Large Medical Center Benefits from Accountable Care Organization Platform

  • Published On  May 15, 2020
  • Publication  Pharmacy Times
  • Author  Caitlin Mollison


Medication therapy management (MTM) is a complex but vital component of population health management, and a system delivering real-time data allows for meaningful care coordination, patient engagement, and timely medication interventions, according to a presentation on Thursday, May 14, 2020, at the Pharmacy Quality Alliance (PQA) 2020 Annual Meeting.

Some health care systems have implemented a population health care model to address the complex care needs of a variety of patient groups. Key elements include care management, continued evaluation, interdisciplinary collaboration, risk stratification, and strong data.

Pharmacist-led MTM for high-risk patients is driven by artificial intelligence risk stratification based on claims data, predictive analysis and social determinants of health. Medication therapy problem (MTP) category framework is the tool used to collect and evaluate medication-related issues.

One presenter, Klodiana Myftari, PharmD, BCACP, an assistant professor of pharmacy practice at Midwestern University in Downers Grove, Illinois, and a clinical pharmacist at Rush University Medical Center in Chicago, Illinois, talked about the Medical Home Network’s Accountable Care Organization (ACO), which is a provider-owned and -driven approach to patient health care delivery and population health management for Medicaid patients. Rush University Medical Center is a member of the ACO.

The goal of the ACO is shared decision-making and savings that focus on change, collaboration, delivery improvement, and innovation for all its members.

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