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APhA’s Delivering Medication Therapy Management Services Certificate Training Program


Date: February 24, 2018

Time: 8:00AM-5:00PM

Location: Midwestern University, College of Pharmacy, 19555 N. 59th Ave., (Cholla Hall), Glendale, AZ  85308


APhA’s Delivering Medication Therapy Management Services Certificate Training Program (3rd Edition) presents a systematic approach for developing, implementing, delivering, and sustaining MTM services. It includes an overview of the marketplace for delivering MTM services, guidance for implementing MTM services in pharmacy practice, a review of the essential skills and knowledge needed for performing MTM successfully, and an organized process for identifying medication-related problems.  The purpose of this certificate training program is to prepare pharmacists to improve medication use through the delivery of MTM services in a variety of practice settings.


The goals of this program are to:

  • Advance public health and patient care through improved medication use
  • Provide training to enhance pharmacists’ ability to effectively provide MTM services
  • Motivate increased numbers of pharmacists to establish MTM services
  • Communicate benchmark practices for providing MTM services

APhA’s Delivering Medication Therapy Management Services certificate training program has three components: online interactive self-study with assessment; the live seminar with online evaluation; and post-seminar case exercise. A Certificate of Achievement will be awarded to participants who successfully complete all program components, including an evaluation.


Self-Study Learning Objectives:

  • Explain the key components of medication therapy management (MTM).
  • Define the five core elements of the MTM service model.
  • Discuss the MTM provisions of the Medicare Part D benefit, including requirements established by the Centers for Medicare and Medicaid Services and the Affordable Care Act.
  • List opportunities for providing MTM services including those that were created by the Affordable Care Act, such as patient-centered medical homes, accountable care organizations, and transition of care activities.
  • Cite data that describe the current status of MTM provision in the United States.
  • Discuss quality measures that can be impacted by MTM services or used to evaluate MTM services.
  • Apply concepts and recommendations from current dietary, physical activity, and weight management guidelines to the specific needs of patients with diabetes. 
  • Discuss quality measures that can be impacted by MTM services or used to evaluate MTM services.
  • Describe economic and clinical outcomes that are affected by pharmacist-provided patient care services
  • Describe the components of a business plan.
  • Evaluate the strengths and weaknesses of current pharmacy operations and list potential service opportunities and barriers that threaten success using a SWOT analysis.
  • Write goals for providing medication therapy management (MTM) services.
  • Describe appropriate activities for pharmacy technicians, student pharmacists, and pharmacy residents involved with MTM services.
  • Discuss strategies for obtaining compensation for MTM services.
  • Outline the processes and key considerations of making MTM services operational and integrated with existing services.
  • Identify measures to track the economic, clinical, and humanistic outcomes of an MTM service.
  • Describe elements of a marketing plan for attracting patients, providers, employers, and payers to engage in MTM services in your practice setting.
  • List at least seven types of medication-related problems and possible solutions.
  • Describe strategies for and limitations of using clinical practice guidelines during MTM services.
  • Explain pharmacodynamic and pharmacokinetic changes that are common in elderly adults.
  • Define the term geriatric syndromes.
  • Explain the risks of medication-related problems in elderly patients, and strategies for reducing their incidence.
  • List patient assessment strategies that may be useful during MTM visits.
  • Identify patients with low health literacy.
  • Describe techniques that support open communication with patients, including open-ended questions and active listening techniques.
  • Describe a strategy for improving the cultural competence of pharmacists providing patient care during MTM visits.
  • Identify the stages of behavior change in the Transtheoretical Model of Change.
  • Describe the communication process used in motivational interviewing.
  • Outline ways to adapt patient communication strategies when caring for patients with functional impairments.
  • Identify pertinent information that should be obtained from patients and other health care providers prior to a medication therapy management (MTM) visit.
  • Explain how to greet a patient and begin a patient interview during a medication therapy review.
  • Systematically review a patient’s medication regimen to assess for medication-related problems (MRPs).
  • Assess whether an elderly patient requires dosage adjustments for drugs that are cleared renally.
  • Describe a strategy for prioritizing MRPs.
  • Identify components of the personal medication record and medication-related action plan.
  • Describe the steps involved in completing an assessment of a patient’s medication-related needs.
  • Document an MTM visit.
  • Explain information that should be included in a SOAP note.
  • Describe how to document MTM services for internal records, patient records, and communications with third parties.
  • Assess pre- and post-discharge medication lists as part of the medication reconciliation process.

