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Getting Started

MR Assist has been designed to allow clinic nurses or administrators to use the program on behalf of doctors. Clinics should only create one account under which they can add as many doctors as they like to the clinic profile. We suggest that the clinic nurse or administrator set up the account in accordance with the following instructions.

  1. Go to the Create Clinic Account page
  2. Create a user name and fill in the clinic’s details. We suggest the clinic administrator be the key contact.
  3. Verify your email address by following the link in the email received and entering your user credentials in the new window

Before getting started, you will need to add the details of each doctor that will be sending HMR referrals through the MR Assist website in order to send referrals on their behalf.

  1. Click on Contacts > Doctors
  2. Fill in the details for the first doctor and click the ‘Add’ button
  3. Repeat for each doctor working at the clinic

Before sending referrals, you will need to connect with the pharmacist(s) that you would like to send referrals to. You can add and connect with an existing pharmacist user by doing the following:

  1. Click on Contacts > Pharmacists
  2. Fill in the details of the pharmacist that you want to connect with, ensuring that the email address you enter is the email that the pharmacist has used to register with MR Assist
  3. The pharmacist will be sent a notification asking to confirm the connection. You will not be able to send them referrals until they accept this invitation.

If the pharmacist is not currently using MR Assist, an invitation will be sent to their nominated email address inviting them to create an account on MR Assist and connect with you.

You can also connect with a pharmacist by accepting an invitation to connect initiated by the pharmacist. Incoming requests are located in Contacts > Incoming.

Under the Contacts > Pharmacists tab, the status column indicates whether or not you are linked with the pharmacist on MR Assist.

‘Pending’ indicates that you are awaiting acceptance of your invitation by the pharmacist and ‘Linked’ indicates that you are connected. You cannot send referrals unless you are linked.

If you no longer wish to send HMRs to a certain pharmacist, you can disable the connection temporarily by clicking ‘Edit’ and ‘Disable Contact’. You can re-connect at any time by clicking ‘Edit’ and ‘Enable Contact’.

Edit Profile

  1. Click on the Profile tab
  2. Under the Profile sub-heading click the ‘Edit’ button
  3. Change the details as necessary and click ‘Update’
  1. Click on the Profile tab
  2. Under the Actions sub-heading click the ‘Change Password’ button
  3. Follow the prompts
  1. Go to user.mrassist.com.au
  2. Click on ‘Reset Password’
  3. Type in your email address and click ‘Reset Email’
  4. Follow the prompts sent to your email

Under the Profile tab, you can select and deselect the actions for which you would like to receive an email notification by checking the relevant boxes and clicking the ‘Update Preferences’ button.

Creating an effective HMR referral system with MR Assist

We recommend that GP clinics consider adopting a systematic approach to HMR referrals to ensure that the service is administered effectively to those who can benefit most. Below, we offer a step-by-step guide to implementing a system which has proved effective for a number of our partner clinics.

MR Assist has been designed to be used by a clinic administrator or nurse on behalf of the general practitioners. We recommend that you identify a key person within the clinic to act as the responsible person to identify eligible HMR patients and upload referrals. The practice nurse is generally recommended (if available) otherwise one of the administration staff can fulfil this role.

If you already employ a practice nurse and have a well functioning chronic disease care program, we recommend that the nurse seek to identify patients eligible and in need of an HMR when discussing medication with the patient during GP Management Plan appointments.

Alternatively, the practice nurse can perform a PENCAT data search for eligible HMR patients based on the patient eligibility criteria. Using the resulting list, the nurse should call patients to arrange an initial appointment.

Home Medicines Reviews are available only to people living in the community, not in-patients of a hospital or care recipients in residential aged care facilities.

