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• W2064272893 abstract "(1) To understand how multiple pharmacy use affects the ability to compute pharmacy quality indicators (PQIs). (2) To determine the number of pharmacies that have sufficient Medicaid claims to compute PQIs. An observational cohort study of Mississippi Medicaid data for 2002 and 2004 was conducted. Patients with medication claims related to each measure, continuously enrolled, and without institutional care during the measurement year were eligible. The PQIs in the Pharmacy Quality Alliance ‘(PQA)-endorsed starter set' were computed at the patient level and aggregated to the pharmacy level by attributing each beneficiary to the pharmacy that dispensed the most (and alternative criteria of 50% and 75%) of their drugs for the measure. Pharmacies with at least 30 eligible members per measure were considered reliable. Additionally, the 2010 PQA test measures (adherence to anticonvulsants and antiretrovirals, statin use with CAD, asthma management) were evaluated. The majority of patients (three-fourths) obtained over 90% of their diabetes and cardiovascular medications from one pharmacy. Around 85% and 97% of the patients obtained over 75% and over 50% of their medications from a single pharmacy respectively. Only 55% of patients received antiretroviral medications from a single pharmacy. For the adherence/persistence measures, 6.3% to 65.3% of the pharmacies had reliable measures in 2002. 78.2% of the pharmacies could be included for the high-risk medications in elderly measure and 2.7% of the pharmacies qualified for the CAD measure. Less than 10 pharmacies qualified for the asthma management and antiretroviral medication adherence measures. A similar pattern was observed in 2004. The attribution strategy proposed by PQA can be made more stringent without severely limiting the number of pharmacies with measures. Using a pharmacy attribution criteria of 50%+ or 75%+ of fills from the same pharmacy will result in more reliable PQI metrics." @default.
• W2064272893 created "2016-06-24" @default.
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• W2064272893 date "2011-05-01" @default.
• W2064272893 modified "2023-09-27" @default.
• W2064272893 title "PRS35 PHARMACY QUALITY INDICATORS USING MISSISSIPPI MEDICAID: TESTING PQA-ENDORSED STARTER SET MEASURES AND 2010 TEST MEASURES" @default.
• W2064272893 doi "https://doi.org/10.1016/j.jval.2011.02.796" @default.
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