Download project fact sheet (PDF)

Meds CheckLed by Linda MacKeigan and co-led by Lisa Dolovich, this research project is evaluating the effectiveness of Ontario’s MedsCheck, MedsCheck for Diabetes and Pharmaceutical Opinion Programs.

Project members: Suzanne Cadarette, Lori MacCallum, Nedzad Pojskic

Research project coordinator: Elizabeth Bojarski
Research officer: Bojana Petrovic
Coordinator of Institute for Clinical Evaluative Sciences study components: Giulia Consiglio
Qualitative researcher: Nadine Ijaz
Research assistant: Saliman Joyian

MSc student: Amanda Day
Clinical pharmacy co-op student: Vivian Bui
Part-time MSc student: April Chan

Research goal

The project’s primary goal is to determine the quality and impact of Ontario’s MedsCheck, MedsCheck for Diabetes and Pharmaceutical Opinion Programs on patients, physicians, pharmacists and the pharmacies where they work. Its secondary goals are to determine whether these medication therapy management (MTM) services are reaching those most likely to benefit and to identify determinants of service uptake.

Research partner for MedsCheck annual services evaluation

Project researchers are working closely with THETA, the Toronto Health Economics and Technology Assessment Collaborative. Through this partnership, the OPEN and THETA research teams are sharing information, avoiding duplication and aligning data requirements for submission to the Institute for Clinical Evaluative Sciences to conduct database analyses of MedsCheck Annual services.

Methods

This project uses a mixed-methods research design that incorporates both quantitative sources of data (claims database analyses, audits of pharmacy records and surveys) and qualitative sources (interviews and surveys) to address the perspectives of pharmacists, patients and physicians and to evaluate the effectiveness of Ontario’s MedsCheck and Pharmaceutical Opinion programs.

The main outcomes of interest are the quality and clinical significance of pharmacists’ interventions, medication adherence, and physician and emergency room visits. The project is also gauging the satisfaction of those who provide and use these services — i.e., patients, pharmacists, pharmacy owners and managers, and physicians.

In particular, the research team is examining the impact of MTM services on high users of both medications and healthcare services as well as comparing the uptake and impact of these services in urban versus rural areas.

Implications

This project is yielding crucial evidence of the quality, outcomes and value of three MTM services that Ontario community pharmacists provide to their patients. This information will assist the Government of Ontario to assess the value of its investment in these services and inform future decisions regarding reimbursing community pharmacies for provision of new or additional MTM services.

In addition, the project’s researchers are identifying program design features and community pharmacy strategies that are likely to enhance the reach, quality and impact of these MTM services for the people of Ontario.

Media releases

Learn more about this project

Journal publications
  1. Uptake of the MedsCheck annual-medication review service paperDolovich L, Consiglio G, MacKeigan L, Abrahamyan L, Pechlivanoglou P, Rac VE, Pojskic N, Bojarski EA, Su J, Krahn M, Cadarette SM. Uptake of the MedsCheck annual medication review service in Ontario community pharmacies between 2007 and 2013. Can Pharm J, 2016;149(5):293–302.
Recent presentations

Canadian Association for Population Therapeutics • 2015 Annual Meeting • Toronto, ON • Nov 1–3, 2015

  • The Ontario MedsCheck Diabetes pharmacist medication review service: A descriptive analysis of service recipients between 2010–2014 using administrative claims data (poster, abstract as PDF)
    Dolovich L, MacCallum L, Consiglio G, MacKeigan L, Bojarski E, Pojskic N, Cadarette S

Society for Medical Decision Making • 37th Annual Meeting • St. Louis, MO • Oct 18–21, 2015

  • Factors affecting the delivery of a pharmacist-led medication review: Evidence from the MedsCheck Annual Service (poster, abstract as PDF)
    Pechlivanoglou P, Abrahamyan L, MacKeigan L, Dolovich L, Consiglio G,  Rac VE, Shin J, Cadarette S, Krahn MD

43rd North American Primary Care Research Group Annual Meeting • Cancun, Mexico • Oct 24–28, 2015

