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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool

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Published on: June 30, 2014

Development and testing of performance measures for pharmacy services.

Donna Pillittere-Dugan¹, David P Nau, Kimberly McDonough

¹Performance Measurement, National Committee for Quality Assurance, Washington, DC, USA.

Journal of the American Pharmacists Association : Japha

|March 18, 2009

Summary

This summary is machine-generated.

Pilot work by the Pharmacy Quality Alliance (PQA) tested performance metrics for pharmacy services. Key measures like high-risk drug use and medication adherence show potential for quality improvement and pay-for-performance initiatives.

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Area of Science:

Health Services Research
Pharmaceutical Quality
Health Outcomes

Background:

The Pharmacy Quality Alliance (PQA) is piloting the development and testing of performance metrics for pharmacy services.
These metrics are intended for quality improvement, benchmarking, and pay-for-performance initiatives within health plans.

Purpose of the Study:

To evaluate the feasibility and potential of PQA's pilot performance measures for community pharmacies.
To identify measures suitable for quality improvement and pay-for-performance in diverse health plan settings.

Main Methods:

An observational cohort study analyzed pharmaceutical claims data from four health plans (commercial, Medicare, Medicaid) and a national drug plan.
Pharmacy networks varied in size, with membership ranging from approximately 3,330 to 1.7 million members.

Main Results:

Less than 10% of pharmacies were evaluable for most measures when requiring a minimum of 30 members per measure.
The measure for high-risk drugs in the elderly showed the highest number of evaluable pharmacies (6,210 out of 53,153).
Measures for high-risk drugs in the elderly and medication adherence demonstrated potential due to observed variation and room for improvement.

Conclusions:

Several tested performance measures align with the criteria of being relevant, scientifically sound, and feasible.
Strategies for data aggregation across health and drug plans may address challenges related to sample size limitations.
The findings support the use of specific pharmacy performance measures for quality initiatives.