Home' Australian Pharmacist : October 2011 Contents Vol. 30 -- October #10, 2011
Continuing Professional Development
The articles in this series are independently researched and compiled by PSA commissioned authors and peer reviewed.
• Payments for RMMR and QUM
services are separated. RMMR
payment will be $100 for each
eligible RMMR service and is
indexed annually on 1 July.
• QUM payments will be $240 per
facility plus $24 per eligible aged
care place within the ACF.
Adapting RMMR and QUM
• Review your RMMR business model
including the model's objectives,
policies and procedures, marketing,
promotion, contracting, invoicing
and payment strategies.
• Review the overall cost of providing
the RMMR and QUM services under
the new pricing arrangements.
• Review the QUM services already
being provided to the Aged Care
Facility (ACF). Ensure the QUM
activities are improving practices
and procedures relating to medicine
use in the ACF.
• Increase collaboration and maintain
communication with GPs that visit
the ACFs you service as all RMMRs
now require a GP referral. GPs are
more likely to provide a referral
to someone known to them than
• Establish and/or revise a system for
obtaining and recording referrals for
each RMMR service conducted.
Use the changes to the HMR and
RMMR service models as a renewed
opportunity to go and talk to local GPs,
aged care facilities and community
pharmacies. Discuss the importance of
all participants in the medication review
service models and the role they can
play in enhancing the health outcomes of
patients and consumers. Communication
is vital to improving collaboration
between all healthcare professionals
as this will develop an environment of
mutual trust and respect. 5
The following websites contain useful
information on the changes:
HMR information and fact
RMMR information and fact
1. Medicare Australia. Home Medicines Review
(HMR). [online]. 2011; [accessed 23 Aug 2011]. At:
2. 5th Community Pharmacy Agreement.
[online].2011;[accessed 22 Aug 2011].At: www.5cpa.
3. Medicare Australia. Residential Medication
Management Review (RMMR). [online]. 2011;
[accessed 23 Aug 2011]. At: www.medicareaustralia.
4. Medicare Australia. Quality Use of Medicines
(QUM). [online]. 2011; [accessed 31 Aug 2011]. At:
5. Chen T, de Almeida Neto AC. Exploring elements of
interprofessional collaboration between pharmacists
and physicians in medication review. Pharm World Sci.
1. Community pharmacies:
a) are no longer able to provide HMR
b) will no longer receive referrals
from GPs for HMR services.
c) are only able to provide HMR
services if they contract
an independent accredited
d) will continue to receive referrals
from GPs for HMR services.
2. QUM services in Aged Care
a) must be provided by accredited
b) are designed to improve practices
and procedures relating to
medicines use in Aged Care
c) attract a payment of $100 per
d) can only be provided by the
pharmacy who provides RMMR
services to the Aged Care Facility.
3. Direct referral to accredited
pharmacists by GPs has the
a) make it easier for HMRs to be
performed for consumers with
b) allow GPs to refer directly to
accredited pharmacists without the
c) reduce communication between
GP and community pharmacies.
d) increase the administrative
workload of community
A score of 3 out of 4 attracts 0.75 CPD credits.
4. Communication with GPs
about medicine review
a) is only important for accredited
b) will enable accredited pharmacists
with special interests to outline
services for people with specific
c) should only occur through the
consumer's regular community
d) is likely to reduce the number
of referrals for medicine review
supporting pharmacy practice
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