The fix already exists. It just never reaches the patient.The fix already exists. It just never reaches the patient.
When an older person comes home from hospital, the medicines often come home changed. A couple have stopped, one is new, a dose has gone up, and the family is handed a paper bag and a letter written for a GP.
Australia already pays for exactly this moment.Australia already pays for exactly this moment.
01
A trained pharmacist can come to the house, sit at the kitchen table, go through every box with the patient and report back to their GP.
02
It's called a Home Medicines Review, and it's government-funded.
Fig. 02Hospital to homeIllustrative
It only happens if a doctor makes the referral.It only happens if a doctor makes the referral.
The hospital tends to assume the GP will, and the GP tends to assume the hospital already has, while the pharmacist who'd happily do the visit never hears a thing.
Why the reviews don't happenWhy the reviews don't happen
Research into why these reviews don't happen points to time, low awareness and no clear process for getting from hospital to home, rather than a lack of medical knowledge.
Sources: Home Medicines Review program, Pharmacy Programs Administrator (ppaonline.com.au). Barriers: peer-reviewed literature on medication reviews after hospital, PMC11368533.
This is the follow-through gap at its most dangerous, and it's where we start.
Fig. 03Already paid forIllustrative
What Medbli does hereWhat Medbli does here
01
Read the hospital's going-home letter
and check whether the patient qualifies for a review.
02
Draft the referral
for the doctor to check and sign, with any changes they want. Nothing goes without them.
03
Get the pharmacist ready
with the documents they need, and book the visit with the family.
04
Chase the report back
to the GP, and keep a record until it's done.
Fig. 04At the counterIllustrative
Our goal: every older patient home from hospital has their medicines checked within a week.
This is our goal, not a result. Medbli is pre-launch.
More of the home medicines reviews you're trained for, without losing an afternoon to chasing a referral and a fax number.
Hospital pharmacy and discharge teams
The discharge plan you worked out on the ward keeps going after the patient has left the building.
Patients and families
Medbli doesn't work with patients directly yet, and we can't give medical advice. If someone you care about has just come home from hospital with changed medicines, ask their GP or pharmacist whether a Home Medicines Review is right for them.
Founding pharmacist
We're looking for an accredited pharmacist to help lead Medbli from the start, as a founding partner rather than an adviser on the side. If you've watched patients slip through after hospital and want to fix it, talk to us.
The decision happens in the consult room. Everything after it is our job.The decision happens in the consult room. Everything after it is our job.
Somewhere in Brisbane tonight there's a recall letter on a fridge and a referral sitting in a fax tray. Founding clinics go first, and the first job we take off your team is whichever one they groan about loudest.