Transcript MMS Update and Peer Group Launch

Mobile Pharmacists
Gayle Walker, Jan High, Alison Cowie, Louise Kennedy
Project Manager
Karen Kennedy
Administrative Support
Kate Miller
Update on MMS
Case Presentation
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2.
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Anna Harwood and Tim Vincent,
Unichem Bishopdale Pharmacy
MMS support
Peer Groups:
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5.
Aims and commitment
Interactive case study in groups
Finalise groups, organise meeting times
Question time
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Developed through CCN via:
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Medicine Management Work Stream from Aged Care Work Stream
With input from CCPG
Governance is provided by MMS-SLA
Fast tracked due to pressure on the health system post EQ: lack of support
workers, ARC and hospital beds:
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Identification of medication errors as impacting on two thirds of admissions to AMAU and
being the main cause of 30%
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Waikato statistics showed 39% of patients no longer required medication oversight after
MMS
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Phased roll out of service from 1 August 2011
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Fully operational 1 October 2011
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2000 MMS reviews will be provided in 2011/2012
150 referrals to date
CDHB target 2000 (by July 2011)
1850 referrals to complete to reach target (or
100 referrals per week)
76 MMS contracted pharmacies
59 accredited pharmacists (over 41 pharmacies);
100 in training
120 hours per week mobile pharmacists
AIM = TWO REFERRALS PER PHCY PER WEEK
180
MUR Training of Canterbury Pharmacists
160
Number of Pharmacists
140
120
100
80
17/08/2010
159
18/01/2012
60
103
100
40
59
59
44
20
0
Completed Training
MUR Accredited
MUR Status of Canterbury Pharmacists
To complete accreditation
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August 2010:
 31% of Canterbury Pharmacies have one or more
MUR accredited pharmacists
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January 2012:
 38% of Canterbury Pharmacies have one or more
MUR accredited pharmacists
MMS team work has supported the following results:
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54% increase in the number of Canterbury
pharmacists who have undertaken MUR training
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34% increase in the number of pharmacists who have
completed MUR accreditation
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7% increase in the number of Canterbury pharmacies
with one or more accredited MUR pharmacists
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Initial Consultation $100 + GST (30-45
minutes)
3 x Follow ups $25 + GST (45 mins total
divided over a minimum of three consults,
submit 3 follow up MMS reports)
For each patient 4 MMS Outcome Reports in
total submitted over 1 year
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Payment is made on MMS team receipt of
MMS Outcome Report
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No need to produce a separate invoice
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Monthly buyer-created invoices will be sent
Service Promotion + Pharmacy and Primary Care support:
GP surgery visits
Community Pharmacy phone calls/visits
CREST team meetings
District Nursing – handovers, working alongside coordinators, presentations to teams, buddy visits
 Pacific, Maori, Asian, Refugee and Migrant Health – fono,
forums, marae visits, translation of materials
 Secondary care – hospital pharmacies, departments
 Other CDHB services – asthma educators, diabetes nurse
specialists
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MMS web support available at www.ccpg.org.nz
(documents, newsletters, tips and hints)
 MMS database modifications and investigating
alternate IT solutions
 Development of direct to consumer promotion
 Further NZCP MUR training February 2012
 Peer Group Support and Launch
 Aiming for funding for 5000 reviews 2012/2013
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Early/late collections of regular medication
(expired repeats/owes)
 Muddle of scripts on hold and in progress
 Recent hospital admissions and meds changes
 Newly diagnosed chronic conditions e.g.
Diabetes, COPD/asthma, heart disease, or
poorly controlled
 Getting days out of sync with blister packs
 On narrow therapeutic index medication
(warfarin)
 Stockpilers!
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Fax a referral form to (03)365 5977
Phone the MMS team with the details:
(03) 353 9926
Referral forms are available:
 www.ccpg.org.nz
 Healthpathways www.healthpathways.org.nz
search: “Medication” or “MMS”
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Administration issues including payment, updating
MUR accreditation details, database issues, contact
Kate ph (03) 353 9926
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MMS process issues including difficult patients,
prescribers, issues with referrals, clinical support,
accreditation, checking of GP letters, contact a mobile
Pharmacist
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Gayle
Louise
Jan (Mon – Thurs)
Alison (Tues only)
021 905 379
021 815 119
021 826 101
021 412 971
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From the Pharmaceutical Press :
Case Studies in Practice – Medication Review: A
Process Guide for Pharmacists 2nd ed. / T Chen,
et al. $148 -163
Medicines Use Reviews / Susan Youssef (2010) $59
– 69
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Order form available online at
http://www.psnz.org.nz/public/press_and_librar
y/pharmacy_press/Info.aspx
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All handouts from tonight will be put onto
www.ccpg.org.nz
This includes:
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Useful Links List
MMS flow chart
Database tips
Setting up MMS kit
Peer Review Group Meeting Plan
Small group confidentiality guidelines
Toniq and Lots guides for producing patient reports
Case examples
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Your Peer Groups
The Mobile MMS team
MMS Brochures and Posters are available
from [email protected] or ph (03) 353 9926
MMS documents are available online:
www.ccpg.org.nz
E-peer group
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Compulsory requirement of MUR
accreditation
Requirement 6 sessions per year and present
a case at one session
Electronic meetings (via email or Skype) can
be used to meet some of the requirement
Mobile Pharmacists will support the peer
groups and attend some meetings
ePeer Group co-ordinated by NZCP, contact
[email protected]
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Peer group meetings should be around 45
minutes long
Provide opportunity for feedback, learning
and problem-solving
In Waikato, they found it easiest to meet up
at a Pharmacy straight after/before work
Easier to keep group sizes small (10 or less) to
coordinate meetings
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For your case study (10 minutes), consider the
following and discuss in your group:
What are the medicines related issues in this
case?
Are there any more questions I need to ask and
how would I ask them?
Where could I find extra information or
guidance?
What are some possible solutions for the
patient?
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Refer to Flow chart in handouts
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GP Summary
 This is sent to the GP (and referrer)
 Keep concise and to the point with most important
issues first
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MMS Outcome Report (submit to MMS for DHB
reports and payment)
 Do not undersell the service you provide
 Include all time taken
 Try to avoid selecting “other” if possible
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Please check the lists on the table to confirm your
allocated Peer Group
If you want to switch to another group, please just
cross your name out and sign onto another group
If you are not in a group and want to be, please just
add your name to a list
We will split groups where there are too many
members (and join groups if too few)
Please indicate your availability for your Peer Group
Session
Please indicate if you are interested in coordinating
your Peer Groups meetings
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The Mobile Pharmacists will facilitate as
many of the first meetings as possible and
check in with the groups on an ongoing basis
We are happy to publish meeting dates, times
and locations on the CCPG website if you
wish to advise us of the details
We can provide examples of case studies on
request and will feed through MMS resources
Thank you for your attendance and support this
evening. Please do not hesitate to contact the
MMS team if you have any further questions.
----------------------------------------------Customer gets a topical cream. Direction: apply
locally two times a day.
Customer says to the pharmacist: "I can't apply
locally, I'm going overseas."