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Comment & Response
November 2018

Meeting the Criteria of Medication Therapy Management—Reply

Author Affiliations
  • 1Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • 2Center for Primary Care Innovation, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Intern Med. 2018;178(11):1563. doi:10.1001/jamainternmed.2018.5792

In Reply Moon and colleagues question whether the nature of the intervention delivered by nurses in the Northwestern and Access Community Health Network Medication Education Study1 should be considered to be medication therapy management. The way the intervention is characterized in their letter does not reflect the full range of actions included in the nurse intervention that are described in the article1 and in the longer description of the nurse-led intervention provided in the article reporting the study design and methods.2 The intervention did not only include patient education, but also was aimed at diagnosing and mitigating medication problems. It is important to note that the nurses in this study were embedded in the health center network where participants were receiving care, had access to patients’ medical records, and were empowered to work directly with patients’ treating clinicians to make medication changes when needed. Lastly, we point out that the trial was designed and conducted before the publication of the Academy of Managed Care Pharmacy statement from 2016.3

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