Key Learning Objectives of the Live Training Seminar:

  • Conduct a thorough medication therapy review (MTR)
  • When interviewing a patient, employ effective communication skills to overcome communication barriers
  • Complete a personal medication record (PMR)
  • Develop a medication-related action plan (MAP)
  • Document medication therapy management (MTM) services in a manner that allows for evaluating patient progress, billing, and tracking clinical and financial outcomes
  • Create a plan for patient follow-up
  • Assess patient-specific data and issues, and interpret these findings to identify medication-related problems
  • Develop a patient problem list and a list of the patient’s medication-related problems
  • Establish goals of therapy for each medical condition and medication-related problem identified
  • Make recommendations for resolving situations in which a patient’s medications are potentially inappropriate
  • Discuss the elements of an effective medication therapy recommendation to another health care practitioner
  • Describe the medication use concerns and adverse drug events that are more common in elderly patients
  • Account for pharmacokinetic and pharmacodynamic changes when reviewing an elderly person’s medication regimen
  • List important considerations when determining the operations of an MTM service
  • Identify potential payers for MTM services
  • Explain how to bill for MTM services using CPT codes
  • Describe strategies for marketing MTM services
  • Describe emerging opportunities for delivering MTM services



  • Grace Akoh-Arrey, Pharm.D., BCPS., CDE, - Fry’s Food & Drug Stores, Phoenix, AZ
  • Elizabeth Louton, Pharm.D. – Health Choice Arizona


Seminar Agenda:

  • 7:30AM
    • Check-in 
  • 8:00AM-12:00PM
    • Welcome, Introductions and Acknowledgements
    • The MTM Care Process
    • Break
    • Patient Communication During MTM Encounters
    • Cultural Sensitivity
    • Managing Special Needs of Elderly Patients
  • 12:00PM
    • Lunch and Networking (AzPA will provide water and pizza-if you prefer you can pack your own lunch and snacks) 
  • 1:00PM-5:00PM
    • Case Studies
    • Break
    • MTM Implementation: Financial and Operational Issues
    • Next Steps and Take Home Points
    • Post-Seminar Assignment and Final Instructions
 Program Fee
 Early Bird rates until 1/24/18
Use Coupon Code listed below
Regular rates after 1/24/18 
 AzPA Member Pharmacist  $350  $400
 Non-Member Pharmacist  $450  $500
 AzPA Member Student  $250  $300
 Non-Member Student  $350  $400

Enter Coupon Code: MTM0224 to get the early bird rate

*Fee includes provided lunch


Continuing Pharmacy Education (CPE) Information and Activity Completion Requirements:

  • Initial release date: 11/01/2014
  • Expiration date:  06/31/2018
  • Activity Type:  Practice-based
  • Target Audience:  Pharmacists in all practice settings

Course Completion Requirements: 

  • Successful completion of the self-study component involves passing the self-study assessment with a grade of 70% or higher and will result in 10 contact hours of CPE credit (1.0 CEUs). ACPE Universal Activity Number: 0202-9999-14-158-H04-P.
  • Successful completion of the live seminar component involves attending the full live seminar and completing the online evaluation. Successful completion of this component will result in 8 contact hours of CPE credit (0.8 CEU). ACPE Universal Activity Number: 0202-9999-14-159-L04-P
  • Successful completion of the post seminar case exercise component involves completing 3 post cases and submitting an online attestation statement of completion.  Successful completion of this component will result in 3 contact hours of CPE credit (0.3 CEU). ACPE Universal Activity Number: 0202-9999-14-160-H04-P

Once credit is claimed, Statements of Credit will be available online within 24 hours on participant’s CPE Monitor profile at  The Certificate of Achievement will be available online upon successful completion of the necessary activity requirements on the participant’s “My Training” page on


Activity Requirements -  Course material and exams will be accessed online - In order to participate in this activity, registrants must have access to a computer with minimum system requirements:  Internet connectivity with current version of internet browsers, such as Chrome, Firefox, Safari, or Internet Explorer (V9 and above); Adobe Acrobat Reader, Flash Player 8 or higher, Windows 95, Pentium 3 or equivalent processor, 64 MB of free memory (not 64 MB total), and Audio: Sound card and speakers or earphones.  For full technology requirements, please visit


Refund Policy: 

