Test 3 Measurement of Quality and Safety Flashcards
1
Q
Value-Based Shift
A
- quality = money
2
Q
Past Performance Measures
A
- Prescriptions dispensed
- Percent of generics dispensed
- Speed of dispensing
- Customer satisfaction regarding convenience
- Desirable location
- Formulary compliance
- Competitive pricing
- Labor cost per prescription
- New vs. refill prescriptions
- Prescription sales
3
Q
New / Future Performance Measures
A
- Adherence – chronic medications
- Medication error rates
- Patient safety – elderly (BEERS - HRM)
- Rates of patients achieving therapeutic goals
- Rates of patients receiving immunizations
- Patient satisfaction
4
Q
New Measure Development
A
- Identify area to evaluation
- Conduct literature review
- Develop measure and specifications
- Evaluate feedback
- Field-test measure (validity, reliability, feasibility)
5
Q
criteria for quality measures
A
- Scientifically sound
- Relevant and important to various users
- Interpretable and actionable
- Feasible
6
Q
examples of quality measures in pharmacy
A
- HEDIS Measures
- PQA “Quality” Measures
- PQA “Safety” Measures
- PQA Appropriate Therapy Measure
- Consumer Experience Surveys
7
Q
HEDIS Measures
A
- Health Plan Employee Data Information Set
- accredited body that comes up with a set of standardized performance measures
8
Q
PQA “Quality” Measures
A
Looks at these and incorporates them into a value based measure
- appropriateness
- adherence
- cost
- safety
9
Q
PQA “Safety” Measures
A
- General Medication Adherence
- Specific Mediation Adherence
- Medication use in Special Populations
- General Medication Issues
10
Q
Consumer Experience Surveys
A
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) Pharmacy Survey
- The PQA Survey of Consumer Experience with Pharmacy Services©
11
Q
Developing Pharmacy Quality Measures
A
– Description of the measure.
– Why is this relevant to various users?
– Data Source: Will you get the data from claims databases, electronic or paper charts, patient reports, or other?
– What are the possible barriers to the measurement?
