Home' Australian Pharmacist : Australian Pharmacist September 2012 Contents 730 Australian Pharmacist September 2012 I ©Pharmaceutical Society of Australia Ltd.
SUPPORTING PHARMACY PRACTICE
HMR Business Model
An accredited pharmacist can operate
a HMR business as an individual tax
payer or may choose to establish a more
sophisticated system. The HMR terms
and conditions include provisions for a
business that employs or has a service
contract with one or more accredited
pharmacists to conduct Home Medicines
Reviews on their behalf. This means that
an accredited pharmacist can set up a
business as a company or a partnership
with an ABN. The business can then
employ the accredited pharmacist and/
or other accredited pharmacists or have
a service contract with the accredited
pharmacist and/or other accredited
Interestingly ‘referrers for HMR
services such as general practitioners
or businesses employing general
practitioners’ are specifically excluded
from being HMR service providers.
Records of the business must be kept for
seven years or until the patient is 25 years
old in the case of a child. Items which
must be kept include the GP’s referral,
hand written notes, the HMR report, the
medication management plan (if any)
and a copy of the signed claim form.7
It is important to have a system in place
for storage and backup. A space saving
option could be to scan the originals and
store them on an external hard drive.
With regard to GST, if turnover is
above $75,000 per annum you are
required to register for and charge GST.
Once registered for GST you are required
to complete and lodge Business Activity
Statements, either monthly, quarterly
or annually. You are required to charge
GST on supplies made which are not GST
free. You are entitled to claim GST on
any purchases you make relating to your
enterprise on which you have paid GST.
Since 1 July the payment for HMRs has
Mandy felt she was well received by the
GPs and almost immediately started
receiving direct referrals. She decided it
was also important to let the community
pharmacies know that her main reason for
approaching the GPs about direct referral
was to widen her sources of referrals
and encourage a faster turnaround for
the HMR reports. She also assured the
community pharmacies that she would
continue to supply them with a copy of
her HMR reports.
Take home messages
• Direct referral for HMR allows
HMRs to be conducted in a more
• The accredited pharmacist gains
greater control over their finances.
• Accredited pharmacists need to
keep HMR records for seven years.
1. The Campbell Research Evaluation
of the HMR program found:
a) GPs wanted to access non-English
b) warfarin management was improved
c) timeliness of HMRs was a key issue.
d) consumers were not included in the
2. Which statement does NOT describe
an advantage of the direct referral
a) Software packages can be used
to streamline HMR and RMMR
interviewing and reporting.
b) Accredited pharmacists can be more
proactive in promoting their business
and may achieve an increased number
of referrals and a growth in their
c) The GP is able to directly refer to an
accredited pharmacist with whom
they have established a collaborative
d) Direct referrals were identified as a
solution to overcome barriers to access
resulting from workforce shortages in
3. Records of an HMR which must be
kept by the accredited pharmacist
for seven years are:
a) HMR report and copy of signed claim
b) HMR report only.
c) HMR report, GP referral, hand written
notes, the medication management
plan and a copy of signed claim form.
d) HMR report, pathology reports and a
copy of signed claim form.
4. Which of the following are options
for a business structure for
a) Sole trader.
d) All of the above.
1. Department of Health and Ageing. 2012. At: www.health.gov.
2. 5th Community Pharmacy Agreement. 2012. At: www.5cpa.
3. AACP e-Newsletter. 2012. At: aacp.moodle.com.au/mod/
7. Medicare Australia. Home Medicines Review (HMR). 2012. At:
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