What is an RMMR?

A Residential Medication Management Review (RMMR) is a structured, collaborative review of a resident’s medicines, conducted by a credentialed pharmacist in partnership with the resident’s GP and facility team.

RMMRs are designed to identify, prevent and resolve medication-related issues in older adults living in residential aged care facilities (RACFs). The service is Medicare-funded and forms a key part of the Aged Care quality standards and medication safety in residential settings.

When Is an RMMR Appropriate?

Kate accepts referrals for residents who may benefit from a medication review, particularly where:

• There is no existing onsite pharmacist or contracted provider.
• The resident is experiencing adverse effects, recent fall or hospitalisation, or a change in medication.
• The resident is newly admitted or has not had an RMMR in the past 12 months (or earlier if clinically indicated).

What the Service Includes

Kate works closely with GPs and aged care teams to ensure reviews are timely, relevant, and patient-centred.

Each RMMR includes:

• Review of the resident’s medication chart, including clinical observations, pathology and any specialist physician or allied health consultation.
• Assessment of medicine appropriateness, interactions, duplications, adverse effects, and clinical risks
• Consideration of the resident’s health conditions, frailty, goals of care, and staff concerns
• A written report and clinical recommendations are sent to the GP.
• Optional case conferencing, where appropriate, to discuss care planning

All recommendations are based on evidence-based guidelines and aligned with the quality use of medicines principles outlined by the Department of Health and Aged Care.

Collaboration & Care Continuity

Kate’s RMMR service is delivered in collaboration with:

• General practitioners
• Facility nursing and care staff
• Pharmacists supplying medication charts (where relevant)

Where appropriate, Kate may provide ongoing support for follow-up reviews, medication changes, and deprescribing initiatives in partnership with the GP.

Eligibility & Referral Process

RMMRs are available to residents of accredited residential aged care facilities under the following conditions:

• The review meets Medicare’s clinical eligibility criteria
• The resident is referred by their GP
• The review meets Medicare’s clinical eligibility criteria

No existing accredited pharmacist is engaged to deliver RMMRs for the resident