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Table 1 Overview of Multi-faceted Implemented Strategies for the TennCare MTM Pilot Project

From: The Tennessee Medicaid medication therapy management program: early stage contextual factors and implementation outcomes

Strategy Description Target Timeframe Barriers addressed
Planning strategies: Gathering data, building buy-in, and initiating leadership and partnerships
 Assess readiness and identify barriers and facilitators University surveys. TennCare and MCO evaluation barriers and challenges of MTM pilot program. MTM Pharmacists Early 2019 Limited knowledge of local context
 Obtain formal commitments Formalize CPAs between primary care providers and pharmacists MCOa, Pharmacists 2018–2019 Lack of partnership between pharmacy and primary care
Education strategies: Informing stakeholders about intervention implementation
 Conduct ongoing training TennCare MTM on-site Training Workshop: “You’re an MTM pharmacist, NOW WHAT?” Pharmacists Five sessions throughout 2019 Lack of knowledge about high-quality MTM implementation
Finance strategies: Incentivize the consistent use of the intervention
 Use alternative payment modelsc Paying pharmacists using an alternative payment model Pharmacists 2019–2020 Lack of incentives for MTM
Restructure strategies: Creating data systems
 Relay clinical data to providers Provide data on MTM completion rates MCO, Pharmacists, Provider, Legislature, CMSb Quarterly 2019–2020 Lack of data systems
Quality management strategies: Supporting processes for quality assurance and improvement
 Purposely reexamine implementation UTHSC Surveys, TennCare Re-evaluation, MCO MCO, Pharmacists 2019–2020 Lack of quality monitoring systems
 Capture and share local knowledge UTHSC, TennCare use of formal and informal quantitative and qualitative data collection Pharmacist 2019–2020
  1. aMCO Managed care organization
  2. bCMS Centers for Medicare & Medicaid Services
  3. cValue-based payment model ultimately was changed to a fee-for-service model prior to project launch