Home Medicine Review

The Home Medicine Review (HMR) program aims to increase quality use of medicines and reduce adverse medicine events.

A home medicine review (HMR) involves the patient, the GP, an accredited pharmacist and the community pharmacy. In some cases a HMR can include nurses in community practice and carers.

The accredited pharmacist visits the patient in their home; the pharmacist reviews the patients medicine routine and provides a report to the GP. The GP and patient then agree on a medication management plan.

An accredited pharmacist must conduct a comprehensive review of a patient’s medicine in the patient’s home.

When a HMR service can’t be conducted in the patient’s home, the accredited pharmacist must get prior approval from DoHA (Department of Health and Ageing) before the review takes place. Evidence of the approval must be attached to the claim form.

When an accredited pharmacist can’t conduct a HMR, they must get prior approval from DoH before a registered pharmacist conducts the review. Evidence of approval must be attached to the claim form.

The patient may choose the appropriate accredited pharmacist to conduct the HMR, the GP is able to refer to the patients preferred community pharmacy or an accredited pharmacist. Measures will be taken to ensure patient consent prior to the HMR taking place.

Payment for HMR services conducted in one calendar month must be claimed prior to the end of the next calendar month.

A HMR is not available to

  •  public or private hospital inpatients
  •  day hospital inpatients 
  •  residents of an Australian Government funded residential  aged care facility

A repeat HMR should only be conducted if there is significant change to the patients’ health or medicine routine.

Patient eligibility

Patients could be eligible, if they

  •  take more than 12 doses of medicine a day
  •  have difficulty managing their own medicines because of literacy or language difficulties
  •  have impaired sight
  •  attend a number of different doctors, both GPs and specialists
  •  have been discharged from hospital in the previous four weeks
  •  have had significant changes to their medicine routine in the previous three months
  •  have experienced a change in their physical abilities
  •  have experienced a change in their medical condition
  •  use prescription medicine with a narrow therapeutic index or medicine that needs therapeutic monitoring
  •  have symptoms of an adverse drug reaction
  •  have a sub-therapeutic response to therapy
  •  have problems managing medication devices, eg. Dose administration aids
  •  can’t manage their own medicine due to changes in dexterity, confusion or impaired vision

Who can be an HMR service provider?

The applicant must be

  •  an accredited pharmacist
  •  the owner of a Section 90 pharmacy
  •  the proprietor of a business entity that employs or has a service contract with one or more accredited pharmacists

All applicants must receive written approval to be a HMR service provider from Medicare Australia before providing services.

An accredited pharmacist is a pharmacist who has undertaken specific education programs or exams and has received accreditation to conduct reviews from the Australian Association of Consultant Pharmacy (AACP) or the Society of Hospital Pharmacists of Australia (SHPA).

Please contact Linda Khamis for more information or call 8731 6523