Report of the PQA Reporting Workgroup

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Report of the PQA Reporting Workgroup

• Co-Chairs
• Lawrence Brown, PharmD, PhD
• Associate Professor, University of Tennessee
• (Representing the American Pharmacists
  Association)
• William Fleming, PharmD
• Vice President, Humana
• (Representing the Academy of Managed Care
  Pharmacy)

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PQA Charge to the Reporting Workgroup

• Charge The Workgroup on Reporting will
  recommend
• principles and methods for reporting meaningful
• information to consumers, pharmacists, health
• insurance plans, purchasers and other interested
• stakeholders.
• Reporting Workgroup work products to date
• Reporting Workgroup Objective
• PQA Principles for Public Reports
• PQA Principles for Reporting to Pharmacists and
  Pharmacy Practices

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Reporting Workgroup Objective

• The objective of the PQA Reporting Work Group is
  to
• develop, by consensus, principles for and a
  system for
• reporting on quality in pharmacy practice.
• The Workgroup will
•     
• Identify who will report and their
  responsibilities for quality reporting, the
  method and format of reporting quality measures,
  the frequency of reporting, the timeframe to be
  reported, and a process to continually improve
  reports
• Determine contextual information to be included
  in such reports and to whom reports should be
  issued
• Develop pilot reporting formats
• Create processes for collaboration among all
  stakeholders and a system whereby the appropriate
  information is disseminated

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PQA Principles for Reporting to Pharmacists and
Pharmacy Practices

• Target audience pharmacists and pharmacy
  practices
• Content areas
• Content of reports
• Focus on areas that have the greatest
  opportunities to improve quality
• Produce actionable information that allows for
  improvement in structure, process, and/or
  outcomes
• Meet the PQA Quality Metrics Work Group
  Guidelines for Selecting Quality Metrics
  Principles for Performance Measurement
• Include overall composite assessments of
  pharmacist or pharmacy practice performance as
  well as assessments of the individual measures
  used for the overall composite assessment
• Reflect trend data over time rather than periodic
  snapshots
• Considerate of practice setting

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PQA Principles for Reporting to Pharmacists and
Pharmacy Practices

• Content areas
• Transparent methods
• Transparent measures, methods, data specification
• Ability to review and comment on the methodology
  for data collection and analysis
• Performance results available to pharmacists and
  pharmacy practices for review prior to any public
  release
• Accurate reflection of all services that are
  accountable in whole or in part for the
  performance measured
• Methodology
• Sufficient sample size for valid assessment of
  performance
• Timely, provided to pharmacists and pharmacies
  via secure system
• Peer-review system for sponsors reporting
  processes

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PQA Principles for Reporting to Pharmacists and
Pharmacy Practices

• Content areas
• Portrayal of performance differences
• Results of individual pharmacist or pharmacy
  practice performance displayed relative to peers
• Report design and testing for usability
• Practicing pharmacists involved in report design
• User-friendly, pilot tested report formats
• Continually improved
• Collaboration
• Collaboration between pharmacists and other
  healthcare providers to share pertinent
  information in a timely manner

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• Questions and Discussion

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PQA Principles for Public Reports

• Target audience consumers, purchasers, and
  other
• stakeholders
• Core areas
• Content of reports
• Focus on areas that have the greatest
  opportunities to improve quality
• Meet the PQA Quality Metrics Work Group
  Guidelines for Selecting Quality Metrics.
  Principles for Performance Measurement
• Include appropriate contextual information to
  frame the purpose of the report
• Include overall composite assessments of
  pharmacist or pharmacy practice performance as
  well as assessments of the individual measures
  used for the overall composite assessment
• Reflect trend data over time rather than periodic
  snapshots
• Portrayal of performance differences
• Fair and equitable methods to display performance
  differences

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PQA Principles for Public Reports

• Core Areas
• Transparent methods
• Transparent measures, methods, data specification
• Public disclosure of justification for benchmarks
• Accurate reflection of all services that are
  accountable in whole or in part for the
  performance measured
• Ability to review and comment on the methodology
  for data collection and analysis
• Performance results available to pharmacists and
  pharmacy practices for review prior to any public
  release
• Methodology
• Sufficient sample size for valid assessment of
  performance
• Peer-review system for sponsors reporting
  processes

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PQA Principles for Public Reports

• Core Areas
• Report design and testing for usability
• Consumer involvement in report design
• Design accounts for cultural differences,
  decision context, and literacy levels
• Include glossary and users guide
• Accessible through various media
• Continually improved
• Timely results
• Produced in a timely manner and based on the most
  recent data

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• Questions and Discussion

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Next Steps

• Review initial starter set of quality measures
  approved by PQA for reporting considerations
• Develop draft reporting templates
• Pilot test reports