Presentation on theme: "Medscope: Developing an HMR System for Your GP Practices"— Presentation transcript:
1 Medscope: Developing an HMR System for Your GP Practices Dr Peter Tenni M Pharm (Curtin), PhD (UTAS), AACPAManager, Clinical DivisionMedscopePresentation downloadable from
2 Medscope Medication Review Business Management Medscope Goal: Complete DMMR business systemManage your whole medication review businessInnovative expert system issue identificationJournal of Clinical Pharmacy and Therapeutics, 2012, 37, 378–385Review Management (Report writing, claims etc)Business development – assisting MMR service providers build successful businesses.Reports/Statistics to analyseStaff (sub-accounts)Business performanceHealth outcomes (QUM)Your MRM account is the “value” of your businessNumber of HMRAlert links with practicesNumber of referrals – follow-up are future revenue
3 Dr Peter Tenni M Pharm (Curtin) PhD (UTAS) AACPA Research into Medication Reviews and Clinical InterventionsMember of the AACP National Advisory GroupClinical manager at Medscope.Practicing accredited pharmacists and MRM userCPS does ~ 4000 RMMRs /yr and ~ 1000 HMRs /yrThe techniques discussed are those that have been successfully used by CPS.
4 This Webinar: Developing an HMR System for Your GP Practices We will be outlining Medscope’s HMR Alert which is one of the key strategies that will be discussedWe will refer to various MRM statistical reports, but will not cover how MRM works –we are continually holding training webinars on MRM. 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
5 This Presentation- A Medical Practice Focus Business Setup and DevelopmentSetting your goals and targetsUnderstanding your client’s (GPs) HMR needsWhat problems do you need to solveBe careful what you ask for (capacity)GP Practices- How they operateBusiness StructuresChronic Disease Management Item NumbersSetting up an HMR system in a practiceHealth Assessments, HMR Alert, Pharmacy Initiated Referrals**Relationship ManagementFollowup of systemsMonitoring of outcomes, performance, targetsBecome part of the clinic’s health management team.
6 Setting up and Developing a Medication Review Business What is your aim?Increase HMRs as a part of Pharmacy activityIn house accredited pharmacist, outsourced APSingle pharmacist part timeSingle pharmacist full timeMultiple pharmacistsPartnership, employer relationshipWork out your targetsStructure, capacity, income, margins, staffingDevelop Relationships with the Practice(s)How many? - depends on your targets
7 Other Accredited Pharmacists Factors to ConsiderMedical Clinic s)Size/ StructureRelationshipYour BusinessEfficiencyCapacityStructureLocal PharmacyExisting relationshipsOther Accredited PharmacistsRelationships
8 Developing Relationships With Medical Practices How does a clinic operate?Goals/FocusClinical/businessOwnership StructureCorporate, PartnersBusiness StructureProfit Share, MedicareChronic Disease ManagementPractice NursesHealth Assessments, Team Care Arrangements, GP Management Plans
9 Chronic Disease Management Item numbers relating toAssessment of a patient ( ) 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 monthsAll patients that receive TCAs or GPMPs are likely to be eligible for HMRs
10 TCAs and GPMPs occur ~20x more often than HMRs ~ 200,000 services/ monthGPMPTCAHMR~ 8,000 services/ month
11 HMRs and Medical Practices Mostly seen as beneficial (good patient outcomes and feedback)Payment of item number on preparation of management planThe HMR Process can often defeat the GP Practice…
12 GP Practices and HMRs Identification of patients WorkIdentification of patientsDuring other consultation, specificObtain patient consentGenerate HMR referralWork out who to send it toRecall patient and generate management planWorkWorkWorkWork
13 Setting up a System for HMRs in a Medical Clinic The Usual ProcessChat to the GPs about how great HMRs areThe Usual ResultA burst of activity followed by a declineSome Alternative Approaches (in addition to the usual process)1. Involve the Practice Nurses2. Install HMR Alert3. Consider Pharmacy initiated requests4. Continuous management of the relationship
14 Practice Nurse Involvement Watch for nurse dependence (train the process not the nurse)
15 Medscope’s HMR Alert HMR Alert is installed on the GP computer system Identifies patients based on the GP’s own criteriaCreates a comprehensive electronic referral(Pathology etc all included)Paperless, InstantSecurely transferred to pharmacy or pharmacist MRM accountIncreases referrals manyfoldEspecially if managed appropriatelyGenerates relationship management reports
16 HMR Alert Installation Clinic must have Best Practice or Medical Director clinical systemsDoctors must (windows) log on to computerDownloadable msi file from Medscope websiteMust obtain site ID and password from MedscopeAdministrator password required for clinical system server
18 Experience with HMR Alert General Acceptance rate is ~ 5% of alertsMany GPs doing at least 1 per sessionMost GPs are happy with the default alertsNeeds to be supported with a handout for the patientGood opportunity for marketing anywayNeeds followup meetings to keep the enthusiasm up
19 Pharmacy Initiated Requests Great for the AP who works in the pharmacy and does reviews part time.
20 GP Practices and HMRs- The Medscope Solution takes away the work HMR AlertPharmacy InitiatedPractice NursesIdentification of patientsDuring other consultation, specificObtain patient consentGenerate HMR referralWork out who to send it toRecall patient and generate management planPharmacy InitiatedWorkPractice NursesWorkHMR AlertWorkHMR AlertWork
21 HMR System Implementation Developing the relationshipUnderstand HMRs from the GP’s perspectiveFind out the potential problems before you startKnow the overall plan and processGet the clinic to set goals and targetsGPs must be able to visualise the system before they will buy into it.Value add – what QUM stats reporting is desired?Set up initial meetingsDoctors, nurses, practice manager, business managerTalk to the reluctant participantsDefine your role as part of the health management team
22 Managing the relationship Managing the Practice Manager relationshipRegular monthly meetings (sample meeting template)Feedback and tweak the HMR systemSet and review HMR performance targetsObtain feedback on Your performanceReports (automatically generated by MRM)HMRAlert activity reports (assessing practice performance)Activity statementsNew HMRs: Cross check referrals issuedOpen: Patient unable to scheduleCompleted: Practice to organise follow up appointment.
23 Managing the relationship Managing the GP RelationshipAsk to present QUM finding at GP meetingsBe part of the health management team.Present QUM findings (MRM reports)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 programsIdentify target group (medical condition, drug class)Set HMRAlert to indentify candidates.Report QUM findings
24 Medscope PartnershipOur role is to support accredited pharmacists develop their business.Business development assistanceWebinarsGP information pack (download)One-on-one phone supportMRM 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.
25 Key Take Home Points Allocate appropriate time to business development Evaluate/implement/Modify GP HMR system optionsPractice Nurse(s)HMR AlertPharmacy Initiated RequestsManaging the relationshipRegular practice manager meetingsBecome part or your client’s teamUse Medscope as a resource- We can helpFor more information:
26 Medscope: Developing an HMR System for Your GP Practices Questions Dr Peter Tenni M Pharm (Curtin), PhD (UTAS), AACPAManager, Clinical DivisionMedscope