Medication management

Central and Eastern Sydney PHN is committed to supporting general practitioners, pharmacists, hospitals, residential aged care facilities (RACFs), allied health professionals, community organisations and consumers in delivering better patient outcomes through quality use of medicine.

What does the Medication Management Program do?

  • Improve health literacy around quality use of medicine amongst consumers, healthcare professionals and the healthcare sector.
  • Provide information to enhance safe and appropriate prescription of medications e.g. opioids and benzodiazepines.
  • Provide information on medication management review services for consumers on specific / multiple medications:
    • Home Medicine Reviews – for people living at home
    • Residential Medication Management Reviews – for people living in an RACF
  • Promote the benefits of medication management through the continual identification and dissemination of information and resources to health professionals, hospital clinicians, community organisations and RACFs.

For more information on Medication Management program please email Brigitte Cusack or phone
02 9330 9929 (Mondays only).

Home Medicines Review — for GPs

Home Medicines Review (HMRs), also known as Domiciliary Medication Management Review (DMMR)

  • Aims to enhance an individual patient's benefit from their medications and reduce adverse medication events. The patient must be living at home in the community.
  • HMR/DMMR is a Medicare Item 900 for GPs. All three elements of the HMR need to be completed before claiming.

The three steps in the HMR/DMMR process are:

  1. GP prepares HMR/DMMR Referral for patient and send referral to patient's preferred community pharmacy or accredited pharmacist
  2. Accredited pharmacist visits patient in their home and prepares HMR Report and sends to GP. GP then discusses results of the HMR Report with the reviewing pharmacist
  3. GP prepares a written HMR/DMMR Medication Management Plan in consultation with patient. GP sends a copy of Plan to pharmacy/ pharmacist. GP can now claim MBS Item 900 ($154.80; if DVA patient: $174.55- benefits as at 14/6/16)
  • Medical Director and Best Practice users can find the above templates within their software. Please see related documents for a step by step guide in accessing the templates in Medical Director and Best Practice.
  • Go to the 6cpa website, then Promotional Resources to print the Home Medicine Review consumer brochure for your patients.
Home Medicines Review — for Pharmacists

Home Medicines Review (HMRs), also known as Domiciliary Medication Management Review (DMMR)

  • Goal is to maximise an individual patient's benefit from their medications. The patient must be living at home in the community
  • HMR/DMMR is a Medicare Item 900 for GPs and claimable by pharmacists. All three elements of the HMR need to be completed before the GP can claim. Pharmacists can claim after the HMR Report. Details on HMR for pharmacists can be found on the 6CPA website.

The three steps in the HMR/DMMR process are:

  1. GP prepares HMR/DMMR Referral for patient and send referral to patient's preferred community pharmacy or accredited pharmacist
  2. Accredited pharmacist visits patient in their home and prepares HMR Report and sends to GP. GP then discusses results of the HMR Report with the reviewing pharmacist
  3. GP prepares a written HMR/DMMR Medication Management Plan in consultation with patient. GP sends a copy of Plan to pharmacy/ pharmacist. GP can now claim MBS Item 900 ($154.80; if DVA patient: $174.55- benefits as at 14/6/16)
  • Help your GPs who use Medical Director and Best Practice medical software to find the above forms within their software. Instructions are provided for accessing the templates in the related documents.
  • The HMR Consumer Brochure for your patients can be found in related documents.
  • For more information on HMR/DMMR please see the "HMR - DMMR More Information" document in the related documents
Residential Medication Management Reviews — for GPs

Residential Medication Management Reviews (RMMRs) for aged in RACFs

  • Aim is to enhance an individual patient's benefit from their medications and reduce adverse medication events. The patient must be a permanent resident of a residential aged care facility (RACF)
  • RMMR is a Medicare Item 903 for GPs. All three elements of the RMMR need to be completed before claiming by the GP.

The three steps in the RMMR process are:

  1. GP prepares RMMR Referral for patient and send referral to RACF's contracted accredited pharmacist
  2. Accredited pharmacist visits patient in the RACF and prepares RMMR Report and sends to GP. GP then discusses results of the RMMR Report with the reviewing pharmacist
  3. GP prepares a written RMMR Medication Management Plan in consultation with patient. GP sends a copy of Plan to the RACF and accredited pharmacist. GP can now claim MBS Item 903 ($106.00; if DVA patient: 115% Benefit- benefits as at 14/6/16)

Please note the hyperlinks attached to the RMMR Referral and Plan are the same sample document which combines both GP referral, pharmacist report and GP Plan.

Residential Medication Management Reviews
— for Pharmacists

Residential Medication Management Reviews (RMMRs) can be provided for residents in RACFs:

  • Goal is to maximise an individual patient's benefit from their medications. The patient must be a permanent resident of a residential aged care facility (RACF)
  • RMMR is a Medicare Item 903 for GPs and claimable by RACF contracted pharmacists. All three elements of the RMMR need to be completed before claiming by the GP. The pharmacist can claim after the RMMR Report is completed. Pharmacists can go to the 6CPA website for more information and claim forms.

The three steps in the RMMR process are:

  1. GP prepares RMMR Referral for patient and send referral to RACF's contracted accredited pharmacist
  2. Accredited pharmacist visits patient in the RACF and prepares RMMR Report and sends to GP. GP then discusses results of the RMMR Report with the reviewing pharmacist
  3. GP prepares a written RMMR Medication Management Plan in consultation with patient. GP sends a copy of Plan to the RACF and accredited pharmacist. GP can now claim MBS Item 903 ($106.00; if DVA patient: 115% Benefit- benefits as at 14/6/16)

Please note the hyperlinks attached to the RMMR Referral and Plan are the same sample document which combines both GP referral, pharmacist report and GP Plan.

Misuse of Prescription Opioids and Benzodiazepines
— for GPS
Misuse of Prescription Opioids and Benzodiazepines
— for Pharmacists
  • Pharmacists can assist in detection of fraudulent prescriptions (including Schedule 8 medications and benzodiazepines) by ensuring their dispensing software has enabled the electronic transfer of prescriptions "eRx" or "Medisecure" functionality. When a patient presents a barcoded script, the pharmacist can scan the scripts and detect any fraudulent scripts. Fraudulent Schedule 8 scripts have been detected after being scanned within the CESPHN locality.

  • Pharmacists who are interested in finding out more about this topic are encouraged to read the following: National Pharmaceutical Drug Misuse Framework for Action 2012-2015.

  • NSW Therapeutic Advisory Group Inc. - Preventing and managing problems with opioid prescribing for chronic non-cancer pain. NSW TAG: Sydney, 2015

  • NSW Health Guide for Medical Practitioners: Criteria for issuing non-handwritten (computer generated) prescriptions

Resources for chronic pain