Quality Measure

Question 1

What is the purpose of quality measures?

Answer 1

quality measures are a mechanism to help quantify the quality of care provided

Question 2

What aspects do quality measures address?

Answer 2

• utilization of evidence-based medicine
• efficiency and effectiveness
• quality of life
• patient satisfaction

Question 3

Where is quality measure useful?

Answer 3

pay for performance and value based purchasing reimbursement

Question 4

The NCQA Health Plan Accreditation has two major components with how performance is scored

Answer 4

Standards (evaluates a plans structure) and HEDIS (evaluates performance of the plan)

Question 5

What is HEDIS?

Answer 5

measures health plan performance on several aspects of health care and managed care pharmacy including asthma medication use, controlling high blood pressure, antidepressant medication management and medication management

Question 6

What is CAHPS?

Answer 6

Consumer Assessment of Health Plan Survey; evaluates member satisfaction measurement

Question 7

What is URAC?

Answer 7

URAC; is an independent, non-profit organization that promotes healthcare quality through accreditation, education, and measurement programs

Question 8

What is CPPA?

Answer 8

nonprofit organization established in 2012; recognize pharmacy practices that provide an advanced level of patient care, services, quality, and safety; establishes measurable pharmacist clinical services across the medication use continuum

Question 9

What is the PQA?

Answer 9

2006; optimizes health by advancing the quality of medication use