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Kathleen A Cameron

Publications and source records attributed to Kathleen A Cameron.

3 recordsLinked to original sources

Comment on medication management models and other pharmacist interventions: implications for policy and practice.

Implementation of the Medicare Modernization Act (MMA) of 2003 poses challenges for policy makers and administrators, not the least of which is a provision that high-risk or targeted beneficiaries receive Medication Therapy Management (MTM) Services. To ensure that Congressional intent is carried out when Medicare Part D goes into effect in January 2006, the Centers for Medicare & Medicaid Services (CMS) is responsible for issuing regulations to operationalize MTM Services. This article comments on the policy and practice implications of providing such services, including recommendations of the American Society of Consultant Pharmacists (ASCP) and presents findings from the Medication Management Model and other community-based Pharmacist-centered interventions as examples of solutions to improve medication management and prevent medication-related problems in Medicare beneficiaries.

Aged, 80 and over↗

Alternatives for potentially inappropriate medications in the elderly population: treatment algorithms for use in the Fleetwood Phase III Study.

OBJECTIVE: To provide estimates of the prevalence of potentially inappropriate medications used in eligible nursing facilities, to describe the development of evidence-based treatment algorithms for recommending safer alternative treatments to potentially inappropriate medications, and to provide the actual treatment algorithms developed for the Fleetwood Phase III study. DESIGN: Literature review, cross-sectional design. SETTING: Thirty North Carolina nursing facilities eligible for Fleetwood Phase III. PATIENTS, PARTICIPANTS: Algorithms developed for use by all pharmacists in the long-term care pharmacy serving the intervention facilities site for the Fleetwood Phase III study. INTERVENTIONS: Pharmacists are prospectively intervening directly with the prescriber to recommend a safer alternative to inappropriate medications using the standardized treatment algorithms developed for the study. MAIN OUTCOME MEASURE(S): Prevalence of potentially inappropriate medications used among residents and the development of 14 treatment algorithms suggesting appropriate alternatives to inappropriate medications. RESULTS: The percentage of potentially inappropriate medications used ranged from 0% to 13.2% at baseline in March 2002. We also found that evidence-based treatment algorithms were well received by consultant pharmacists at the intervention sites of the Fleetwood Phase III study. CONCLUSION: We have provided prevalence rates of potentially inappropriate medication use in nursing homes and developed treatment algorithms for pharmacists to use when making clinical recommendations regarding safer alternatives to potentially inappropriate medications in the elderly population. We are in the process of evaluating the effect of pharmacists' prospective interventions by using these standardized evidence-based treatment algorithms to reduce the prevalence of inappropriate medication use in intervention facilities.

Journal Article↗