Refund and/or cancellation requests must be made in writing to the Arizona Pharmacy Association office. A cancellation request must be made at least fourteen calendar days prior to the scheduled program and will be charged a $175.00 fee. No refunds will be issued for cancellation requests made less than fourteen calendar days prior to the scheduled program. You must submit a written request to cancel by email, fax, or standard mail and confirm that AzPA has received the request. AzPA reserves the right to cancel any activity due to insufficient pre-registration or as determined by the Executive Director or Operations Director. In this case, all individuals pre-registered are notified and issued a full refund. Registration fees cannot be re-allocated due to the multiple steps involved with processing CE Credits. Refund checks will be mailed fourteen business days after the conclusion of the meeting, if approved.

The American Pharmacists Association and the Arizona Pharmacy Association are accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education.

Delivering Medication Therapy Management Services: A Certificate Training Program for Pharmacists was originally created in 2007 by the American Pharmacists Association and the American Society of Consultant Pharmacists. Copyright © 2014 by the American Pharmacists Association.



Date: Feb 24, 2018 08:00 AM - 05:00 PM

Registration closes on Feb 22, 2018 05:00 PM

Target Audience(s)

  • Pharmacists
  • Student

Joint Provider


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Registration closes on Feb 22, 2018 at 05:00 PM

Registration Closed  


Elizabeth Louton picture

Elizabeth Louton, PharmD., FAzPA
Banner Health Corporate

Brief Bio : Elizabeth Louton, PharmD, received her Doctor of Pharmacy degree from Midwestern University, College of Pharmacy Glendale, AZ. She is currently a Population Health Clinical Pharmacist at Banner Health. Her pharmacy career has spanned several areas of Pharmacy; Retail, Hospital, Academia, and Managed Care. She is a Certified Trainer for Diabetes Self-Management, Medication Therapy Management, and Immunization Certification. She has served on the Board of Directors for the Arizona Pharmacy Association for 5 years. Her Board positions include Community Academy Chair-elect, Community Academy Chair, President Elect, President, and currently the Immediate Past President. She is a member of Phi Lambda Sigma Pharmacy Leadership Society, and the recipient of the NCPA Pharmacy Leadership Award as well as the AzPA Outstanding Leadership Award. Dr. Louton has been a strong advocate for pharmacist involvement in our community. She was a Preceptor and Community Partner at Midwestern University for 7 years, and occasionally is a guest speaker for the Professional Skills Development course at Midwestern University. She was a member of the work group that developed the Opioid Best Practice Guidelines for both Pharmacists and Physicians. She is passionate about advancing the practice of pharmacy in Arizona, and educating the public about the value of a Pharmacist on the Healthcare Team.
Grace Akoh-Arrey picture

Grace Akoh-Arrey, PharmD, BCACP, BCPS, CDE, FAzPA
Pharmacy Clinical Care Coordinator, Fry's Food & Drug Stores

Brief Bio : Dr. Akoh-Arrey received her Bachelors of Pharmacy Degree from the University of Oklahoma and Doctor of Pharmacy Degree from the University of Florida. She is an Adjunct Assistant Professor of Pharmacy Practice at Midwestern University, College of Pharmacy in Glendale, Arizona. She was a Pharmacy Manager at Fry’s Food and Drug Stores for many years. She is currently the Patient Care Coordinator for Fry’s. Dr. Akoh-Arrey is a Board Certified Ambulatory Care Pharmacist, a Certified Diabetes Educator and a Certified Diabetes Technology Clinician. She has a Collaborate Practice with Panda Medical Associates, an Endocrinology Specialty Practice, where she oversees the Disease Management Program, provides drug information, and compliments the physician evaluation and diagnosis by developing and maintaining individualized patient care plans with emphasis on diabetes care. She serves as the Chair of the Local Networking Group on coordinating Body of the Arizona Association of Diabetes Educators (AZAADE). She has served on the Board of Directors at the Arizona Pharmacy Association as Chair of Community Pharmacy Academy and represented as a House of Delegate member for the American Pharmacist Association (APhA). Dr. Akoh-Arrey received Pharmacist of the Year Award from Fry’s, Service to Pharmacy Award from Community Pharmacy Academy, Exemplary Patient Care Award from the Arizona Pharmacy Association, and Preceptor of the Year Award from Midwestern University College
Date: 02/24/18
Time: 08:00 AM - 05:00 PM
Registration Closed