Amy Barton Pai|Katie E. Cardone|Harold J. Manley|Wendy L. St. Peter|Rachel Shaffer|Michael J. Somers|Rajnish Mehrotra
Medication Reconciliation and Therapy Management in Dialysis-Dependent Patients
Albany College of Pharmacy and Health Sciences|Albany College of Pharmacy and Health Sciences|Medication Management (United States)|University of Minnesota|American Society of Nephrology|Boston Children's Hospital|Harborview Medical Center|University of Washington
patients esrd undergoing dialysis highly complex medication regimens disproportionately higher total cost care compared general medicare population shown several studies dialysisdependent patients especially high risk medicationrelated problems providing medication reconciliation therapy management services critically important avoid costs associated medicationrelated problems adverse drug events hospitalizations esrd population medicare modernization act 2003 included unfunded mandate stipulating medication therapy management offered highrisk patients enrolled medicare part medication management services distinct dispensing medications involve complete medication review disease states dialysis facility logical coordination center medication management services like medication therapy management likely first health care facility patient present care transition dedicated adequately trained clinician pharmacist needed provide consistent highquality medication management services medication reconciliation medication management services could consistently systematically identify resolve medicationrelated problems would likely improve esrd patient outcomes reduce total cost care herein work provides review available evidence recommendations optimal delivery medication management services esrd patients dialysis facilitycentered model