6.2 Medication management reviews, 75 years and older

Medication management reviews (MMRs) assess a person’s medicines to reduce the risk of harm. Find out about variation in MMR rates in the Fourth Australian Atlas of Healthcare Variation 2021.

At a glance 

  • Medication management reviews (MMRs) aim to help people to get the most benefit from their medicines and minimise their risk of medicines-related harm
  • Residential Medication Management Review (RMMR) is an MMR for a person living in an aged care home. Home Medicines Review (HMR) is an MMR for a person living in their own home. These are subsidised under the Medicare Benefits Schedule (MBS)
  • After standardising to remove age and sex differences between populations, the rate of people aged 75 years and over who had at least one MBS-subsidised service for an RMMR or HMR in 2018–19 was almost 12 times as high in the area with the highest rate compared with the area with the lowest rate. About 5.4% of people aged 75 years and over had an MMR
  • Rates were generally higher in major cities, and generally increased with socioeconomic disadvantage in major cities and outer regional areas
  • System changes are needed to improve access to RMMR and HMR services for older people taking multiple medicines or at risk of medicines-related harm. Initiatives to improve uptake of pharmacist recommendations may improve the effectiveness of the review services.

Interactive maps, graphs and data

Data show variation in rates by geographic location of patient residence. To use the interactive maps and graphs:

  • Hover or click on maps and graphs for details of data points
  • Use the dropdown boxes at the bottom of graphs to select states and territories, SA3s or PHNs

Learn more about using the interactive Atlas or how to interpret the data.

Map of rates across Australia

Rates by local area

//viz.aihw.gov.au/t/Public/views/Histogram_MMR/Histogram?%3Aiid=1&%3Aembed=y#1

Rates by state and territory

//viz.aihw.gov.au/t/Public/views/SOP_MMR/Stateandterritory?%3Aiid=1&%3Aembed=y#1

Rates by remoteness and SES

//viz.aihw.gov.au/t/Public/views/SOP_MMR/RemotenessandSES?:iid=1&:embed=y#2

Rates by PHN and age group

//viz.aihw.gov.au/t/Public/views/ExtraBarMMR/RatesbyPHNandagegroup?%3Aiid=1&%3Aembed=y#1"

About the data

About the data  - Medication management reviews, 75 years and over

Data are sourced from the MBS dataset. This dataset  includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in hospital outpatient clinics where claims are not made to the MBS
  • Services covered under the Department of   Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

The dataset includes the MBS claims for RMMR or HMR services provided by medical practitioners. These claims are made after the accredited pharmacist conducts the review and the medical practitioner discusses it with the patient. Claims made by accredited pharmacists for conducting the  review are funded under the Community Pharmacy Agreement, which is a separate dataset.

Rates are based on the number of people who had at least one MBS-subsidised service for a medication management review (RMMR or HMR) per 100,000 people aged 75 years and over in 2018–19. Patient counts reflect the number of unique patients, regardless of the number of services a patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

For all MBS items in the Atlas, some data have been suppressed to manage volatility and confidentiality. This process takes into account the Australian Government Department of Health’s requirements for reporting MBS data (see the Technical Supplement). Data suppression for this item has been extensive, and affects all of the Northern Territory, and remote areas of Western Australia and Queensland. Reporting for the Northern Territory was possible at the territory level. Most local areas (Statistical Area Level 3 – SA3) were suppressed to prevent identification of the provider (practitioner or business entity). This is indicated on the maps in grey.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Map of rates across Australia

Rates by local area

//viz.aihw.gov.au/t/Public/views/Histogram_MMR/Histogram?%3Aiid=1&%3Aembed=y#1

Rates by state and territory

//viz.aihw.gov.au/t/Public/views/SOP_MMR/Stateandterritory?%3Aiid=1&%3Aembed=y#1

Rates by remoteness and SES

//viz.aihw.gov.au/t/Public/views/SOP_MMR/RemotenessandSES?:iid=1&:embed=y#2

Rates by PHN and age group

//viz.aihw.gov.au/t/Public/views/ExtraBarMMR/RatesbyPHNandagegroup?%3Aiid=1&%3Aembed=y#1"

About the data

About the data  - Medication management reviews, 75 years and over

Data are sourced from the MBS dataset. This dataset  includes information on MBS claims processed by Services Australia. It covers a wide range of services (attendances, procedures, tests) provided across primary care and hospital settings.

The dataset does not include:

  • Services for publicly funded patients in hospital
  • Services for patients in hospital outpatient clinics where claims are not made to the MBS
  • Services covered under the Department of   Veterans’ Affairs arrangements.

The dataset does not allow analysis by Aboriginal and Torres Strait Islander status.

The dataset includes the MBS claims for RMMR or HMR services provided by medical practitioners. These claims are made after the accredited pharmacist conducts the review and the medical practitioner discusses it with the patient. Claims made by accredited pharmacists for conducting the  review are funded under the Community Pharmacy Agreement, which is a separate dataset.

Rates are based on the number of people who had at least one MBS-subsidised service for a medication management review (RMMR or HMR) per 100,000 people aged 75 years and over in 2018–19. Patient counts reflect the number of unique patients, regardless of the number of services a patient may have received in the year.

The analysis and maps are based on the patient’s postcode recorded in their Medicare file and not the location of the service.

Rates are age and sex standardised to allow comparisons between populations with different age and sex structures.

For all MBS items in the Atlas, some data have been suppressed to manage volatility and confidentiality. This process takes into account the Australian Government Department of Health’s requirements for reporting MBS data (see the Technical Supplement). Data suppression for this item has been extensive, and affects all of the Northern Territory, and remote areas of Western Australia and Queensland. Reporting for the Northern Territory was possible at the territory level. Most local areas (Statistical Area Level 3 – SA3) were suppressed to prevent identification of the provider (practitioner or business entity). This is indicated on the maps in grey.

 

About the Atlas and how to interpret the data visualisations

This document outlines how to interpret the data correctly and explains the limitations of the data prior to using the Atlas:

2021
Publication, report or update

Data

Download the data sheet for Medication management review, 75 years and over: 

Technical Supplement

Download the Technical Supplement:

2021
Publication, report or update

Data

Download the data sheet for Medication management review, 75 years and over: 

Technical Supplement

Download the Technical Supplement:

2021
Publication, report or update