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1. During an MTM consultation with Mr. P., you show him a template for a Personal Medication List and say that you'll be filling this in for him. He responds, “Oh, I already got one of those when I left the hospital.” Which of the following responses would be most consistent with MTM principles?

A. “Okay, great! Be sure that you use that and update it regularly.” B. “Yes, I have a copy. I notice you had other medicines that you were taking before your hospitalization. I'd like to create just one list and try to make it easier for you to use.” C. “The hospital lists are almost never right, so let's use the one I have.” D. “So now you will have two—one for the medicines you got in the hospital, and this one for the new medicines.”

2. CMS documents suggest that Medicare Part D MTM patients should update the PML by: 1) Using blank rows to add new medications. 2) Filling in start dates for new medications. 3) Crossing out drugs that are no longer being used. 4) Writing discontinuation dates and why the medication was stopped. The main flaw with this recommendation is:

A. patients are not likely to be truthful about whether they discontinue a medication B. patients should be having a follow-up MTM consult whenever a new medication is added C. most PMLs don't have enough space for patients to write in D. it is unrealistic to expect most patients to maintain these types of records over time

3. You have just had a very productive MTM session with John L. where you identified as many as 10 steps (including smoking cessation) that may address problems with his cardiovascular and COPD regimens in a short time frame. When preparing a Medication Action Plan (MAP) for Mr. L., you:

A. clearly list the 10 steps, in order of priority, that you would like him to start working on B. ask him which of the 10 steps he thinks he'd like to focus on C. wait to see if he can stop smoking before addressing his medication problems D. select 3 steps, prioritized according to his health needs, and address those first

4. Recommended documentation steps following an MTM encounter include:

A. concise document for patients showing current medications used and action plan B. follow-up with healthcare providers to communicate recommendations based on MTM C. documents required by Part D sponsor or other payer describing intervention D. all of the above

Evaluation Questions

5. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

6. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

7. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

8. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Will the information presented cause you to change your practice?

A. Yes B. No

16. Are you committed to making these changes?

A. Yes B. No

17. As a result of this activity, did you learn something new?

A. Yes B. No

18. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

19. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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