Performance Data Date Range
The latest dataset was made available in EQuIPP as of Thursday, December15th. This dataset includes performance information based off of prescription drug claims through October 31, 2016.
You may notice that an additional Immunization tab has been added to the dashboard. PQS is working on new pilot initiatives regarding the management of immunization measures that are being tested with a limited group of pharmacies and plans at this time. We will be looking forward to hosting these new measures in 2017!
Rolling Six-Month Performance and Year-to-Date (YTD) Performance Information
The standard reporting available in EQuIPP evaluates performance based on prescription drug claims activity from May 1, 2016 to October 31, 2016. When logging into your performance dashboard this will be the default reporting that populates in your dashboard.
This December 2016 refresh does also provide 2016 YTD performance information. Please note that the YTD measurement period includes prescription drug claims data from Jan 1, 2016 to October 31, 2016, a ten - month evaluation of performance data. To better understand quality performance measure calculations and the impact of measurement periods, we have added two links in the FAQ tab below which will provide you descriptions and examples of calculations. Scroll down to the "How are the performance measures calculated?" section for more information.
Utilizing the Patient Outliers Function
Continue to review your Patient Outliers list and use the brief documentation process to track patients and determine any trends at your pharmacy -- if you notice a trend that a specific prescriber’s patients are non-adherent it may be valuable to chat with the prescriber about how you can assist with the adherence and keep them informed. Not all participating health plans provide outliers through the EQuIPP dashboard. Be sure to review with your pharmacy organization how to approach patient-interventions for these programs in order to improve your performance scores.
Quality Improvement Table for Pharmacies
As a reminder, the Quality Improvement Program (QIP) table for pharmacy users displays a pharmacy’s current performance for each health plan that has elected to share their plan-specific performance. Additionally, the table includes the performance goal for each measure and a percentile rank to help give perspective to the pharmacy’s performance for each health plan or program. If you see “N/A” as the percentile rank – the pharmacy has not met the minimum number of patients needed in the measure to complete the calculation.