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M.T.M | MEDICATION THERAPY MANAGEMENT
Less Medicines | Better Health
MELB
AN AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH & AGED CARE, MEDICARE-FUNDED & PPA PROGRAM

A DMMR aka HMR can be part of their health plan.
Why GPs loves | dose·check |
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Adherence reporting
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Medication reconciliation
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Discrepancies investigation
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Medicine educator
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Identifying coping issues your patients don't tell you
What is a DMMR
also known as
Home Medicine Review (HMR)?
A Domiciliary Medication Management Review (DMMR) (Item 900), also known as Home Medicines Review, is intended to maximise an individual patient's benefit from their medication regimen, and prevent medication-related problems through a team approach, involving the patient's GP and accredited pharmacist.
0.19
$206
46
days of preventable health loss
days of preventable hospital stay
health dollars saved
Economic & clinical analysis shows that every HMR conducted post-hospital discharge provides:
Who is eligible ?
Lives in the community, not in a Residential Care Facility/hospital in-patient​
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Patients for whom quality use of medicines may be an issue or; patients who are at risk of medication misadventure because of factors such as their:
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co-morbidities,
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age or social circumstances,
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the characteristics of their medicines,
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the complexity of their medication treatment regimen,
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or a lack of knowledge and skills to use medicines to their best effect.
How do I select my patients for a HMR ?
Any 1 of these criteria(s) is enough
It's already a chance of medication misadventure!
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currently taking five or more regular medications;
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taking more than 12 doses of medication per day;
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have had significant changes made to medication treatment regimen in the last three months;
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taking medication with a narrow therapeutic index or medications requiring therapeutic monitoring;
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experiencing symptoms suggestive of an adverse drug reaction;
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displaying sub-optimal response to treatment with medicines;
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​suspected of non-compliance or inability to manage medication related therapeutic devices;
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having difficulty managing their own medicines because of literacy or language difficulties, dexterity problems or
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impaired sight, confusion/dementia or other cognitive difficulties;
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attending a number of different doctors, both general practitioners and specialists; and/or
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recently discharged from a hospital (in the last four weeks).
Funding & Payment
Medicare and/or Department of Veterans’ Affairs (DVA) cardholder
Is subject to a chronic condition and/or complex medication regimen; and​​
Is failing to respond to treatment in the expected manner.
What if patient does not meet the eligbility criteria?
Example: Non-medicare card holder
You can still issue a referral under this item. However, the remainder of the service will be on a “user pays” basis as determined by the accredited pharmacist.
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