Post on 16-Jan-2016
FOCUS: How to increase drive and delivery of quality MURs outcomes
Personal Experience
By Jyoti Hadani
Background:
MUR delivery:
Four different roles - 3 busy practices.
MUR specialist 2nd pharmacist ID MUR & issues only. RP- MUR only if dispensing supported RP – low disp. MUR
PersonalBarriers Strategies
Attitude - Proactive > Reactive
Time - Confident Consultation Skill - Pre-printed material: Conditions /Inhaler/Other devices’ use
Effective communication
- Adapted MRCF - Open-ended questions- Side effects: prompts-closed questioning- Use analogies: Aids education - Keep ‘medication taking’ agenda
Organisational set-up and attitudes Barriers Strategies
Patient ID - Words: not ‘review’ but ‘check’- Motivated team work- Emerg. reqt., review due /last RD.- Repeat collection: System ID + tagged - ‘Ad-hoc’ or Appointment - Walk-in: ID labelling + MUR- Declined : deflated future opportunity
Staff motivation
Staff ID: Share + ve outcomes = feel good factor.
Organisational set-up and attitudes
Barriers Strategies
Appointment system
- Give appointment slip - Contact details - Agree reminder - Failure/cancellation
Consultation room occupied
- 2nd room - Link PH services + MUR
Low disp=Low MUR Maintain proactive : least 1 MUR - builds relationship with patient
Organisational set-up and attitudes
Barriers Strategies
MUR Quality - Good communication skills - Good patient experience, motivation- Non-judgemental - Patient centred delivery- PMR drug history check- GP review due + effective MUR/referral- Flag system: post-MUR communication
Organisational set-up and attitudes
Barriers Strategies
MUR Quantity - ID system- Regular MUR days but daily proactive target- 2nd pharmacist, high volume, MUR + workload- Labeller & frontline staff: walk-in ID + engage - Ad-hoc & appointment- Consultation room available- Laptop available- Notes + log and write referral later- Personal targets
Organisational set-up and attitudes
Barriers Strategies
Relationship with Surgery
- Understand practice and local pop. needs.
- Referral short, 1 page
- Bullet points, evidence + explanation
- Maintain good patient- GP relationship.
-Gain confidence in service provision – build rapport.
SUMMARY:
Pro-active effective service +ve impact on people’s attitude & health = Recognition
Personal experience: easier 3rd/4th MUR
FUTURE: Mandatory mini MUR. : Rx disp. = Drive delivery?
Thank youAny questions?