GP PHARMACIST ROI CALCULATOR

Potential Financial Benefits to the General Practice
(Excl. Workforce Incentive Program Payments, effective 01/02/2020)

Insert the number of active patients in the practice


Direct Cost Per Hr, to employ a casual Experienced Pharmacist

(Includes average base rate, superannuation, workers compensation, payroll tax, excludes annual, personal leave *) (Excludes practice overheads e.g. rent, software licenses, admin and reception support, clinical resources, insurance costs etc) * Jurisdiction dependent


A. Potential revenue generated by a General Practice Pharmacist contributing to Chronic Disease Management, MBS, Items 721 and 723

CHRONIC DISEASE MANAGEMENT (GP Management Plan and Team Care Arrangements)

Insert the % of patients in your practice that you estimate suffer from a Chronic Disease :


Insert the % of patients with a chronic disease who would benefit from a Chronic Disease Management GP Management Plan (MBS Item 721)


1) General practice pharmacist undertakes a medicines reconciliation and review with the patient, and develops a medication management plan with the patient for review by the GP. The pharmacist identifies that the patient does not have a GP Management Plan and that and the patient may benefit from one, and alerts the GP.


2) During this time (Refer 1) , GP sees "X" patients and bills "X" consults. Insert here the number of consults your practice would average in this time and what you practice would charge per consult. *


3) Following on from 1., GP develops a GP Management Plan in collaboration with the patient. MBS Item 721, Chronic Disease Management Plan is billed.


4) The GP Management Plan identifies the patient would benefit from further education on their medicines and the use of devices, which the pharmacist provides.


5) Following on from the preparation of the GP Management Plan, the GP determines that the patient would also benefit from a TCA (Team Care Arrangement) and has a meeting with 2 other healthcare professionals, of which the pharmacist is 1 and prepares the TCA.


A TCA is prepared by the GP after consultation with the multidisciplinary team, the steps are discussed with the patient and the patient agrees to proceed. MBS Item 723, Coordination of the development of a Team Care Arrangement is billed.


6) The GP reviews the GP Management Plan or Coordination of a Review of the Team Care Arrangements as needed and claims MBS Item 732. The pharmacist supports the GP in these reviews. Insert the number of reviews your practice on average would do, understanding that the minimum is once every 3 months in a year. *


7) Whilst the MBS notes state the co-claiming of MBS Item numbers for consultations (e.g. Item, Level B consultation) is not permitted in conjunction with Items 721, 723 or 932 for the same patient on the same day, the provision of the above could ensure greater loyalty to your practice when other health issues present. Insert, if applicable, your best estimate of the incremental benefit to your practice of a patients loyalty. *


Totals (Per Patient) $


Totals (All Patients) $


Chronic Disease Management (CDM) Calculation Results
Potential Incremental Gross Profit to Practice, assuming split of income earned 70% to Doctor, 30% to Practice:

To find out more about the value a Pharmacist can bring to your Practice and to access the best Pharmacy talent in Australia, contact Heidi Dariz, General Manager of Raven's Recruitment on 1800 429 829 or email heidi@ravensrecruitment.com.au.


B. Potential revenue generated by a general practice pharmacist contributing to Home Medicines Review (HMR) (MBS Item 900)

MEDICATION MANAGEMENT REVIEWS (Home Medicines Review and Multidisciplinary Case Conference)

Estimate the % of patients in your practice who would benefit from a Home Medicines Review. *

Some examples include patients who:
- take 5 or more regular medicines or 12 or greater doses of medication daily (As a guide the below study found that for Australia's over the age of 70, 36.1% took 5 or more)
Reference: MJA Study
- have had significant changes to their medicines in the previous 3 months
- are taking a medicine with a narrow therapeutic index
- have symptoms suggesting an adverse drug reaction
- have a sub-therapeutic response to treatment
- have suspected non-compliance or difficulty managing their medicines
- have dexterity problems, impaired sight or cognitive issues
- were discharged from hospital in previous 4 weeks
Reference: PSA - Guidelines for pharmacists providing Home Medicines Review (HMR) services
Reference: MBS Schedule Book


1) General practice pharmacist sees patient and collects data and takes a patients history. If patient is eligible and pharmacist believes patient may benefit from a HMR, a suggestion is made to the GP for consideration.


2) During this time (Refer 1) , GP sees "X" patients and bills "X" consults. Insert here the number of consults your practice would average in this time and what you practice would charge per consult. *


3) Following on from 1., GP considers recommendation for a HMR. If the GP believes it is appropriate, GP discusses this with patient and provides a referral to preferred referral point, (community pharmacy or accredited pharmacist). If this is initiated during a consultation for another purpose, this consultation can be claimed separately. Insert % and estimate of charge per consult. *


4) A HMR is completed by the HMR Service Provider, with the fee to the provider being $222.77, with a rural loading of $125. The GP cannot be the HMR Service Provider, but a accredited pharmacist operating with an ABN, can be a HMR Provider and can service a referral from a GP at a practice they are working at.


5) If indicated, a case conference is undertaken to discuss treatment goals, the medication management plan and other health issues. MBS Item 739 claimed (duration 20-40 min's), general practice pharmacist involved.


6) Patient consultation to develop a written medication management plan based on the findings from the HMR. MBS Item No. 900 claimed.


7) When patient returns, if other health care concerns are discussed a consultation fee can be charged by the GP. Insert an average estimate of what your practice would charge for a consult. *


Totals (Per Patient) $


Totals (All Patients) $


Home Medicines Review (HMR) Calculation Results
Potential Incremental Gross Profit to Practice, assuming split of income earned 70% to Doctor, 30% to Practice:

To find out more about the value a Pharmacist can bring to your Practice and to access the best Pharmacy talent in Australia, contact Heidi Dariz, General Manager of Raven's Recruitment on 1800 429 829 or email heidi@ravensrecruitment.com.au.


Disclaimer

While Raven's Recruitment and Medical Recruitment attempts to ensure that the information contained in this document and the calculator is accurate and the assumptions reasonable at the time of publication, they provide no express or implied warranties or make any representations in relation to any content. The information contained is provided 'as is' and without any guarantees as its accuracy, currency or reliability. Neither Raven's Recruitment or Medical Recruitment accepts any responsibility for any loss or damage occasioned by its use or information contained within. All assess and use of this information as at the risk of the user. Information was based on the MBS Schedule Book in January 2020 and practices/GP's should ensure they are familiar with the current MBS Schedule and requirements for claiming MBS Item numbers.

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