Medication Review Service

Hospital Outreach Medication Review (HOMR) conducts a home visit by a hospital pharmacist to comprehensively assess all aspects of a client’s medication management.  This includes assessing the patient’s ability to manage their medications and medication aids.

Education about medicines and health conditions is also provided. Recent inpatient admissions as well as outpatient appointments are reviewed to enable the HOMR pharmacist to explain medication changes, possible omissions and potential ways to optimise the patient’s medication regimen.

Phone consultation or referral for community Home Medicines Review is made where a home visit is not feasible due to distance or safety concerns. A report is sent to the patient’s General Practitioner and community pharmacy. Copies of the report are also sent to any specialist doctors or case managers involved in patient care.

Cost

No cost to client.  This program is not funded via Medicare so GP rebates are not possible.  A HOMR visit does not preclude a patient from having a Medicare funded HMR through the community pharmacy

Eligibility criteria

All HARP CDM clients are required to have a medication review. Medication reviews may be conducted by Clinical Nurse Specialists within specific HARP CDM programs, or referred to the Pharmacy Outreach Service, where complexity is identified. All Care in Context clients are to be referred to the Pharmacy Service.

Individuals identified to be at potential risk of medication misadventure or non – compliance due to any of the following risk factors:

  • Age >65
  • Living alone and managing own medications
    History of non-compliance deliberate or unintentional
  • Recent medication changes
  • Concern regarding carer ability to manage medication
  • Multiple medications (>4)
  • Cognitive/intellectual impairment & managing own medication
  • Recent hospital admission
  • Language barrier
  • Falls risk (potential or documented)
  • Use of high risk medications (opioids, sedatives, NSAIDs)
  • Cannot read dispensing labels/impaired vision
  • More than one GP
  • Renal/hepatic impairment
  • Any other concerns

Referral details

P: 9594 3053
F: 9594 3009

Mail to:

Pharmacy Department
Monash Medical Centre,
Clayton VIC 3165
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