Best practice: Print a CMR worksheet to gather information and make your notes during the review. Download the worksheet from the Resources section or menu within CMR documentation. You may also print a copy of the DRAW tool to assist in identifying and resolving adherence barriers.
(T) Indicates a task that may be completed by a technician
For CMRs delivered by phone, prior authorization may be required. If applicable, obtain the PA code PRIOR to beginning the CMR.
Pre-work - Before your patient arrives
(Appx. 10 minutes)
- Within the Outcomes platform, use sig codes to update directions in the patient’s Medication List based on Rx History and your dispensing software
- Review the patient’s medications for potential drug therapy problems
- Are there administration concerns? (inhalers, injections, etc.)
- Interactions? High risk medications? Common side effects?
- Cost-savings opportunities?
- Review any TIPs in the To Do section of the patient’s profile
- Note your concerns and questions to serve as talking points for the review
CMR Delivery - While Completing the Review With Your Patient:
(Appx. 20 minutes)
- Welcome the patient, and summarize what to expect from the review
- Review each medication (Even if you don’t fill that medication at your pharmacy)
- Purpose, directions and administration
- Side effects/other concerns
- Address questions and concerns, both yours and the patient’s (your notes from pre-work)
- Disease state-related questions
- Adherence barriers or administration
- Potential drug therapy problems
- Summarize the discussion, and thank the patient
- Highlight important points and restate actions and steps to resolve identified concerns.
- Remind him/her you will provide a medication list and action plan in followup
- Discuss how to safely dispose of unused prescription medications
- Confirm address and phone number for the PatientTakeaway.
Documentation - After Your Patient Leaves
(Appx. 10 minutes)
Use patient-friendly language throughout documentation, as the information you enter populates the Patient Takeaway.
- Update the patient’s Health Profile and Medication List (T)
- For directions, include dose, dosage form, strength, route of administration and frequency.
- When adding an over-the-counter medication not prescribed, enter “self” as prescriber.
- Complete the Action Plan (T)
- Be specific in the problem and the patient’s action for the MedicationActionPlan(MAP)
- Start claims for the TIPs and/or additional interventions addressed (as aVailable for the patient) (T)
- Have the pharmacist review all information; print and deliver the Patient Takeaway (T)
- Submit your claim (T)