Multidisciplinary Medication Management Project
 
About the Medication Management Project
 

The American Medical Directors Association and the American Society of Consultant Pharmacists have established an advisory committee to explore strategies for improving the use of medications in long-term care settings. The initiative is called the Multidisciplinary Medication Management Project. The goal of the project is to foster collaboration among consultant pharmacists, medical directors, attending physicians, and other health professionals in long-term care to improve the prescribing, monitoring, and use of medications in residents.

The project began with a meeting at the AMDA office in December 2000. Participants shared observations about issues and challenges associated with medication use in long-term care, and then brainstormed ideas for strategies to address these concerns.

It is imperative for us to identify
and develop new strategies to
reduce medication errors.

Senator Larry Craig,
Senate Special Committee on Aging,
Technology and Prescription Drug Safety

"Information gathering is an important issue, and we expect that the tools and information we’ll be providing through this initiative will help address this challenge," says Jacob Dimant, MD, CMD, project chair. "The answer to many medication management issues lies in education. We need to push education to a new level and get beyond ‘preaching to the choir.’ "

The group has conducted a survey of medical directors and consultant pharmacists to identify ten drug interactions that involve medications commonly used in older adults and are potentially dangerous. These "Top Ten Drug Interactions" will be published by both ASCP and AMDA and wallet cards will be provided to members of both organizations with a list of these drug interactions.

A second component of the project is a web-based focus on medication-related problems (MRPs) in nursing facility residents. Approximately every two months, a specific MRP will be posted at http://www.scoup.net, with links from the AMDA and ASCP web sites, along with resource materials to empower consultant pharmacists and medical directors to address these MRPs in their facilities.

"Along with education, practical tools and resources are an important element in promoting positive changes in behavior of health professionals," says Tom Clark, RPh, MHS, ASCP’s Director of Professional Affairs. "For each MRP addressed, a packet of resource materials will enhance the ability of the medical director and consultant pharmacist to work together to improve medication use in the facility."

Another planned element is the development of an information kit on "Medication Management in Long-Term Care", including guidelines for practitioners and team members regarding identification of adverse drug reactions and suggested reporting systems and strategies for response.

Stay tuned for further updates as the project progresses.

   
Project Coordinators:  
Thomas R. Clark, RPh, MHS
Director of Professional Affairs
American Society of Consultant Pharmacists
1321 Duke Street, Alexandria, VA 22314
Tel: 703-739-1316, x 123
FAX: 703-739-1321
TClark@ascp.com
Jacqueline Vance, RNC
Director of Clinical Affairs
American Medical Directors Association
10480 Little Patuxent Parkway, Suite 760
Columbia, MD 21044
Tel: 410-740-9743
FAX: 410-740-4572
JacquelineVance@amda.com

The Multidisciplinary Medication Management Project is supported, in part, by an unrestricted educational grant from GlaxoSmithKline.