GPs and Clinics

Home Medicines Review (HMR)

The aims of Home Medicines Reviews (HMR) are to improve health outcomes for your patients and promote the quality use of medicines.

Home Medicines Review (HMR), also known as Domiciliary Medication Management Review (DMMR), is covered by Medicare Benefits Schedule Item 900.

The HMR process involves two consultations for the GP; one to identify potential patients and arrange the referral, and a second consultation after receiving the completed home medication review (HMR) report to discuss the findings and implement any actions.

After a Medication Management Plan is created and a copy offered to the patient/community pharmacy/pharmacist, MBS item 900 can then be claimed.

The Benefits of HMR for you and your patients

Apart from a profitable revenue stream, there is overwhelming evidence that Home Medicines Review (HMR) can improve a patient’s knowledge, skills and confidence in using medicines. It is a simple and effective tool to identify, manage and resolve medication-related problems, improving health outcomes and increasing the willingness of a patient to discuss their medicines with their GP. It also helps make your patients feel valued and cared for and more in control of their medications.

A Home Medicines Review interview also provides an invaluable opportunity to provide education, counseling and support to an individual regarding their medication regimen. Problems are often identified such as expired medications, inappropriate storage, multiple prescribers, and self-administered complementary and other-the-counter medicines of which the GP would otherwise be unaware.

HMR Procedure & how it works

STEP 1
HMR referral generated by GP based on current clinical needs of the patient. Potentially any patient with chronic disease taking multiple medications may be eligible, and are likely to benefit from a Home Medicines Review. Templates can be generated directly from Best Practice and Medical Director software.

Also, referrals can be done automatically with most Prescriber Software programs . Call us to find out more details.

STEP 2
GP and patient discuss HMR process including reason for HMR

STEP 3
The GP provides a written referral directly to a GMV Health Services accredited pharmacist or the consumer’s nominated community pharmacy.

STEP 4
Accredited pharmacist visits patient at home and conducts interview.

STEP 5
Accredited pharmacist writes and sends HMR Report to GP and to patient’s pharmacy.

STEP 6
Once the HMR report has been received, the patient can be called for a follow up visit. At this visit issues arising from the HMR can be discussed. The GP in consultation with the patient develops a medication management plan (a copy of the plan can be accessed through Prescriber software programs). GMV Health Services also provides a medication management plan draft with every report that the GP can alter accordingly.

STEP 7
Mark the patient history for a reminder prompt once 24 months have elapsed. GMV Health Services will

STEP 8
GP claims MBS Item 900 payment