Ensuring effective implementation: A fidelity assessment system for comprehensive medication management

Melanie Livet; Carrie Blanchard; Caity Frail; Todd Sorensen; Mary R. McClurg

doi:10.1002/jac5.1155

Ensuring effective implementation: A fidelity assessment system for comprehensive medication management

Melanie Livet, Carrie Blanchard, Caity Frail, Todd Sorensen, Mary R. McClurg

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

Measuring the extent to which an intervention is implemented with fidelity (ie, as intended) is critical to its success. Comprehensive medication management (CMM) is an established pharmacy practice intervention in outpatient settings. However, there is no standardized approach to measuring its implementation fidelity. This article describes a fidelity assessment system that includes measures and tools for use by pharmacists and others involved with the practice of CMM. This system is a comprehensive but modular approach to assessing fidelity designed to facilitate measurement along three fidelity dimensions: context (ie, infrastructure needed to support CMM), content (ie, adherence to CMM), and competence (ie, skillset needed to deliver CMM). Practical recommendations with examples are also provided to facilitate application of the system in real-world settings. These recommendations are designed to assist with prioritization of the fidelity dimensions to consider timing of the assessments, use of the resulting data, interpretation of the data, and translation of results into actionable decisions. Incorporating fidelity measurement into any CMM implementation effort is key to ensuring consistent care delivery and impactful clinical outcomes.

Original language	English (US)
Pages (from-to)	57-67
Number of pages	11
Journal	JACCP Journal of the American College of Clinical Pharmacy
Volume	3
Issue number	1
DOIs	https://doi.org/10.1002/jac5.1155
State	Published - Feb 1 2020

Bibliographical note

Funding Information:
information American College of Clinical Pharmacy and ACCP Research Institute The authors gratefully acknowledge all of the pharmacists and primary care practices engaged in the parent study for their valuable work and insights. In addition, this work would not have been possible without the contributions and insights provided by the University of North Carolina and the University of Minnesota “CMM in Primary Care” study research team members. Finally, the authors acknowledge the generous support for this study provided by the American College of Clinical Pharmacy (ACCP) and the ACCP Research Institute.

Publisher Copyright:
© 2019 Pharmacotherapy Publications, Inc.

Keywords

assessment
clinical pharmacist
comprehensive medication management
fidelity
implementation science
pharmaceutical services

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Ensuring effective implementation: A fidelity assessment system for comprehensive medication management

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