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Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population

The aims of the study are to assess adoption of a pharmacogenomic-enriched comprehensive medication management program in a self-insured employer setting and to better understand medication risks that affect employees. METHODS: Employees were identified to be at high risk of medication mismanagement...

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Autores principales: Keogh, Murray, Fragala, Maren S., Peter, Arul Prakasam, Lorenz, Raymond A., Goldberg, Steven E., Shaman, Jeffrey A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722373/
https://www.ncbi.nlm.nih.gov/pubmed/36155954
http://dx.doi.org/10.1097/JOM.0000000000002705
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author Keogh, Murray
Fragala, Maren S.
Peter, Arul Prakasam
Lorenz, Raymond A.
Goldberg, Steven E.
Shaman, Jeffrey A.
author_facet Keogh, Murray
Fragala, Maren S.
Peter, Arul Prakasam
Lorenz, Raymond A.
Goldberg, Steven E.
Shaman, Jeffrey A.
author_sort Keogh, Murray
collection PubMed
description The aims of the study are to assess adoption of a pharmacogenomic-enriched comprehensive medication management program in a self-insured employer setting and to better understand medication risks that affect employees. METHODS: Employees were identified to be at high risk of medication mismanagement and were subsequently provided with a program and process to improve their health. DNA testing, a clinical decision support system, and pharmacists were used to identify medication safety and effectiveness issues and to recommend appropriate changes. RESULTS: A total of 10.6% of the invited employees enrolled in the program. Actionable recommendations were suggested by pharmacists for 85.8% of employees who completed the program, averaging 5.2 recommendations per person. CONCLUSIONS: Implementation of a PGx + CMM program in a self-insured employer setting is feasible, detects risks in prescription regimens, and offers opportunities to improve medication management and reduce the burden of healthcare expenses.
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spelling pubmed-97223732022-12-13 Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population Keogh, Murray Fragala, Maren S. Peter, Arul Prakasam Lorenz, Raymond A. Goldberg, Steven E. Shaman, Jeffrey A. J Occup Environ Med Online-Only: Original Articles The aims of the study are to assess adoption of a pharmacogenomic-enriched comprehensive medication management program in a self-insured employer setting and to better understand medication risks that affect employees. METHODS: Employees were identified to be at high risk of medication mismanagement and were subsequently provided with a program and process to improve their health. DNA testing, a clinical decision support system, and pharmacists were used to identify medication safety and effectiveness issues and to recommend appropriate changes. RESULTS: A total of 10.6% of the invited employees enrolled in the program. Actionable recommendations were suggested by pharmacists for 85.8% of employees who completed the program, averaging 5.2 recommendations per person. CONCLUSIONS: Implementation of a PGx + CMM program in a self-insured employer setting is feasible, detects risks in prescription regimens, and offers opportunities to improve medication management and reduce the burden of healthcare expenses. Lippincott Williams & Wilkins 2022-12 2022-09-22 /pmc/articles/PMC9722373/ /pubmed/36155954 http://dx.doi.org/10.1097/JOM.0000000000002705 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Occupational and Environmental Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Online-Only: Original Articles
Keogh, Murray
Fragala, Maren S.
Peter, Arul Prakasam
Lorenz, Raymond A.
Goldberg, Steven E.
Shaman, Jeffrey A.
Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title_full Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title_fullStr Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title_full_unstemmed Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title_short Early Insights From a Pharmacogenomic-Enriched Comprehensive Medication Management Program Implementation in an Adult Employee Population
title_sort early insights from a pharmacogenomic-enriched comprehensive medication management program implementation in an adult employee population
topic Online-Only: Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722373/
https://www.ncbi.nlm.nih.gov/pubmed/36155954
http://dx.doi.org/10.1097/JOM.0000000000002705
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