CPESN® Louisiana Minimum Service Sets
o Adherence Program: Assisting the patient to help organize medications, take them at the correct time of the day and improve patient compliance/adherence. This service may include the pharmacist working with the patients and/or their caregivers to determine an appropriate adherence packaging system which may include Medication Synchronization, Adherence Reminder Calls, Strip Packaging, Blister Packaging, or other special adherence packaging to promote adherence with utilization of appropriate labeling as determined by the Board of Pharmacy
o Comprehensive Medication Review: A Systematic assessment of patient-specific information including all medication therapies to identify medication therapy problems, develop a prioritized list of medication therapy problems, and create a patient-specific plan to resolve medication therapy problems
Complete Medication Reviews with Chronic Care Management (10 step process):
1. Actively identifying and recruiting patients who are candidates for CMRs with chronic care management.
2. Utilizing pharmacy information including patient notes, medication lists, patient vitals, or other clinical information that has been documented at the pharmacy.
3. Collaborating and communicating with other providers in order to receive additional clinical information including progress notes, labs, hospitalizations, discharge summaries,etc.
4. Schedule time with patient and informing patient what information they need to bring with them including current prescription medications, any over-the-counter medications/supplements and information given to them by other providers (e.g. result of office visit, discharge summary, current medication list, etc.
5. Perform interview using motivational interviewing techniques and engaging the patient in a conversation in order to collect as much relevant clinical information to appropriately assess the patient.
6. Utilizing the complete patient record developed during the previous steps, identify drug therapy problems, create a patient care/action plan, and communicate with other providers.
7. Implement plan to resolve the drug therapy problems, determine patient educational and health coaching needs, and determine patients’ therapeutic goals, appropriateness of their drug therapy, and safety and efficacy of medications.
8. Document all patient care activities including note to prescriber.
9. Coordinate care with other providers.
10. Follow up with patients as determined by care/action plan.
o Immunizations Screening and/or Administration: The ability to actively screen patients, educate, and provide ACIP recommended immunizations (or at a minimum refer to another provider) included, but not limited to, influenza, pneumococcal (both conjugate and polysaccharide), Tdap, and herpes zoster immunizations
o In Depth Counseling/Coaching: Additional counseling offered in the pharmacy, requiring a pharmacist or qualified staff member to step out of traditional pharmacy workflow in order to complete the activity