an overview of the medscope hmr solution package · medical communication and avoids ambiguity and...

An Overview of the

Medscope HMR Solution

PackagePeter Tenni

Manager, Clinical Division

Medscope

Tonight’s Presentation

• An Overview of Medscope’s Products

• MRM

• Enterprise

• HMR Alert (eReferrals)

• Professional Development

• Dinner

• Hands on demonstration

An Overview

• The current HMR Process

• Improving Efficiency in HMRs

• Medscope

• MRM

• Management

• Decision Support

• Reporting

• Enterprise

• eReferrals

• Professional Development

The Current HMR Process

•Seems (and often is) unnecessarily complex

•Many potential (and actual) barriers to efficiency

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

The Current

HMR Process...

Something we all

know (and ?love)

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

GP sees patient

and generates

referral that is

sent to the

pharmacy

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Pharmacy gets

referral to an

accredited

pharmacist

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Accredited

Pharmacist sees

patient and

generates a

Medication

Review report

and a claim form

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

The Medication

Review report is

sent to the GP

and the report

and claim form

go to the

Pharmacy

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

The GP sees the

patient again and

generates a

Medication

Management Plan

that is sent to the

pharmacy and the

accredited

pharmacist

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

GP and Pharmacy

claim forms sent

to Medicare

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Pharmacy sees

patient and

confirms

management

plan

Medicare sends

payment to

pharmacy and GP

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Pharmacy sends

payment to

Accredited

Pharmacist

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

The Current HMR

Process...

There are

many points

where

efficiencies

can be gained!

The Current HMR Process

• Barriers to efficiency

• GP referral process

• Pharmacy transfer to AP

• Scheduling of Patients

• Report writing

• Lack of feedback

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

The HMR

Process...

With

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

eReferral is the only

“one click” solution to

easy referrals for GPs

Medscope

eReferrals

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

Pharmacy receives eReferraland can send referral to

multiple accredited

pharmacists

MRM keeps track of what

stage the HMRs are at while

they are with the accredited

pharmacist pharmacist

Medscope

eReferrals

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM manages the medication

review process, improving

the accredited pharmacist’s

efficiency Medscope

MRM

Medscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM automatically enters

information from eReferral

Medscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM uses the patient’s

address and generates a map.

The scheduler assists in

making your day on the road

more productive- planning

your day efficiently

Medscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM prepares claim form and

interview form, with

potential issues highlighted

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Additional information can be

then added into MRM to

make the findings more

relevant

Medscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM prepares a report in

either standard or

pharmacist-specific format

Medscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

The Medication

Review report is

sent to the GP

and the report

and claim form

go to the

Pharmacy

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

The report is a

draft

Management

Plan

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

The GP sees the

patient again

with the

Medication

Management

Plan and sends

the actions to

the accredited

pharmacist and

the pharmacy

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

GP and Pharmacy

claim forms sent

to Medicare

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Medscope

MRM

Payment takes

place and

pharmacy

confirms plan

with patient

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

Pharmacy sends

payment to

Accredited

Pharmacist

Medscope

MRMMedscope

MRMMedscope

MRMMedscope

MRM

Patient

General

Practitioner

Accredited

Pharmacist

Pharmacy

Medicare

MRM provides

efficiencies in

many different

ways

Medscope

MRM

Medscope

MRM

Medscope

MRM

Medscope

MRM

MEDSCOPE MRM Overview

MRM Management

• Having systems that are managed and repeatable is

essential to delivering consistent high quality (and

scalable) services.

• MRM is the only commercially available HMR tool

that can deliver this.

MRM Management

Features• Track each case from referral to payment.

• Map technology to cluster and schedule interviews by

proximity.

• Tools to prepare you for the patient interview, including pre-

interview analysis, interview templates and claim forms that

are pre-filled.

• Single-click review reports that can be personalised and

customised.

• Email alerts reminders for follow up reviews.

• Access to each patient's full referral and history at your finger

tips.

• Archived cases can be reviewed, statistics

MRM Reporting

• MRM generates a report identifying issues that

matter presented in a well worded medication

review ready format

MRM Reporting

Features• The review report produced by MRM is a Microsoft Word document that includes

formatting functionality and grammar and spell checking.

• Report Options

• Drug Names Generic/Brand/Both

• Feedback to Pharmacy/ AACPA/Both

• Logo/Header

• Structural options (MRM’s default report template can be customised to suit

individuals’ personal preferences).

• Problem wording

• MRM uses a modified Subjective, Objective, Assessment, Plan (SOAP) note structure for

reporting the issues identified by the expert system. SOAP notes is the standard for

medical communication and avoids ambiguity and clarifies the pharmacist's intent

• Reports can be personalised so each issue is worded in terms of the patient’s own

name.

