Medscope: Developing an
HMR System for Your GP
Practices
Dr Peter Tenni M Pharm (Curtin), PhD (UTAS), AACPA
Manager, Clinical Division
Medscope
Presentation downloadable from
www.medscope.com.au/businessdev
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Medscope Medication Review
Business Management
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Medscope Goal: Complete DMMR business system
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Innovative expert system issue identification
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Manage your whole medication review business
Journal of Clinical Pharmacy and Therapeutics, 2012, 37, 378–385
Review Management (Report writing, claims etc)
Business development – assisting MMR service
providers build successful businesses.
Reports/Statistics to analyse
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Staff (sub-accounts)
Business performance
Health outcomes (QUM)
Your MRM account is the “value” of your business
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Number of HMRAlert links with practices
Number of referrals – follow-up are future revenue
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Dr Peter Tenni
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M Pharm (Curtin) PhD (UTAS) AACPA
Research into Medication Reviews and Clinical
Interventions
Member of the AACP National Advisory Group
Clinical manager at Medscope.
Practicing accredited pharmacists and MRM user
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CPS does ~ 4000 RMMRs /yr and ~ 1000 HMRs /yr
The techniques discussed are those that have been
successfully used by CPS.
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This Webinar: Developing an HMR
System for Your GP Practices
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We will be outlining Medscope’s HMR Alert which is one
of the key strategies that will be discussed
We will refer to various MRM statistical reports, but will
not cover how MRM works –
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we are continually holding training webinars on MRM. Email
us and we will let you know when the next training session is
on.
Due to the large numbers we will take questions at the
end. You can type questions as we go and we will answer
at the end.
We will record the webinar and have an edited version
posted on-line
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This Presentation- A Medical
Practice Focus
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Business Setup and Development
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GP Practices- How they operate
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Business Structures
Chronic Disease Management Item Numbers
Setting up an HMR system in a practice
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Setting your goals and targets
Understanding your client’s (GPs) HMR needs
 What problems do you need to solve
Be careful what you ask for (capacity)
Health Assessments, HMR Alert, Pharmacy Initiated Referrals
**Relationship Management
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Followup of systems
Monitoring of outcomes, performance, targets
Become part of the clinic’s health management team.
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Setting up and Developing a
Medication Review Business
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What is your aim?
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Increase HMRs as a part of Pharmacy activity
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Single pharmacist part time
Single pharmacist full time
Multiple pharmacists
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Partnership, employer relationship
Work out your targets
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In house accredited pharmacist, outsourced AP
Structure, capacity, income, margins, staffing
Develop Relationships with the Practice(s)
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How many? - depends on your targets
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Factors to Consider
Medical Clinic s)
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Size/ Structure
Relationship
Your Business
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Other
Accredited
Pharmacists
Local Pharmacy
•
Efficiency
Capacity
Structure
Existing relationships
•
Relationships
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Developing Relationships
With Medical Practices
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How does a clinic operate?
