Transcript MUR accreditation workshop


Introduction

Overview of Accreditation Process

Working Group Sessions

Q & A -Evaluation

Mobile Pharmacists
• Gareth Frew
• Kathryn Snook

Field Educator
• Robyn Harris

Programme Facilitator
• Lisa Giles

General Manager
• Graeme Smith

Administrator
• Anita McIntosh
Achieved up to 30 June 2014
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Pharmacies providing MMS
71

Accredited pharmacists
144

Referrals
6387

Initial consultations (patients seen)
4243

Follow up consultations
5195
Step 1 : Register for next MUR workshop
PSNZ-College
Step 2: Complete assessment part A



•
T / F quiz on adherence (pre-workshop info)
•
Post in advance or hand in on day
•
Pass mark 70%
Step 3: Attend MUR one-day workshop
Complete assessment part B

•
•
Multi-choice quiz
Based on presentations from MUR workshop
Complete assessment part C
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•
•
•
5 case scenarios + 6 stages of change
Demonstrate understanding of communication
methods
Based on presentations from MUR workshop
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Send by Fax, email or post
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Keep a copy of what you send
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Pass = 70%

Once passed, PSNZ-College will notify that you can
conduct your first MUR and give instructions for Part
D assessments
We recommend:

Complete background paperwork sections of part D
• D1, D2, D3, D4, D5
• Use templates provided


Identify suitable patient for Part D6 your first MUR
Wait until PSNZ-College informs you have passed A, B
and C before submitting any of Part D.
Part D(separate into manageable sections)
 D1: Local Contacts
 D2: CPD Records
 D3: ENHANCE Reflection
 D4: Peer Support Plan
 D5: Quality Improvement Plan
The only section
 D6: First MUR and Reflection
you have to
wait to start

Adapt template provided

Local GPs surgery – GP, nurses, working hours
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Neighbouring healthcare providers e.g.
physiotherapists, counsellors, specialists.
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Local pharmacies and any other MUR
pharmacists
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General information
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Two ENHANCE 1.0 CPD sheets (completed
& dated after 1 April 2011) OR
Ten ENHANCE 2.0 Group 1 or Group 2 points
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Learning must relate to Quality use of
medicine
(Pharmacy Council Competency Standard 2)
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For online ENHANCE portfolio records send
access authorisation (list topics or print screen shot)
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Two uncompleted ENHANCE 2.0 Group 3 goals use
PSNZ-College reflection templates or online
ENHANCE portfolio records
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One goal should relate to skills & knowledge
required to undertake medication management
services
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State Pharmacy Council of NZ standards (specific
elements) or guidelines or protocols that relate to
your goal

Adapt the D4 template supplied
• Join MUR peer group – attend 6 meetings / year
• Present at one meeting – be peer reviewed
(send MMS Peer review data collection tool)
• Complete 10 ENHANCE 2.0 Group 1 0r 2
points (competence standard 2)/ year

Adapt D5 QIP template supplied or use your
pharmacies existing QIP
Modify PSNZ-College template “patient
questionnaire”
OR
Use MMS prepared Patient, GP and Referrer
feedback forms


Needs to meet MMS eligibility:
• Living independently
• 3 or more medicines / 12+ doses per day
• Suspected adherence issues / LTC registered patients

Refer to MMS website for step by step MMS
consultation process and associated forms
http://mms.ccpg.org.nz/providing-the-service/mms-
consultation-process/
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Early/late collectors of regular medication
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Prescriptions expired/uncollected repeats/outstanding owes
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Multiple scripts on hold and in progress
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Days out of sync in compliance packaging
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Stockpilers!
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Recent hospital admissions and meds changes
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Newly diagnosed (chronic) condition or poorly controlled
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On medications with high risk ADRs, narrow therapeutic
index medication or requiring blood tests (eg warfarin)
Use manual templates provided by PSNZ-College in
your MUR folder
Or
 Use the Canterbury MMS database

• http://mms.ccpg.org.nz/providing-the-service/database/
Benefits: produces reports and you can get paid

The Step by Step guide contains a list of the
documents the PSNZ-College requires

Complete PSNZ-College MUR reflection template

http://mms.ccpg.org.nz/
Books:

Medicines Use Reviews: A practical guide by Susan Youssef
(Pharmaceutical Press) Available from Amazon UK (£23) or PSNZ ($59 – 69)

Case Studies in Practice – Medication Review: A Process Guide for
Pharmacists 2nd ed. / T Chen, et al. (Australian book) $148 -163 from PSNZ

Order form available online at
http://www.psnz.org.nz/public/press_and_library/pharmacy_press/Info.aspx
Websites:

Medicines use reviews - an online resource for pharmacists
www.murtraining.co.uk/
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(UK) Chemist and Druggist – MUR zone
http://www.chemistanddruggist.co.uk/mur-zone
Workshop Group
For discussion
1. Part B and C
•Multi-choice questions
•Case scenarios
•Background paperwork & templates
•Identifying topics
•How to write up & submit
•Identifying patient
•MMS consultation process
•Using database
•Reflection
2. D1, D4 & D5
3.D2 & D3 CPD records
4. D6 Patient MUR