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Australian Journal of Pharmacy : April 2005
ucation surgery. Action by the GPs on these reports has been variable depending on the GP, the facility and the relationship of the accredited pharmacist with the GP. The annual reviews will con- tinue, but in addition the new item number 903 requested by the GP offers a greater opportunity for collaboration, discussion and optimum medication management for the resident. New resi- dents are entitled to a RMMRon admission and, in addition, GPs can identify a potential need for an RMMR for existing residents because of a significant change in the resident’s medical condi- tion and/or medication regimen. There is no additional funding for pharmacists’ involvement with item 903, but as discussed on the AACP website, this is under review.20 An information sheet provided by the Department of Health and Ageing with details about the new Medicare item for col- laborative RMMRs can be accessed at: www.health.gov.au/internet/wcms/publishing.nsf/Content/ health-epc-whatsnew.htm Question and answers, a sample form for use by GPs and phar- macists, a checklist and a best practice service flowchart are also available from the Department of Health and Ageing website www.health.gov.au. Table Two summarises the process required for the GPs. The steps for the pharmacist undertaking a RMMR are simi- lar to undertaking a home medicines review: • gathering information; • documenting; • assessing; • report writing; and • communication with GP. However, due to the setting a different approach is necessary. While these residents are in assisted accommodation their pri- vacy, rights, respect as individuals should be no different from when they were living in the community. Consent for the resi- dent to have a medication review must be obtained before com- mencing. In many cases this is specifically itemised in the admis- sion documents. Factors such as degree of dependence, cognitive skills, frailty, mobility, continence, mood, behaviour, diet, exercise, risk man- agement need to be considered. THE AUSTRALIAN JOURNAL OF PHARMACY VOL.86 APRIL 2005 ? 281