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Goals/Focus
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Ownership Structure
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Corporate, Partners
Business Structure
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Clinical/business
Profit Share, Medicare
Chronic Disease Management
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Practice Nurses
Health Assessments, Team Care Arrangements,
GP Management Plans
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Chronic Disease Management
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Item numbers relating to
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Assessment of a patient (701-705) with a chronic
disease and then developing either a team care
arrangement (723) or GP management plan (721)
to manage the disease (also 2710 for Mental
health)
The plan (TCA or GPMP) can be reviewed up to
every 3 months (732) and (re)developed every 12
months
All patients that receive TCAs or GPMPs are
likely to be eligible for HMRs
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TCAs and GPMPs occur
~20x more often than HMRs
GPMP
~ 200,000
services/
month
TCA
HMR
~ 8,000
services/
month
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HMRs and Medical Practices
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Mostly seen as beneficial (good patient
outcomes and feedback)
Payment of item number on preparation of
management plan
The HMR Process can often defeat the GP
Practice…
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GP Practices and HMRs
• Identification of patients
• During other consultation, specific
• Obtain patient consent Work
• Generate HMR referral
• Work out who to send it to
• Recall patient and generate
management plan
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Setting up a System for
HMRs in a Medical Clinic
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The Usual Process
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The Usual Result
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Chat to the GPs about how great HMRs are
A burst of activity followed by a decline
Some Alternative Approaches (in addition to
the usual process)
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1. Involve the Practice Nurses
2. Install HMR Alert
3. Consider Pharmacy initiated requests
4. Continuous management of the relationship
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Practice Nurse Involvement
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Medscope’s HMR Alert
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HMR Alert is installed on the GP computer
system
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Identifies patients based on the GP’s own criteria
Creates a comprehensive electronic referral
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Paperless, Instant
Securely transferred to pharmacy or pharmacist
MRM account
Increases referrals manyfold
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(Pathology etc all included)
Especially if managed appropriately
Generates relationship management reports
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HMR Alert Installation
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Clinic must have Best Practice or Medical
Director clinical systems
Doctors must (windows) log on to computer
Downloadable msi file from Medscope website
Must obtain site ID and password from
Medscope
Administrator password required for clinical
system server
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Experience with HMR Alert
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General Acceptance rate is ~ 5%
of alerts
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Most GPs are happy with the
default alerts
Needs to be supported with a
handout for the patient
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Many GPs doing at least 1 per
session
Good opportunity for marketing
anyway
Needs followup meetings to keep
the enthusiasm up
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Pharmacy Initiated Requests
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GP Practices and HMRsThe Medscope Solution takes
away the work
HMR
Alert
HMR
Alert
Pharmacy
Initiated
• Identification of patients
• During other consultation, specific
Pharmacy
Practice
Work
• Obtain patient consent Initiated Nurses
• Generate HMR referral
HMR
• Work out who to send it to Alert
• Recall patient and generate
management plan
Practice
Nurses
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HMR System Implementation
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Developing the relationship
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Understand HMRs from the GP’s perspective
 Find out the potential problems before you start
Know the overall plan and process
 Get the clinic to set goals and targets
 GPs must be able to visualise the system before they will buy into
it.
 Value add – what QUM stats reporting is desired?
Set up initial meetings
 Doctors, nurses, practice manager, business manager
Talk to the reluctant participants
Define your role as part of the health management team
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Managing the relationship
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Managing the Practice Manager relationship
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Regular monthly meetings (sample meeting template)
Feedback and tweak the HMR system
Set and review HMR performance targets
Obtain feedback on Your performance
Reports (automatically generated by MRM)
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HMRAlert activity reports (assessing practice performance)
Activity statements
 New HMRs: Cross check referrals issued
 Open: Patient unable to schedule
 Completed: Practice to organise follow up appointment.
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Managing the relationship
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Managing the GP Relationship
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Ask to present QUM finding at GP meetings
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Present QUM findings (MRM reports)
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Be part of the health management team.
Issue stats: drug class causing QUM issues (sample)
Medication related problems: details of common QUM
issues (sample).
Medscope can generate custom reports as requested.
QUM programs
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Identify target group (medical condition, drug class)
Set HMRAlert to indentify candidates.
Report QUM findings
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Medscope Partnership
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Our role is to support accredited pharmacists
develop their business.
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Business development assistance
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Webinars
GP information pack (download)
One-on-one phone support
MRM features to support business development (HMRAlert,
PIR, Follow ups, HMR management, Referral requests etc)
Responsive to feedback and ideas for new supportive
features.
Statistical reporting to assist in relationship management.
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Key Take Home Points
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Allocate appropriate time to business development
Evaluate/implement/Modify GP HMR system options
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Managing the relationship
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Practice Nurse(s)
HMR Alert
Pharmacy Initiated Requests
Regular practice manager meetings
Become part or your client’s team
Use Medscope as a resource- We can help
For more information: http://www.medscope.com.au
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Medscope: Developing an HMR System for Your
GP Practices
Questions
Dr Peter Tenni M Pharm (Curtin), PhD (UTAS), AACPA
Manager, Clinical Division
Medscope
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