Community Programs Linked to Clinical Services

Resources for Diabetes and Hypertension


The CDC Division for Heart Disease and Stroke Prevention (DHDSP) Collaborative Practice Agreements and Pharmacists’ Patient Care Services Resources were released in the fall of 2013. This set of translation tools informs health care providers, decision-makers, insurers, and pharmacists about the role of pharmacists in team-based care. The tools include strategies and case examples of how pharmacists and other health care providers can better serve patients through collaborative practice agreements and collaborative drug therapy management.

CDC Public Health Grand Rounds: How Pharmacists Can Improve Our Nation’s Health
This Public Health Grand Rounds presentation demonstrates the impact of including pharmacists in team-based care, shares tools that CDC has developed to facilitate incorporating pharmacists in public health initiatives, and provides examples of how pharmacists are working in healthcare settings to prevent and manage diseases.

Consensus Definition of Medication Therapy Management
A description of the process of development of a profession-wide consensus definition of medication therapy management (MTM), attendant programs and services, and results from the process.

DRAW tool
This tool helps pharmacists start and manage a conversation with patients about medication adherence and its barriers. The tool was developed by the University of Iowa and Million Hearts Team Up. Pressure Down.

Emerging Practices in Diabetes Prevention and Control: Working with Pharmacists (2016)
Includes case studies from Colorado, Iowa and Ohio work with pharmacists

Med Adherence
Tools and resources from ASTHO on assessing and addressing medication adherence

Million Hearts Team Up. Pressure Down.
Team Up. Pressure Down. is a new Million Hearts™ educational program that promotes team-based care and offers support for health care professionals helping Americans improve medication adherence and more effectively manage their blood pressure. Program elements include tools, implementation, evaluation and feedback.

Morisky Scale
A four or eight item self-reported questionnaire used to assess medication adherence. Studies have found self-report to be a reasonably accurate way to track medication adherence.

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP’s) A Program Guide for Public Health: Partnering with Pharmacists in the Prevention and Control of Chronic Diseases The role of the pharmacist has expanded beyond just dispensing medications and is evolving into active participation in chronic disease management as a part of team-based care. Programs addressing chronic diseases in state health departments and communities can build team relationships through public and private partnerships. This guide serves as a starting point for CDC  grantees to build these relationships with pharmacists and other strategic stakeholders.

Methods and Resources for Engaging Pharmacy Partners
This CDC publication supplements the A Program Guide for Public Health: Partnering with Pharmacists in the Prevention and Control of Chronic Diseases (linked above). It highlights methods that can be used to develop and expand partnerships between health departments and pharmacies, as well as complementary pharmacy resources.

New York’s Medication Adherence Project (MAP) Toolkit and Training Guide
The MAP training package serves as a practical, stand-alone toolkit and training guide for healthcare professionals working in busy, under-resourced ambulatory care settings. The package includes clinical tools, a two part guide on how to use the tools, and PowerPoint presentations for MAP trainings.

Prescription for Health Communities: Carrying out Successful Medication Management Services in Community Pharmacies
The Minnesota Department of Health partnered with the University of Minnesota College of Pharmacy to report on lessons learned from community pharmacies in Minnesota with established patient-centered medication management services. It outlines five stages for implementing medication management services (Deciding to Act, Setting the Stage, Executing the Service, Sticking to It, and Continuing to Grow); and provides tips on how local public health can enhance the process. Also included are testimonials from interviews and focus group discussions which provide practical insight into the barriers and facilitators within community pharmacies that have successfully integrated medication management into their services.

Working Together to Manage Diabetes: A Toolkit for Pharmacy, Podiatry, Optometry, and Dentistry (PPOD)
The PPOD Toolkit shows PPOD practitioners how they can work collaboratively with each other, as well as with all other members of the health care team, such as primary health care providers, physician assistants, nurse educators, and community health workers to promote better outcomes in people with diabetes.

Working with Pharmacists to Increase Medication Therapy Management
A National Forum Learning Session focusing on the following objectives:

  1. Describe the current use of pharmacists as physician extenders for MTM
  2. Describe how physician extender codes can be used for pharmacists to conduct MTM
  3. Describe how the state health department and clinicians can work with health plans to establish a consistent reimbursement schedule within health plans for MTM by pharmacists

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