PQA Pharmacy Quality Measures in Development
Pharmacy quality measures evaluate quality of pharmacies and assess pharmacist-provided care and pharmacy-based services. Pharmacy quality measures provide pharmacists the opportunity to demonstrate their contributions toward high-quality, patient-centered care.
PQA is developing a set of standard pharmacy quality measures that would be appropriate for pharmacy accountability, once assessed against standard measure criteria and endorsed by PQA membership.
Overview of Current Measure Development Work
PQA's Pharmacy Measure Development Action Plan guides the organization's continued work to build out a pharmacy measure set suitable for payer-pharmacy arrangements. It details progress and next steps for developing measure concepts that were prioritized based on their feasibility and usability. PQA’s work to develop a pharmacy measure set currently includes 20 measures or concepts:
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Five (5) PQA-Endorsed Pharmacy Measures;
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Ten (10) PQA Pharmacy Measure Concepts in Development; and
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Five (5) PQA Pharmacy Measure Concepts Prioritized for Future Development.
This is a multi-year initiative that requires extensive testing to evaluate and refine measure concepts, using novel data sources to assess pharmacy services for which measures have not previously existed. Distinct from health plan measures, which generally use standardized and easily available claims data, pharmacy measures depend on more complex and variable data that is captured, organized and transmitted in different ways. The speed and scale at which PQA can test, evaluate and endorse pharmacy measure concepts depends on the broad participation and support of health plans, pharmacies and other stakeholders in the medication use process.
Resources and Updates
- PQA Launches Pilots to Evaluate Blood Pressure and Hemoglobin A1C Pharmacy Measure Concepts (March 9, 2023)
- Pharmacy Measure Development Action Plan (May 2022 update)
- PQA Seeks Pharmacy and Payer Partners for VBA Pilots (March 22, 2022)
- PQA Endorses Pharmacy Performance Measures for Medication Adherence and Specialty Turnaround Time (December 20, 2021)
- PQA and CPF Lead National Initiative to Prioritize Pharmacy Measure Concepts (September 9, 2021)
- PQA and CPF Bring Health Care Leaders Together to Prioritize Pharmacy Quality Measures for Development (February 4, 2021)
- PQA Update on Development of Pharmacy Measures: Pharmacy Measure Development Action Plan (November 10, 2020)
- Memo for the PQA Public Comment Period on PQA's Draft Pharmacy Measure Development Action Plan (Comment period occurred August 6-28, 2020)
- PQA Stakeholder Advisory Meeting on the Draft Pharmacy Measure Development Action Plan (Recording) (August 6, 2020)
- PQA Update on Development of Pharmacy Measures: The Pharmacy Measure Development Action Plan (July 21, 2020)
- PQA Endorses Three New Pharmacy Performance Measures (February 6, 2020)
- Summary description of three new pharmacy performance measures recommended for endorsement by PQA (includes key points, specifications for each measure, and a description of PQA's Measure Development Process) (December 18, 2019)
- PQA Update on Development of Pharmacy Measures (October 15, 2019)
- PQA Update on Development of Pharmacy Measures (September 26, 2019)
- Memo for the PQA Public Comment Period on PQA’s Proposed Standard Measure Set for Pharmacy Accountability in Value-Based Models (Comment period occurred August 22-September 6, 2019)
- PQA All-Member Webinar: Building Consensus on Measures for Plan-Pharmacy Agreements (Recording) (August 22, 2019)
- PQA Summary from Building Consensus on Measures for Plan-Pharmacy Agreements: A Workshop to Develop a Roadmap for Standard Quality Measures (July 31- August 1, 2019)
Questions about PQA’s pharmacy measure development should be directed to PQA’s Performance Measurement Team at [email protected].
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