(234) Lessons Learned from a University-Based MTM Program for Underserved Women

Objective : To describe and evaluate various changes to the development and implementation of a university support team to optimize pharmacist delivery of medication therapy management (MTM) services to underserved women.

Background: The participants were women with chronic diseases who are uninsured or underinsured and enrolled in the CDC-funded Well-Integrated Screening and Evaluation for WOMen Across the Nation (WISEWOMAN) program in Connecticut. In the 6 years of the program, the university support team engaged in several infrastructural changes to promote and enhance the program’s effectiveness, such as taking over recruitment of eligible participants from the electronic medical records and the scheduling and tracking of all participant-pharmacist sessions (3 minimum across a 90-day period). Additional examples of modifications include the hiring of Spanish-language interpreters to pitch the program to eligible women and recruit them (as well as to support them in attending the visits). All visits were transitioned from in-person to virtual.

Methods: Mixed methods analysis was performed to capture qualitative and quantitative outcomes of the initial program and subsequent changes made to it. Qualitative data involved interviews of various stakeholders within the program. Quantitative data involved review of the number of MTM participants, the completion of MTM services, the accuracy of documentation, and protocol adherence.

Results: The university support team saw increases in program completion rates, numbers of recruitments, participants attending visits without canceling, accurate monthly and quarterly reporting, and greater adherence to program protocol. Additional data analysis forthcoming.

Conclusions: The changes made by the university support team had a positive impact on different program outcomes that support future sustainability of MTM programs to underserved patient populations.