• The wording of the issue identified by MRM can be customised to reflect the

pharmacist’s own style.

• MRM reports can be returned to the GP using secure messaging systems like Argus™.

MRM Reporting

Process• Enter additional information from interview

• New symptoms/ Patient concerns

• Comments regarding medications

• Select problems that are relevant (reword if desired)

• Prioritise problems (order on report)

• Add additional issues to report

MRM Decision Support• MRM is fundamentally different from other drug and

disease references.

• It uses innovative expert system technology to

determine issue relevance based on the patient's

complete medical profile (drugs and doses,

pathology, signs and symptoms, and diseases)

Problems that matter in the particular patient

Drugs and DosesDiseases, Current Signs and

Symptoms

Patient Characteristics Pathology

MRM Decision Support

Features• MRM's knowledge base is specific to medication reviews and alert rules

have been compiled from assessment of thousands of real medication

review cases.

• Alerts identified by MRM are written and formatted for medication

review using the medically accepted SOAP format.

• MRM, by design, identifies issues that matter, only if particular

parameters are satisfied.

• MRM's design enables it to alert the pharmacist if medications are

missing from a patient's regimen. The only decision support system able

to do this.

• MRM decision support ensures consistency and relevance resulting in

increased review quality.

• New issues that are identified are reviewed and then made available to

all other users.

44

Decision Support like no

other system• Intended to identify only those issues that matter

(or at least mattered in the case where the rule was set)

• Has a very low “false positive” rate (for example identifying interactions that are not relevant)

• Identifies issues associated with drugs that are missing (not a drug monograph)

• Instantly updated when new information is added

• Grows in power each time it is used

MRM Enterprise

Features• MRM can be configured to share referrals across

multiple accredited pharmacists, or even across

multiple pharmacies within a brand group.

• This means that under a single payment plan, multiple

accredited pharmacists are able to access, manage and

service the common referral list.

MRM eReferrals

•MRM is fully integrated with Medscope’s eReferral

system (now in trial mode)- the only “one click”

referral for GP clinical software

MRM eReferrals

Features

•eReferral alerts can be customised to identify

patients according to the GP’s preferences

•eReferrals are comprehensive and include pathology

from the clinical software

•eReferrals use secure messaging and can be sent to

the pharmacy and pharmacist simultaneously

• Information from eReferrals can be automatically

loaded into MRM

QuickTime™ and aH.264 decompressor

are needed to see this picture.

MEDSCOPE Professional

Development• The only online CPD program specific to medication

reviews in Australia.

• Each month, users complete a virtual medication

review (HMR or RMMR) and are assessed in

comparison to the Medscope clinical team

MRM Professional

Development Features

• Guided medication review process

• Referral, pathology, interview footage

• Relevance of information, additional information

required

• Identifying DRPs

• Prioritisation

• Recommendations

• Appropriateness

Medscope Professional

Development Features

• Guided medication review process

• Referral, pathology, interview footage, progress notes

(RMMR)

• Relevance of information, additional information required

• Identifying DRPs

• Prioritisation

• Recommendations

• Appropriateness

Medscope SOLUTIONS

What WE Cannot Do

• Our software adds significant efficiencies and provides

support, it does not:

• identify issues relating to compliance, device use

• provide education regarding medication

• identify all issues to do with drug interactions or

dose problems

• ...read your mind

• ...do the HMR for youBut we still think its the

best available product...

An Overview of the

Medscope HMR Solution

PackagePeter Tenni

Manager, Clinical Division

Medscope

54

QuickTime™ and a decompressor


Scheduling an INterview

54

Back to MRM

ManagementFeature

s

55



Pre Interview Check

55

Back to MRM

ManagementFeature

s

56



Claim FOrm

56

Back to MRM

ReportingFeatures

57



Post Interview

57

58



The MRM Report

58

Back to MRM

ReportingFeatures

59



Changing Wording in the MRM

Report

59

Back to MRM

ReportingFeatures

60



Completing The MRM Report

60

61



PRE INTERVIEW DECISION

SUPPORT

61

62



Patient with Diabetes not on a statin

62

63



Patient with Diabetes now on a statin

63

64



Patient with Diabetes on a statin with high lipid levels

64

65



Very Old Patient with Diabetes on a statin with high

lipid levels

65

Back to MRM

Decision

SupportFeatures

66



PRE INTERVIEW DECISION

SUPPORT

66

POST INTERVIEW DECISION

SUPPORT

67



67

POST INTERVIEW DECISION

SUPPORT

an overview of the medscope hmr solution package · medical communication and avoids ambiguity and...

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