Boosting Patient Outcomes with MBS Item 900: A Guide to HMRs

Home Medication Reviews (HMRs), also known as DMMRs, are a powerful tool under MBS Item 900, offering enhanced patient care and improved medication management. These reviews also create opportunities for additional MBS billings, making them highly beneficial for both patients and practices.

What is MBS Item 900?

MBS Item 900 refers to a Home Medication Review (HMR), conducted by an accredited pharmacist. The review is designed to enhance medication safety and adherence, especially for patients with complex medication needs.

During an HMR, the pharmacist visits the patient’s home, compiles an updated medication list, and provides personalised education on topics like:

• Inhaler use
• Warfarin monitoring
• Managing polypharmacy
• Item Value: $170

Steps to Complete a Home Medication Review

1. Obtain Patient Consent and Make a Referral:
   Secure the patient’s consent and refer them to an accredited pharmacist.
2. Pharmacist Visit and Report Preparation:
   The pharmacist visits the patient at home, reviews medications, and prepares a detailed report.
3. GP Reviews the Report:
   The GP reviews the pharmacist’s report to understand the findings and recommendations.
4. Discuss the Report:
   The GP discusses the report with the patient, addressing any concerns or adjustments needed in their medication regimen.
5. Share Updated Information:
   Share updated information with relevant care providers to ensure continuity of care.

Why Use MBS Item 900?

1. Improved Patient Understanding:
   Many patients struggle to fully understand their medications. HMRs provide clarity on medication regimens, tools (e.g., puffers), and lab results (e.g., INR).
2. Enhanced Safety and Adherence:
   HMRs help identify potential medication interactions or polypharmacy issues, promoting safer medication practices.
3. Streamlined Care:
   HMRs often lead to follow-up actions, such as care plans (MBS Item 723), vaccinations, or health assessments, enhancing continuity of care.
4. Billing Flexibility:
   Item 900 can be combined with most other MBS items, adding efficiency to your consultations and improving practice workflows.

Conclusion

‍Home Medication Reviews (HMRs) under MBS Item 900 are straightforward yet highly impactful. They foster collaboration between GPs and pharmacists, improve patient outcomes, and align with broader care strategies. If you’re not already using this item, now is the perfect time to start!