  • An administrative claims data analysis of Pharmaceutical Opinions made by community pharmacists to prescribers in Ontario, Canada (oral, abstract)
    Consiglio G, Cadarette S, Calzavara A, Bojarski E, MacKeigan L, Pojskic N, MacCallum L, Dolovich L
  • Implementation of medication management services: Efficiency trumps quality (oral, abstract)
    MacKeigan L, Bensimon C, Winterbottom M, Pojskic N, Bojarski E, MacCallum L, Dolovich L

75th International Pharmaceutical Federation  • Dusseldorf, Germany • Sep 29 to Oct 3, 2015

  • A mixed-methods evaluation of a government-funded medication review program in Ontario, Canada (poster, abstract as PDF)
    MacKeigan L, Dolovich L, MacCallum L, Pojskic N, Cadarette S

31st International Conference on Pharmacoepidemiology & Therapeutic Risk Management • Boston, MA • Aug 22–26, 2015

  • Pharmaceutical Opinions in Ontario: A descriptive analysis using administrative claims data (poster)
    Dolovich L, Consiglio GP, Calzavara A, Bojarski EA, MacKeigan L, Pojskic N, MacCallum L, Cadarette SM
  • Ontario MedsCheck Annual pharmacy medication review service: A comparison between initial and well-established implementation periods (poster, abstract as PDF)
    Dolovich L, Consiglio GP, Abrahamyan L, Bojarski EA, MacKeigan L, Pechlivanoglou P, Pojskic N, Rac VE, Su J, Krahn M, Cadarette SM
  • Predictors of Ontario’s medication review program (MedsCheck Annual Service) utilization among Ontario seniors (poster)
    Pechlivanoglou P, Abrahamyan L, MacKeigan L, Dolovich L, Consiglio GP, Rac VE, Shin J, Grootendorst P, Bojarski EA, Cadarette SM, Krahn M

Undergraduate Summer Research Program Poster Day • Leslie Dan Faculty of Pharmacy • U of T • Toronto, ON • Aug 11, 2015

  • Systematic development of a patient questionnaire assessing the quality of MedsCheck services in Ontario (poster)
    Joyian S

2015 Canadian Pharmacists Conference • Ottawa, ON • May 28–31, 2015

  • A descriptive analysis of the Ontario MedsCheck annual pharmacy medication review service (poster, abstract as PDF)
    Dolovich L, Consiglio G, Abrahamyan L, Bojarski E, MacKeigan L, Pechlivanoglou P, Pojskic N, Rac V, Su J, Krahn M, Cadarette S

2015 Canadian Association for Health Services and Policy Research Conference • Montréal, QC • May 25–28, 2015

  • A comparison between initial and well-established implementation periods of the Ontario MedsCheck Annual pharmacy medication review service (poster, abstract as PDF)
    Dolovich L, Consiglio GP, Abrahamyan L, Bojarski EA, MacKeigan L, Pechlivanoglou P, Pojskic N, Rac VE, Su J, Krahn M, Cadarette SM
  • Community pharmacy response to a new provincial drug plan reimbursement policy (poster, abstract as PDF)
    MacKeigan L, Bensimon CM, Winterbottom M, Pojskic N, Bojarski EA, MacCallum L, Dolovich L

2014 Canadian Association for Health Services and Policy Research Conference • Toronto, ON • Nov 2–4, 2014

Abstracts from the CAPT 2014 conference are available free from the Journal of Population Therapeutics and Clinical Pharmacology.

See the special issue of J Popul Ther Clin Pharmcol. 2014. 21(3): e453–e485 — Drivers of change: How HTA, evidence and policy affect perceptions of value and health care practice (PDF). The two presentations below are abstracts 9 and 12.

  • Retrospective evaluation of drug therapy recommendations made by pharmacists providing Pharmaceutical Opinion service in Ontario (oral)
    Pojskic N, Dolovich L
  • A descriptive analysis of the Ontario MedsCheck annual pharmacy medication review service (oral)
    Dolovich L, Consiglio GP, Abrahamyan L, Bojarski E, MacKeigan L, Pechlivanoglou P, Pojskic N, Rac VE, Su J, Krahn M, Cadarette SM