The Tennessee Medicaid medication therapy management program: early stage contextual factors and implementation outcomes.
Kenneth Charles HohmeierChelsea RenfroKea TurnerParin PatelEstrella NdrianasyRenee Williams-ClarkLora UnderwoodJustin GatwoodPublished in: BMC health services research (2021)
The early stage implementation of a multi-faceted implementation strategy to support delivery of Tennessee Medicaid's MTM program was found to be well accepted and appropriate across multiple stakeholders including providers, administrators, and pharmacists. However, as the early stage of implementation progressed, barriers related to relative priority, characteristics of the intervention (e.g., complexity), and workflow impeded adoption. Programmatic changes to the MTM Pilot based on early stage contextual analysis and implementation outcomes had a positive impact on adoption.
Keyphrases
- early stage
- quality improvement
- primary care
- healthcare
- sentinel lymph node
- electronic health record
- randomized controlled trial
- health insurance
- metabolic syndrome
- squamous cell carcinoma
- type diabetes
- stem cells
- lymph node
- affordable care act
- study protocol
- general practice
- cell therapy
- adverse drug
- rectal cancer
- glycemic control
- replacement therapy