Building a Pharmacist-Managed Pharmacotherapy Medication Therapy Management Practice

OBJECTIVE: To describe the development and growth of a pharmacotherapy medication therapy management (MTM) practice.

SETTING: Multispecialty medical clinic.

PRACTICE DESCRIPTION: MTM practice based in a multispecialty medical clinic with a community pharmacy. The practice serves primarily internal medicine, family medicine, bariatric surgery, and solid-organ transplant surgery patients that are referred by clinic providers. The practice serves 30 to 40 patients per month and employs approximately one pharmacist spending 50% to 75% of his/ her time performing MTM.

PRACTICE INNOVATION: This MTM practice serves both primary care and specialty care patients via different practice models in a physician office setting. Unlike many MTM practices, this practice is financially self-sustaining.

MAIN OUTCOME MEASUREMENTS: Sustainability, continued growth, financial viability.

RESULTS: After early slow growth, the pharmacotherapy MTM practice at Mayo Clinic Florida has grown into multiple practice models.

CONCLUSION: Institutions can use this practice model as a guide to assist them in the creation of future institutional pharmacotherapy MTM models.