Research from NPS MedicineWise found that some GPs find Home Medicines Reviews are too generic, and need to be more tailored to the patient. A new tool from NPS MedicineWise supports a collaborative approach between the accredited pharmacist and medical practitioner when preparing a Home Medicines Review (HMR) or a Residential Medication Management Review (RMMR).
Medication Management Review Reports: Best practice recommendations
aims to assist accredited pharmacists, or pharmacists undergoing accreditation, with applying a person-centred approach to writing MMR reports. It encourages communication between the pharmacist and referring medical practitioner to provide a common understanding of the context and goals of the report.
It also incorporates important elements that medical practitioners find most useful in a report.
NPS MedicineWise medical advisor and GP Dr Kate Annear says GPs value the important information that can be gained from seeing a person’s everyday environment in the home, and understanding their personal circumstances.
“There may be issues with how a person is using their medicines. They may have swallowing difficulties or issues reading labels or opening packaging,” says Dr Annear.
“Understanding their personal priorities and the way they use their medicines can influence recommendations from the review,” she says.
The tool was developed with valuable input and feedback from the Australian Association of Consultant Pharmacy (AACP), the Pharmacy Guild of Australia, the Pharmaceutical Society of Australia (PSA), the Australian Commission on Safety and Quality in Health Care (ACSQHC) and the Society of Hospital Pharmacists of Australia (SHPA).
Sarah Gillespie, Manager of Clinical Services at AACP says the format of the tool with recommendations makes it relevant for more people than a template.
“What works for one medical practitioner is not necessarily what works for another. A collaborative approach is necessary so that the accredited pharmacist can provide the GP with a useful and informative report that provides them with the details they are seeking to improve medicines management,” she says.
The tool was created as part of an NPS MedicineWise program to improve the safe use of medicines with anticholinergic effects for older people. Anticholinergic burden is associated with poor health outcomes including a 60% increase in fall-related hospitalisations, 50% increased risk of dementia and a 30% increased mortality. HMRs and RMMRs can help support a reduction in anticholinergic burden and associated harms for older people.