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 |