3 Key Elements of Precision Medication Management

Seniors typically deal with a multitude of comorbid medical conditions, requiring a significant number of medications. In fact, according to the American Society of Consultant Pharmacists (ASCP), while the elderly population makes up less than 15 percent of the total United States population, they consume 40 percent of all prescription medications. The goal of PACE pharmacy, then, is to ensure the highest level of safety in medication management. To facilitate that goal, Grane Rx’s Precision Medication Management program utilizes a three-part approach designed to provide cost-effective solutions to the pharmaceutical needs of participants of your PACE center.  

Precision Medication Management, Facet 1: Clinical Consulting

Polypharmacy, or the regular use of more than four medications, is significant among the long term care population. The ASCP reports that people between the ages of 65 and 69 take an average of 14 prescriptions per year, while those age 70 or older take an average of 18. With an increased number of medications comes an increased number of side effects and the possibility of medication interactions. Grane Rx partners with PACE centers and the long term care industry to provide clinical consulting services.  The foundation of these services are in-depth medication consultations to optimize participant medication therapy and outcomes. As part of clinical consultation, pharmacists implement a number of interventions, including:
  • Comprehensive medication regimen reviews
  • Clinical change of status or emergency room/hospital admission reviews
  • Targeted medication class and disease state management reviews
  • Medication utilization optimization reviews to focus on reducing and eliminating polypharmacy
The aim of all clinical consults is to help ensure positive outcomes for residents while helping PACE centers lower costs and make efficient decisions with downstream impact.  

Precision Medication Management, Facet 2: Pharmacogenetics

Pharmacogenetics is defined as variations in response to medications based on a person’s genetic makeup. In other words, different residents metabolize medications differently. Patient A may be impacted more profoundly by a medication or may have a more limited response or negative reaction than Patient B. Grane Rx has built a partnership with some of the industry’s leading pharmacogenetic testing companies in the country that provide state-of-the-art genetic testing and clinical decision support software. Utilizing innovative technology, providers can comprehensively analyze an individual’s genetic makeup and how his or her body absorbs medication. This risk assessment tool helps providers determine the most appropriate dose of medication for each participant—whether that’s a higher or lower dose than standard, the normal dose, or an alternative medication. In addition, it has the potential to reduce the use of unnecessary medications that were prescribed based on an adverse reaction to another medication. Pharmacogenetics will likely become a standard of care across health care, particularly in the medication management of the senior population. More precise medication orders have the potential to positively impact the provision of care and its associated costs, reducing medication side effects and improving resident outcomes. [Tweet “#Polypharmacy is a significant issue in #longtermcare. Innovative #medicationmanagement can help”]

Precision Medication Management, Facet 3: Preferred Medication Program

Anyone involved in long term care will tell you that it’s imperative to optimize resident outcomes while containing costs whenever clinically appropriate. The Grane Rx Preferred Medication program helps PACE centers strike that careful balance when it comes to medication management. With each center it partners with, Grane Rx implements a customized, clinically appropriate preferred medication program to minimize medication costs. Through this program, Grane Rx works collaboratively with the facility to meet the therapeutic treatment needs of the residents and prescribers while optimizing cost containment efforts. The facility-specific preferred medication program is continually reviewed in order to incorporate the most cost-effective and clinically relevant medications. An automatic therapeutic interchange program is also included as part of the program. Want to learn about the impact Grane Rx services can have on your PACE center? Reach out to us here or call (866) 244-MEDS (6337).]]>

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