Reducing Medication Errors in LTC: A Data-Driven Approach to MMRs

In 2026, long-term care pharmacies must evolve to meet the rising demand for medication safety, compliance, and efficiency. With more medications per patient and increasing regulatory scrutiny, a data-driven medication management review process is essential to ensure safe, effective care. Here’s how FrameworkInsight can help pharmacies stay ahead.

Regulatory Pressures in 2026

LTC pharmacies are facing mounting challenges in the wake of regulatory reforms and the increasing complexity of patient medication regimens. Older adults now take an average of 20-22 prescribed medications each year, leading to a higher risk of medication errors, adverse drug events (ADEs), and poor health outcomes.

To mitigate these risks, medication management reviews (MMRs), or  Drug Regimen Reviews (DRRs) in LTC, are more critical than ever. These reviews ensure that patients receive the right medications at the right doses, in the right manner.

In 2026, CMS regulations will demand even more transparency and accountability in medication safety, pushing pharmacies to modernize their review processes. Gone are the days of relying on static reports or manual reviews. Data-driven insights powered by AI technologies will become essential for meeting compliance and improving patient outcomes.

Key Regulations in 2026

Recent regulatory changes and growing demands for medication safety are forcing LTC pharmacies to adopt more robust, data-driven approaches. Agencies such as Centers for Medicare and Medicaid Services (CMS) are strengthening their oversight on medication errors and ADEs, which have been consistently linked to poor health outcomes in elderly patients.

Key regulations influencing the push for better medication management in LTC include:

• Monthly Drug Regimen Reviews (DRRs) for all Medicare-certified nursing facilities

• National efforts like the AHRQ Medication Safety in Nursing Homes program, designed to reduce preventable harm

• Increased scrutiny around polypharmacy and high-risk medications

As we move into 2026, the need for real-time data and AI-powered medication review systems will be critical for meeting these regulatory requirements. 

Common Medication Review Bottlenecks:

1. Fragmented Data: Medication records often exist in silos, making it difficult to get a complete view of a patient’s regimen.

2. Manual Workflows: Many pharmacies still rely on static reports and manual charting to track drug regimens, increasing the likelihood of human error.

3. Time Constraints: With growing prescription volumes, LTC pharmacists struggle to complete comprehensive reviews within the required timeframes.

As medication complexity rises with age, relying on manual documentation and static reports is no longer a viable strategy for ensuring safety or meeting compliance.

Using AI-Powered Intelligence to Transform MMRs

Framework RxP is a modern clinical consulting platform designed for LTC pharmacies to ensure accurate, efficient, and consistent medication management reviews across their patient populations. Pharmacists can leverage FrameworkRxP’s real-time database connection to FrameworkLTC to identify patient medication regimens, screen patient prescriptions for adverse outcomes or drug interaction, and ensure consistency across patient populations and users with rule-based automatically proposed recommendations.

FrameworkRxP Key Features

Real-Time  Data Synchronization: FrameworkRxP syncs pharmacy data daily, providing a near-live view of all medication-related activities.

Consultant Handoffs: Unlike outdated medication regimen review platforms that makes data static and stuck on a single user’s device, FrameworkRxP democratizes all reviews, enabling multiple users to work of a shared database and allows consultant pharmacist to easily pass off review duty with a cookie trail of note and a change record making it easy to identify changes in a patient’s medication plan.  

Quick and Proposed Recommendations: In LTC pharmacy, many patients share clinical diagnosis common with their patient population (whether aging adults in ALFs or SNFs, patients in incarceration, young patients in group homes, residents IDD care facilities). FrameworkRxP’s Quick and Proposed Recommendations enable admin defined or user generated proposed recommendations to save time and increase clinical recommendation accuracy. These auto pre-populated recommendations save significant time cutting down on manual data entry while also ensuring consistency across facilities, users, and patient populations. 

FrameworkRxP Benefits

Improve Accuracy: With real-time data and automated checks, pharmacies can identify issues with drug regimens immediately.

Streamline Compliance: FrameworkInsight helps LTC pharmacies meet CMS and state regulations, ensuring accurate, timely documentation for monthly DRRs.

Enhance Efficiency: Pharmacists no longer waste time on manual data entry, allowing them to focus on patient safety and high-value tasks.

From Compliance to Continuous Improvement

In 2026, LTC pharmacies will need to go beyond compliance. They will need to actively monitor medication regimens in real time to prevent errors before they occur.

Transitioning from Monthly to Continuous Review

Data-Driven Workflows: With AI-powered systems like FrameworkRxP, medication management becomes an ongoing, dynamic process rather than a once-a-month task.

Predictive Analytics: Forecast potential medication errors and suggest interventions before problems arise.

Seamless Integration: FrameworkInsight integrates across your entire pharmacy ecosystem, ensuring that medication data flows freely between order processing, drug review, and patient care functions.

This predictive model shifts the focus from simply meeting regulatory requirements to actively preventing medication errors and improving patient care. As a result, medication reviews are not just about compliance. They become a central part of the ongoing effort to deliver safe, high-quality care in LTC settings.

Data-Driven Medication Management for Better Patient Outcomes

The LTC pharmacy industry is at a crossroads in 2026. With increased regulatory pressure and rising medication complexity, manual medication management reviews are no longer sufficient to ensure patient safety.

FrameworkRxP empowers LTC pharmacies to meet these challenges head-on by providing real-time, data-driven insights into every medication regimen. By integrating AI-powered decision-making into the review process, pharmacies can reduce errors, enhance patient care, and stay ahead of regulatory requirements.

As the industry continues to evolve, those pharmacies that embrace data-driven medication management will not only meet compliance but will also provide the safest, most effective care possible for their patients.

Take the first step towards transforming your pharmacy’s medication management practices with FrameworkRxP and schedule a demo.