Medicines Review HMR
900- Domiciliary Medication Management Review (DMMR)
903- Residential Medication Management Review (RMMR)
WHAT IS THE GOAL OF HOME MEDICINES REVIEW?
To maximise an individual patient’s benefit from their medication regime through a team approach involving the general practitioner and the patient’s preferred community pharmacy, with the patient as the central focus.
WHO IS ELIGIBLE TO RECEIVE A HOME MEDICINES REVIEW?
People who are living in the community setting for whom quality use of medicines may be an issue or who may be at risk of medication related adverse events. A HMR may be conducted once every 12 months (unless there has been a significant change in the patient’s condition or regime)
WHICH PATIENTS ARE MOST LIKELY TO BENEFIT FROM A HOME MEDICINES REVIEW?
Patients at risk of medication related problems because of:
- The complexity of their medication regime
- Taking 5 or medications
- Taking more than 12 doses of medication/day
- Significant changes to medication in the last 3 months
- The characteristics of their medicines
- Medication with a narrow therapeutic index
- Medication requiring therapeutic drug monitoring
- Symptoms suggestive of an adverse drug reaction
- Sub-therapeutic response to treatment with medicines
- Difficulty managing their own medications
- Literacy or language difficulties
- Dexterity problems
- Impaired sight
- Dysphagia
- Confusion, dementia or other cognitive difficulties
- Suspected non-compliance
- Social circumstances
- Living alone
- Attending a number of different doctors, both GPs and specialists
- Recently discharged from hospital
- Consider if it is clinically appropriate to add a HMR to a Health Assessment, General Practitioner Management Plan or Asthma Cycle of Care
WHAT IS THE OUTCOME OF A HOME MEDICINES REVIEW?
- Patients with a plan for their medication management
- That utilised communication between the patient, their GP and pharmacist
- Acknowledges their knowledge and attitude towards their medication
- Encourages safe and effective use of medication
HMR brochures are now available electronically from the Pharmacy Guild website www.guild.org.au/mmr/content.asp?id=428 in several languages:
- Arabic
- Chinese
- Croatian
- Dutch
- Macedonian
- Maltese
- Polish
- Russian
- English
- German
- Greek
- Hungarian
- Serbian
- Spanish
- Turkish
- Ukrainian
- Vietnamese
- Indonesian
- Italian
- Khmer
- Korean (CCDGP Manual 2007)
RESOURCES AND TEMPLATES
- Steps in HMR
- How HMR referral templates are used in Medical Director 2 and 3
- Pharmacy Guild of Australia Medication Management Review Project
- AACP Accredited Pharmacist Search Sunshine Coast
The following templates are provided by the North East Division of General Practice
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RMMR: Steps for the GP (Word)
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Crushing tablets- implications and protocols in Aged Care Homes
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| Printed from http://www.scdgp.org.au/page/Programs/Chronic_Disease_Management_QI/Home_Medicines_Review_/ © Sunshine Coast Division of General Practice (SCDGP), Australia |