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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Mapping the route to medication therapy management documentation and billing standardization and interoperabilility within the health care system: meeting proceedings.
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Mapping the route to medication therapy management documentation and billing standardization and interoperabilility within the health care system: meeting proceedings.

机译:映射到药物治疗管理文档的路径以及卫生保健系统内的计费标准化和互操作性:会议程序。

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摘要

OBJECTIVE: To convene a diverse group of stakeholders to discuss medication therapy management (MTM) documentation and billing standardization and its interoperability within the health care system. METHODS: More than 70 stakeholders from pharmacy, health information systems, insurers/payers, quality, and standard-setting organizations met on October 7-8, 2008, in Bethesda, MD. The American Pharmacists Association (APhA) organized the invitational conference to facilitate discussion on strategic directions for meeting current market need for MTM documentation and billing interoperability and future market needs for MTM integration into electronic health records (EHRs). APhA recently adopted policy that specifically addresses technology barriers and encourages the use and development of standardized systems for the documentation and billing of MTM services. Day 1 of the conference featured six foundational presentations on health information technology (HIT) trends, perspectives on MTM from the profession and the Centers for Medicare & Medicaid Services, health care quality and medication-related outcome measures, integrating MTM workflow in EHRs, and the current state of MTM operalization in practice. After hearing presentations on day 1 and having the opportunity to pose questions to each speaker, conference participants were divided into three breakout groups on day 2. Each group met three times for 60 minutes each and discussed five questions from the perspective of a patient, provider, or payer. Three facilitators met with each of the groups and led discussion from one perspective (i.e., patient, provider, payer). Participants then reconvened as a complete group to participate in a discussion on next steps. SUMMARY: HIT is expected to assist in delivering safe, effective, efficient, coordinated care as health professionals strive to improve the quality of care and outcomes for individual patients. The pharmacy profession is actively contributing to quality patient care through MTM services focused on identifying and preventing medication-related problems, improving medication use, and optimizing individual therapeutic outcomes. As MTM programs continue to expand within the health care system, one important limiting factor is the lack of standardization for documentation and billing of MTM services. This lack of interoperability between technology systems, software, and system platforms is presenting as a barrier to MTM service delivery for patients. APhA convened this invitational conference to identify strategic directions to address MTM documentation and billing standardization and interoperability. CONCLUSION: Participants viewed the meeting as highly successful in bringing together a unique, wide-ranging set of stakeholders, including the government, regulators, standards organizations, other health professions, technology firms, professional organizations, and practitioners, to share perspectives. They strongly encouraged the Association to continue this unique stakeholder dialogue. Participants provided a number of next-step suggestions for APhA to consider because of the event. Participants noted the pharmacy profession's success in building information technology systems for product transactions with systematic, organized, methodical thinking and the need to apply this success to patient services. A unique opportunity exists for the profession to influence and lead the HIT community in creating a workable health technology solution for MTM services. Reaching consensus on minimum data sets for each functional area--clinical, billing, quality improvement--would be a very important short-term gain. Further, participants said it was imperative for pharmacists and the pharmacy community at large to become actively engaged in HIT standards development efforts.
机译:目的:召集不同的利益相关者小组讨论药物治疗管理(MTM)文档和计费标准及其在医疗保健系统中的互操作性。方法:2008年10月7日至8日,来自药房,健康信息系统,保险公司/付款人,质量和标准制定组织的70多位利益相关者在马里兰州贝塞斯达举行了会议。美国药剂师协会(APhA)举办了邀请性会议,以促进有关战略方向的讨论,以满足满足当前市场对MTM文档的需求,计费互操作性以及将MTM集成到电子健康记录(EHR)中的未来市场需求。 APhA最近采用了专门解决技术障碍的政策,并鼓励使用和开发用于MTM服务的文档编制和计费的标准化系统。会议的第一天以健康信息技术(HIT)趋势,行业和Medcare和Medicaid Services中心对MTM的观点,卫生保健质量和与药物相关的成果衡量标准,将MTM工作流程集成到EHR中的六个基础演讲为基础,实践中MTM操作的当前状态。在第1天听完演讲并有机会向每位演讲者提问后,会议参与者在第2天被分成三个分组。每组分别开会3次,每次60分钟,并从患者,提供者的角度讨论了五个问题。或付款人。三位主持人与每个小组进行了会晤,并从一个角度(即患者,提供者,付款人)引导了讨论。然后,参与者重新组成一个完整的小组,参加有关下一步的讨论。摘要:随着卫生专业人员努力提高单个患者的护理质量和结果,HIT有望协助提供安全,有效,高效,协调的护理。药房行业通过MTM服务致力于为优质的患者护理做出积极贡献,这些服务专注于识别和预防与药物相关的问题,改善药物的使用并优化个体治疗效果。随着MTM计划在医疗保健系统内的不断扩展,一个重要的限制因素是缺少MTM服务文档和计费的标准化。技术系统,软件和系统平台之间缺乏互操作性,这是向患者提供MTM服务的障碍。 APhA召开了这次邀请性会议,以确定解决MTM文档以及计费标准化和互操作性的战略方向。结论:与会人员认为这次会议非常成功,可以汇聚独特,广泛的利益相关者,包括政府,监管机构,标准组织,其他卫生专业,技术公司,专业组织和从业人员,以分享观点。他们强烈鼓励协会继续这种独特的利益相关者对话。参加者为此次活动提供了许多下一步建议,供APhA考虑。与会者指出,药学界在建立具有系统,有组织,有条理的思想的产品交易信息技术系统方面取得了成功,并且需要将这种成功应用于患者服务。该行业存在一个独特的机会来影响和领导HIT社区,为MTM服务创建可行的健康技术解决方案。就每个功能领域(临床,计费,质量改善)的最小数据集达成共识将是非常重要的短期收益。此外,与会人员表示,对于药剂师和整个药学界来说,必须积极参与HIT标准制定工作。

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