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Table 1 Quality of Care Indicators for Community Pharmacists

From: Monitoring Community Pharmacist's Quality of Care: A feasibility study of using pharmacy claims data to assess performance

Indicator

Definition

Medication Safety

 

Beta Blockers in Respiratory Patients

 

Recommended Care: Patients receiving a SABA should not receive nonselective beta-blockers (NSBB)

Measure: proportion of dispensings of beta-blockers to patients dispensed SABA that are for NSBB*

 

Denominator: # of dispensings of oral beta-blockers (selective or nonselective) to patients who received a SABA from any pharmacy within the previous 6 months (including dispensing on the same day)

 

Numerator: # of dispensings of oral NSBB to patients who were dispensed a SABA from any pharmacy within the previous 6 months (including dispensing on the same day)

Benzodiazepines in the Elderly

 

Recommended Care: seniors requiring a benzodiazepine should not receive long acting agents (flurazepam)

Measure: proportion of dispensings of benzodiazepines to patients >65 years old that are for flurazepam*

 

Denominator: # of dispensings of benzodiazepines to patients >65 years old

 

Numerator: # of dispensings of flurazepam to patients >65 years old

Medication Effectiveness

 

Over-use of Asthma Medications

 

Recommended Care: patients should not use more than 250 doses of SABA in a 90 day period

Measure: proportion of dispensings of SABA that are provided to patients who had used more than 250 doses of these rescue medications over the previous 90 days*

 

Denominator: # of dispensings of inhaled SABA

 

Numerator: # of dispensings of an inhaled SABA that were provided to a patient who had been dispensed more than 250 doses of this same SABA from any pharmacy within the previous 90 days

Under-use of Anti-hypertensives

 

Recommended Care: patients should take at least 80% of their medication prescribed for hypertension

Measure: proportion of dispensings of anti-hypertensive medications that are provided to patients who had received <80% of their required supply of antihypertensive medications over the previous 90 days*

 

Denominator: # of dispensings of any blood pressure medications

 

Numerator: # of dispensings of any blood pressure medications that were to patients who had received <80% of the prescribed amount of any blood pressure medications over the previous 90 days from any pharmacy

  1. * The lower the score on the Quality of Care indicators the better the performance.