Easily identify potentially eligible patients for Medication Management reviews
This article is broken into two key areas:
Opportunistic patient engagement - Identifying patients with upcoming appointments for Medication Management Reviews.
Proactive patient engagement - Proactively looking at patient eligibility lists and booking patients in for appointments.
The roles included in this workflow are:
- Practice Managers/Management team
- Reception team
- Nursing team
- Practitioners and Doctors
The sections included in this article are:
1. Medication Management review workflow
- How we identify patients as eligible for service opportunities
3. Using the metrics and data in your practice: Opportunistic patient engagement
- Management and Reception team: Print off a daily list for Practitioners to identify patients coming in for an appointment today with potential service opportunities
- Possible service opportunities today list for Practitioners (MyCubiko)
4. Using the metrics and data in your practice: Proactive patient engagement
- Item optimisation list for the Nursing team
1. Medication Management review workflow
Medication management reviews (MMRs) encompass a patient interview, clinical assessment, and the provision of a written report to the medical practitioner.
In the case of a Home Medicines Review (HMR) for an individual residing in the community, an accredited pharmacist conducts the review either directly or through the patient's chosen community pharmacy, working collaboratively with the medical practitioner.
For a Residential Medication Management Review (RMMR) involving a permanent resident of a residential aged care facility, an accredited pharmacist conducts the review within the facility, collaborating with the resident's medical practitioner.
Step 1: Determine whether the individual would gain advantages from an MMR.
Step 2: Referral to pharmacist
Step 3: Acquire and engage in a discussion about the report.
Step 4: Develop and share a written medication management plan following discussion with the individual as per MBS requirements
Step 5: Claim MBS item
TOP TIP! View the NPS MedicineWise "Medication Management Review: Information for medical practitioners" for some great information on the Medication Management Review workflow.
2. Understanding the metrics
Eligibility is identifying patients that have been previously billed an item 900, 903, or equivalent DVA or non-VR item more than 12 months ago (irrespective of current medications) or are currently on 5+ medications.
*Patient eligibility based on 5+ medications is only available for customers on Halo and requires clinical consent.
Further information about patient eligibility for Health assessment item numbers can be found on the Department of Health website here.
NOTE! Patient eligibility based on 5+ medications is only available for customers on Halo and requires clinical consent.
3. Using the metrics and data in your practice: Opportunistic patient engagement
Management and Reception team: Print off a daily list for Practitioners to identify patients coming in for an appointment today with potential service opportunities
To navigate to this metric, go to Clinic Insights > Today's clinic metrics > Possible service opportunities today
Please refer to our knowledge base article "Possible service opportunities today" for more detailed information on filters and key components of the full metric.
Management and/or Reception can Print this list each morning for Practitioners!
The Practitioner can then make the clinical decision to book the patient in for a Medication Management Review service, communicate to the reception team and the reception team can schedule the patient!
Download our Doctor Direction Sheet to help communicate with your reception team what appointments you'd like patients to be rebooked for.
1. The default date range will be for today, if you a printing ahead use the date filter to amend.
2. Use the "Next appointment with" filter to select the practitioner you would like to print the list for.
3. Scroll down on the summary tab to the "Appointment of patients with opportunities" list and click the "Print preview" button in the filters sidebar on the left-hand side.
*Use the filters to apply any other particular filters for your list before printing. You can also use the tabs at the top of the page to print individual tables for each service opportunity.
Possible service opportunities today list for Practitioners (MyCubiko)
Practitioners with access to MyCubiko can access the full list of their possible service opportunities today and pop this out into a sidebar!
This table shows a detailed breakdown of all of the possible item number service opportunities that the patients you are seeing today may be eligible for.
Use the Open new window button to pop this out into a list in a window that you can drag and resize and have running next to your practice management software.
4. Using the metrics and data in your practice: Proactive patient engagement
To navigate to this metric, go to Clinic Optimisation > Item Optimisation
The Item Optimisation cabinet looks at your whole database of patients with a potential service opportunity inclusive of those with an appointment and without a future appointment.
Patient eligibility for this cabinet is the same as used in the Possible service opportunities metric.
Use the cabinet to identify a list of patients potentially eligible for Medication Management Review services, review the list with the patient's practitioner and proactively contact these patients to schedule appointments to have the services completed.
1. Identify the service opportunities items you would like to extract patient lists for
This cabinet is broken down into categories. You will find this under the section Medical Management Reviews section.
2. Once you have selected the item, click through to filter your patient list
By clicking into an item heading, you will find detailed information on potential patients for each service and a full list of patients:
Use your filters to identify patients with upcoming appointments over a period of time OR "No appointment booked"
You can then filter the list down via Practitioner:
Change the billing frequency and use the toggles to filter the list to look at:
Active patients with 3+ appointments in 2 years and choose to Include or remove RACF patients, patients under 18 years old, and MyMedicare registered patients.
3. Export your list to discuss with the relevant Practitioner
Once you have applied the relevant filters click the small download arrow on the top right-hand side of the patient list. This will export your filtered list into a CSV format. You can then select your download on your computer and print this list for review with the Practitioner.
4. Contact the patients to schedule an appointment
You may choose to contact patients via:
- Bulk SMS - Our patient lists in Cubiko provide the INTERNAL ID, which can be used by third-party software applications that integrate with Best Practice, to enable sending of SMS to these patients (such as Automed and HotDoc). For more information on how to download a .CSV file from Cubiko, click here.
- Letter
- Phone call