won't happen in your area - at least not soon.