DMMR / HMR Referrals direct from your medical software to HMR pharmacists
HMR Referrals is a no-nonsense clinical referrals solution that works with your medical software to assign a HMR pharmacist for your patient’s home medicine review at point-of-care.
The simple facts about DMMR / HMR in primary care
Clinics with 3 FTE GPs average 2,000 patients eligible for a DMMR / HMR
Patient eligibility for DMMR / HMR Referrals is often misunderstood and therefore underestimated. Studies have shown that clinics with only 3 GPs clinics can have around 2,000 eligible patients
DMMR / HMR Referrals must be issued by a general practitioner and often form the basis for a Team Care Arrangement (TCA)
A general practitioner’s DMMR / HMR Referral could make the difference between a patient receiving and not receiving the total care they need to manage their often chronic conditions. TCAs are underpinned by medications management reports so where a patient’s GP does not discuss the need for a DMMR / HMR with them at point of care the patient misses out on the health benefits.
DMMR / HMR Referrals are supported by the medical software
Many patients eligible and in need of medications reviews do not receive them as the DMMR / HMR Referral process at point of care is often seen as too onerous or complex whereas in fact medical software has significantly simplified this task in recent years
Pharmacies have a limit of 10 DMMR / HMR Referrals per month
Referrals sent to pharmacies via faxes are regularly not fulfilled as each pharmacy only has a quota of only 10 referrals per month across all medical centres. Faxes further exacerbate the problems due to lack of patient confidentiality, security and traceability. DMMR / HMR referrals often never get allocated to a pharmacist, nonetheless get completed within the 90 day limit
DMMR / HMR Item 900 ($154.80) is billable when patient is recalled by the GP to review their HMR report
Receiving a medications management report from an accredited pharmacist enables the patient to be recalled for DMMR Item 900 to be billed. This also means the clinic will benefit from the revenue from the additional consultation
A pharmacist is not always an accredited pharmacist
Accredited pharmacists undergo additional education and training and re-certification processes. They are sometimes referred to as HMR pharmacists or consulting pharmacists
Each accredited pharmacist has a limit of 20 DMMR / HMR Referrals per month
The quota of only 20 referrals per month across all clinics makes it difficult for GPs to know whether any specific pharmacist can service the patient’s needs
The introduction of quotas brought in by the Australian government a number of years ago have compounded the problem of patients not receiving essential home medicine reviews. The lack of traceability and complexities associated with paper and fax based referrals pathways has resulted in GPs and their clinics losing faith in this essential medical service.
The result… thousands of patients across Australia are missing out on the benefits of a home medicine review and an informative session with their trusted GP.
Patient eligibility for Home Medicine Reviews (DMMR / HMR)
Eligibility for the DMMR / HMR is NOT restricted to patients using 5 or more medications
6% of Hospitalisations are due to medicine misadventure, possibly preventable by timely DMMRs / HMRs
Certain individual medications can trigger the need for DMMRs / HMRs – see the list being developed by participating GPs across Australia.
About accredited pharmacists and community pharmacies
Most accredited pharmacists have more than one job and in some cases also work at a community pharmacy.
The community pharmacy is not responsible for getting HMRs done, it’s the role of an accredited pharmacist that in the traditional paper or fax based process would have trickled through to the pharmacist.
Quotas on both parties make it difficult for a Domiciliary Medication Management Review (DMMR) referral request to be to fulfilled and creates uncertainty for the GP, referring clinic and patient.
HMR Referrals solves this problem