Examples of risk factors known to predispose people to medication related adverse events include:

  • Currently taking five or more regular medications

  • Taking more than 12 doses of medication per day

  • Significant changes made to medication treatment regimen in the last three months

  • Medication with a narrow therapeutic index or medications requiring therapeutic monitoring

  • Symptoms suggestive of an adverse drug reaction

  • Sub-optimal response to treatment with medicines

  • Suspected non-compliance or inability to manage medication related therapeutic devices

  • Patients having difficulty managing their own medicines because of literacy or language difficulties, dexterity problems or impaired sight, confusion/dementia or other cognitive difficulties

  • Patients attending a number of different doctors, both general practitioners and specialists, and

  • Recent discharge from a facility / hospital (in the last four weeks)

While completing the paperwork for the GP Management Plan, the nurse should create the referral for an HMR.

The nurse should organise an appointment for the patient to see the GP to run through the GP Management Plan and get GP sign off on the GP Management Plan and other referrals including the HMR.

After receiving GP approval, the nurse should upload the signed referral to MR Assist and nominate a pharmacist to conduct the HMR.

Sending referrals is easy and only takes a few steps. We have assumed that the actual referral document will be created using practice management software and therefore we have created our system to enable you to simply upload the signed referral. Do this by following these steps:

  1. Go to HMRs > Create New Referral
  2. Select the referring doctor and pharmacist from the drop down menus and enter the patient name
  3. Upload the referral
  4. Click ‘Submit’

When you send a new referral, the nominated pharmacist will be notified via email. They must log in to MR Assist to view the details and will have the opportunity to accept or decline the referral. If they decline the referral, you will be notified via email and have the opportunity to assign the referral to another pharmacist.

You can re-assign a referral to a different pharmacist or cancel a referral before the nominated pharmacist has accepted or rejected the referral.

  1. Go to HMRs > Current Referrals > Submitted
  2. Select the relevant referral(s)
  3. Click ‘Assign to a different pharmacist’ or ‘Cancel HMR’ and follow the prompts

You can view the details or status of a referral under HMRs > Current Referrals.

The nurse should monitor the progress of HMRs using MR Assist and when the HMR has been completed, call the patient to organise a follow-up consultation with the GP.

Alternatively, the pharmacist may do this during the scheduled interview.

When the pharmacist has completed an HMR, you will be notified via email and the referral will appear in HMRs > Current Referrals > Report Ready. You should arrange a follow-up GP consultation with the patient.

  1. Go to HMRs > Current Referrals > Report Ready
  2. Click ‘View’ next to the relevant patient
  3. Click the ‘View Report’ button
  4. Open the downloaded PDF

To save the GP time in creating the Medication Management Plan, they can simply comment on and accept or reject the recommendations made by the pharmacist by doing the following:

  1. Go to HMRs > Current Referrals > Report Ready
  2. Click ‘View’ next to the relevant patient
  3. Click ‘Edit Medication Management Plan’
  4. The GP should add comments to the pharmacist’s recommendations by clicking ‘Detail’ next to the respective recommendation and typing in the GP feedback box
  5. The GP should also indicate whether they and the patient accept or reject the recommendations
  6. Review the updated Medication Management Plan by clicking on ‘Preview Medication Management Plan’ and opening the downloaded PDF
  7. Once the GP is satisfied with the Medication Management Plan, click ‘Mark Medication Management Plan Agreed’
  8. You can then view and print a copy of the HMR, the Medication Management Plan or both combined by clicking the respective button

The clinic nurse or administrator can save the HMR and Medication Management Plan to their local network by clicking ‘View Report and Medication Management Plan’ and then saving the document.

After the consultation, the GP should notify reception staff to claim MBS item 900 ($154.80).

Benefits for an HMR service under item 900 are payable only once in each 12 month period, except where there has been a significant change in the patient’s condition or medication regimen requiring a new HMR (e.g. diagnosis of a new condition or recent discharge from hospital involving significant changes in medication). In such cases the patient’s invoice or Medicare voucher should be annotated to indicate that the HMR service was required to be provided within 12 months of another HMR service.

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