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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. Medscope Medication Review Business Management.

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medscope developing an hmr system for your gp practices
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

medscope medication review business management
Medscope Medication Review Business Management
  • Medscope Goal: Complete DMMR business system
    • Manage your whole medication review business
  • Innovative expert system issue identification
    • 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
      • Staff (sub-accounts)
      • Business performance
      • Health outcomes (QUM)
  • Your MRM account is the “value” of your business
    • Number of HMRAlert links with practices
    • Number of referrals – follow-up are future revenue
dr peter tenni m pharm curtin phd utas aacpa
Dr Peter Tenni 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
    • CPS does ~ 4000 RMMRs /yr and ~ 1000 HMRs /yr
    • The techniques discussed are those that have been successfully used by CPS.
this webinar developing an hmr system for your gp practices
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 discussed
  • We will refer to various MRM statistical reports, but will not cover how MRM works –
    • 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
this presentation a medical practice focus
This Presentation- A Medical Practice Focus
  • Business Setup and Development
    • 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)
  • GP Practices- How they operate
    • Business Structures
    • Chronic Disease Management Item Numbers
  • Setting up an HMR system in a practice
    • Health Assessments, HMR Alert, Pharmacy Initiated Referrals
  • **Relationship Management
    • Followup of systems
    • Monitoring of outcomes, performance, targets
    • Become part of the clinic’s health management team.
setting up and developing a medication review business
Setting up and Developing a Medication Review Business
  • What is your aim?
    • Increase HMRs as a part of Pharmacy activity
      • In house accredited pharmacist, outsourced AP
    • Single pharmacist part time
    • Single pharmacist full time
    • Multiple pharmacists
      • Partnership, employer relationship
  • Work out your targets
    • Structure, capacity, income, margins, staffing
  • Develop Relationships with the Practice(s)
    • How many? - depends on your targets
factors to consider
Factors to Consider
  • Medical Clinic s)
  • Size/ Structure
  • Relationship
  • Your Business
  • Efficiency
  • Capacity
  • Structure
  • Local Pharmacy
  • Existing relationships
  • Other Accredited Pharmacists
  • Relationships
developing relationships with medical practices
Developing Relationships With Medical Practices
  • How does a clinic operate?
    • Goals/Focus
      • Clinical/business
    • Ownership Structure
      • Corporate, Partners
    • Business Structure
      • Profit Share, Medicare
  • Chronic Disease Management
    • Practice Nurses
    • Health Assessments, Team Care Arrangements, GP Management Plans
chronic disease management
Chronic Disease Management
  • Item numbers relating to
    • 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
tcas and gpmps occur 20x more often than hmrs
TCAs and GPMPs occur ~20x more often than HMRs

~ 200,000 services/ month

GPMP

TCA

HMR

~ 8,000 services/ month

hmrs and medical practices
HMRs and Medical Practices
  • 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…
gp practices and hmrs
GP Practices and HMRs

Work

  • Identification of patients
    • During other consultation, specific
  • Obtain patient consent
  • Generate HMR referral
    • Work out who to send it to
  • Recall patient and generate management plan

Work

Work

Work

Work

setting up a system for hmrs in a medical clinic
Setting up a System for HMRs in a Medical Clinic
  • The Usual Process
    • Chat to the GPs about how great HMRs are
  • The Usual Result
    • A burst of activity followed by a decline
  • Some Alternative Approaches (in addition to the usual process)
    • 1. Involve the Practice Nurses
    • 2. Install HMR Alert
    • 3. Consider Pharmacy initiated requests
    • 4. Continuous management of the relationship
medscope s hmr alert
Medscope’s HMR Alert
  • HMR Alert is installed on the GP computer system
    • Identifies patients based on the GP’s own criteria
    • Creates a comprehensive electronic referral
      • (Pathology etc all included)
    • Paperless, Instant
    • Securely transferred to pharmacy or pharmacist MRM account
    • Increases referrals manyfold
      • Especially if managed appropriately
    • Generates relationship management reports
hmr alert installation
HMR Alert Installation
  • 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
experience with hmr alert
Experience with HMR Alert
  • General Acceptance rate is ~ 5% of alerts
    • Many GPs doing at least 1 per session
  • Most GPs are happy with the default alerts
  • Needs to be supported with a handout for the patient
    • Good opportunity for marketing anyway
  • Needs followup meetings to keep the enthusiasm up
gp practices and hmrs the medscope solution takes away the work
GP Practices and HMRs- The Medscope Solution takes away the work

Work

HMR Alert

Pharmacy Initiated

Practice Nurses

  • Identification of patients
    • During other consultation, specific
  • Obtain patient consent
  • Generate HMR referral
    • Work out who to send it to
  • Recall patient and generate management plan

Work

Pharmacy Initiated

Practice Nurses

Work

HMR Alert

HMR Alert

Work

Work

hmr system implementation
HMR System Implementation
  • Developing the relationship
    • 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
managing the relationship
Managing the relationship
  • Managing the Practice Manager relationship
    • 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)
      • 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.
managing the relationship1
Managing the relationship
  • Managing the GP Relationship
    • Ask to present QUM finding at GP meetings
      • Be 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 programs
      • Identify target group (medical condition, drug class)
      • Set HMRAlert to indentify candidates.
      • Report QUM findings
medscope partnership
Medscope Partnership
  • Our role is to support accredited pharmacists develop their business.
  • Business development assistance
    • 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.
key take home points
Key Take Home Points
  • Allocate appropriate time to business development
  • Evaluate/implement/Modify GP HMR system options
    • Practice Nurse(s)
    • HMR Alert
    • Pharmacy Initiated Requests
  • Managing the relationship
    • 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
medscope developing an hmr system for your gp practices questions
Medscope: Developing an HMR System for Your GP PracticesQuestions

Dr Peter Tenni M Pharm (Curtin), PhD (UTAS), AACPA

Manager, Clinical Division

Medscope

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