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Community CMR/A Program

A partnership between the Wisconsin Pharmacy Quality Collaborative (WPQC) and United Way of Dane County to decrease falls and adverse drug events (ADEs). This initiative has been in place since 2010 with a goal of providing comprehensive medication review and assessments (CMR/As) to high risk, low-income older adults.


About the Community CMR/A Program

Background

The Community Comprehensive Medication Review program began in 2010 as a result of the United Way of Dane County’s (UWDC) Delegation on Safe and Healthy Aging. This delegation determined that Adverse Drug Events (ADE) and Falls were 2 key factors that resulted in older adults needing higher levels of care. As a result of these findings, this program was initiated as a partnership between the Wisconsin Pharmacy Quality Collaborative (WPQC) and UWDC. Since 2010, WPQC pharmacists have provided over 1,200 community-based CMR/As to Dane County older and low-income adults.

Cornerstones of the Program

Comprehensive Medication Review and Assessments (CMR/As): CMR/A services are provided at various locations throughout Dane County including:

  • Senior Centers
  • Community Centers
  • Adult Day Centers
  • Older adult residential complexes
  • Individual homes
  • WPQC pharmacies
CMR/A events are coordinated collaboratively between PSW and the community partner organization. The services provided to older and low income adults are identical to WPQC CMR/A services. If a senior has established prescription coverage through current WPQC payers, UWDC is the secondary payer.

United Way 2-1-1: A telephonic and internet resource for help with food, housing, and health care. Operators educate callers about the opportunity to receive CMR/As at WPQC pharmacies.

SSM SAFE at Home Program provides in-home safety assessments for older adults to reduce falls and help individuals stay safe and independent in their own home or apartment.

 

Training

Participating pharmacists are required to be WPQC-certified and affiliated with a WPQC-accredited pharmacy.  In addition to completing the WPQC Homestudy, the Community Comprehensive Medication Review program  requires training related to geriatric syndromes and adverse drug events (ADEs). Pharmacists who have gone through this training have commented that it was time well spent as they have utilized pearls during their comprehensive medication reviews.  (Remember, CMR/As can be provided not only during Community Comprehensive Medication Review-coordinated  events, but also at your pharmacies.)

Future Directions

PSW continuously seeks opportunities to provide CMR/As in the community for individuals of all backgrounds. To better serve older and low income adults and to improve access to medication management services, future events will be held at various community center locations. If you are interested in participating in the Community Comprehensive Medication Review program, please contact Helene McDowell or Kari Trapskin.