Medication History & Provider to Provider Communication- Quiz #2
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12 Terms
Medication History
the foundational record of a patient's active, historical, and over-the-counter drug regimens
Medication reconciliation
the formal process of comparing historical regimens against newly ordered prescriptions
comprehensive medication review (CMR)
a systematic evaluation of all medications to identify and resolve therapy-related issues
Medication Therapy Management (MTM)
a service that optimizes therapeutic outcomes for individual patients
patient interview
the patient-centered dialog to gather personal, contextual and practical medication insights
patient info
- confirm patient's name and DOB
- obtain relevant info: pharmacy name, healthcare provider, and insurance info
past medical history (PMH)
- brief description of patient's past med conditions
- ask abt any hospitalizations in the past 3-6 months
- review the patient's immunization history
Situation
what is going on with the patient? What is happening?
background
What is the clinical background and context?
Assessment
what do you think is the problem?
Recommendation
What would you suggest or ask the prescriber to consider changing?
Check-back
after the prescriber speakers, the pharmacist accepts the message and provides feedback confirmation. The prescriber then verifies the message was received accurately.