Performance measures for safer opioid prescribing behavior
Background: The Veterans Health Administration (VHA) initiated the Opioid Safety Initiative (OSI) in 2013 to improve opioid prescribing practices and reduce Veteran risk associated with the use of opioids for non-cancer pain treatment. While guidelines and policies prescribe ideal practice, Veteran Integrated Service Network (VISN) 21 has successfully implemented performance measures and corresponding data tools to drive change in opioid prescribing. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Jennifer Marin, Diana Higgins, Scott Mambourg Source Type: research

Dispensing accuracy of specialty pharmacies
Background: The safety and accuracy of dispensing prescriptions are essential in ensuring the right patient receives the right medication at the correct dosage. According to Consumer Reports, a typical pharmacist fills approximately 13,000 prescriptions per year, which equates to approximately 60 prescriptions per day (1999). In 2003, Flynn et. al. conducted a study of dispensing accuracy rates in 50 pharmacies located in 6 cities across the United States. They found an overall dispensing accuracy rate of 98.3%, or 77 errors among 4, 481 prescriptions (2003). (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Marybeth Farquhar, Reid Kiser Source Type: research

Implementing a new community pharmacy reimbursement model to improve medication-related quality and affordability
Background: Traditional pharmacy reimbursement for product distribution has become less viable, and pharmacies are seeking new ways to be reimbursed for patient care activities. The implementation of Medicare Part D Star Ratings increased managed care engagement with community pharmacy, and new partnerships have the potential to improve quality and healthcare affordability as well as pharmacy profitability. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Laura Fortuna, Jason Miller, Jim Cox, Susan Cooper, Caitlin Frail, Daniel Rehrauer Source Type: research

A federally qualified health center pharmacist embedded medication reconciliation process improves patient safety at a critical access hospital in new hampshire
Background: More than 60% of medication errors occur during care transitions or transfers. Medication reconciliation is important in patient care transitions, and is known to prevent adverse outcomes. Prevention of medication related adverse drug events (ADEs) at transfer provides long-term benefits for patient safety and health. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Tim Boyd, Karen Torrey, Margherita Giuliano, Rouba Youssef Source Type: research

Hormonal contraception prescribing: The 50 states of grey
Background: In the US, approximately 50% of pregnancies are unintended and barriers to contraceptive access is a contributing factor. Pharmacists have the opportunity to improve patient access to contraception. Several states have successfully implemented legislation authorizing pharmacists to prescribe self-administered hormonal contraception; the status of legislation in other states varies. Variability in mechanisms, processes, and terminology exists between states creating a need to ensure the quality, consistency, and sustainability of these programs as they are implemented. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Brooke Griffin, Kathy Vest, Sarah Lynch, Autumn Stewart-Lynch, Krystalyn Weaver, Manmeet Kooner, Honey Joseph Source Type: research

Improving measure maintenance processes: Lessons from the Entresto Case Study
Background: To be effective, quality measures must communicate clear, evidence-based standards of quality care. When the evidentiary foundation for a measure changes, revisions must be made quickly and communicated clearly; otherwise, measures can confuse providers trying to reconcile the evidence-based quality of care they provide with outdated specifications. Outdated measures can also affect clinical decision-making, potentially harming patients or prohibiting patients from receiving treatment that could optimize clinical outcomes. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Sarah Sampsel, Tom Valuck, David Sloan, Jennifer Van Meter Source Type: research

Developing and validating a measure to assess progress and success with implementation of a pharmacy service to optimize medication use
Background: Implementation outcomes serve as success indicators of the implementation process. They are also key antecedents to achieving the more traditional clinical and economic outcomes typically associated with an intervention. Implementation outcomes include: service acceptability, appropriateness, feasibility, adoption, fidelity, penetration, and sustainability. While implementation outcomes have been used as part of research in other fields, they have not yet been adapted for pharmacy practice. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Melanie Livet, Carrie Blanchard, Mary Yannayon, Mary McClurg, Todd Sorensen Source Type: research

Including SGLT2-Inhibitors in the PQA diabetes medication dosing (DOS) measure may improve identification of high-risk patients
Background: Excessive dosages of oral diabetes medications do not have better efficacy and can cause adverse drug events. The DOS measure identifies excessive dosing of biguanides, sulfonylureas , thiazolidinediones , and dipeptidyl peptidase-4 inhibitors. In 2012, sodium-glucose co-transporter 2 inhibitors (SGLT2-i), a new oral class with documented cardiovascular benefit, were introduced. To remain relevant, it is important to consider how the exclusion of this class affects the current DOS measure. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Suji Xie, Dhritiman Mukherjee, Jennifer Naples, Rosenie Thelus, Erik Defreitas, Adrian Kress Source Type: research

Age stratification improves accuracy of opioid safety measures
Background: Multiple studies have suggested that age influences the risk of prescription opioid overdose. The Pharmacy Quality Alliance (PQA) “Use of Opioid at High Dose without Cancer (OHD)” measure captures chronic opioid users with high doses, but further delineation of OHD rates by age may help identify high-risk patient groups and provide a more accurate comparison between providers. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Suji Xie, Jennifer Naples, Dhritiman Mukherjee, Rosenie Thelus, Erik Defreitas, Adrian Kress Source Type: research

Relationship between pharmacy characteristics and pharmacy performance
Background: Interest in evaluating and rewarding pharmacies for performance on quality measures is growing. Quality measure scores vary substantially across pharmacies, but pharmacy-level drivers of this variation is poorly understood. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Ben Urick, Stefanie Ferreri, Chelsea Renfro, Makeen Mansour Source Type: research

Impact of implementing a comprehensive patient management solution in a regional community pharmacy chain
Background: The increased emphasis on healthcare quality and the transitions to value-based reimbursement necessitate an evolution in community pharmacy practice. Pharmacies must transform workflow from the singular focus of medication dispensing to a more comprehensive evaluation of patient care opportunities to effectively impact medication adherence, immunization rates, and medication therapy management (MTM) completion rates. The eNGAGE tool from Freedom Data Services provides an interactive platform for pharmacists and technicians to manage patient-focused activities to meet the growing demands of Medicare Part D Star...
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Erin Graham, Courtney Johnson Source Type: research

Pharmacy and provider partnership to reduce use of high risk medications in the elderly
Background: High risk medication (HRM) use in the elderly increases risk of adverse events. Kaiser Foundation Health Plan of Washington (KPWA) Pharmacy had limited success in discontinuing HRM use when “cold-calling” patients. Pharmacy partnered with Primary Care and OBGYN to launch a new workflow that leveraged close provider relationships with patients and pharmacist expertise and time to develop discontinuation plan with patients. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Janet Kim, Joshua Akers, BCACP Source Type: research

A health technology network approach to quality improvement – Optimizing E-prescribing
Background: The benefits from adopting e-prescribing are well-established, having significantly improved the quality and efficiency of patient care as compared to traditional paper prescriptions. However, this technology is only as beneficial as its appropriate development, implementation and utilization. When technology is insufficient and e-prescriptions are sub-optimally written, not only are the benefits from this technology lost, but new challenges and risks are introduced. Thus, significant quality-improvement opportunities remain for ensuring e-prescribing ’s advantages are fully realized. (Source: Research in Soc...
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Stacy Ward-Charlerie, Yuze Yang, Joshua Ruiz, Michael Lessard, Jaime Smith Source Type: research

Evaluating the impact of pharmacists on hypertension and diabetes outcomes in HRSA-funded health centers
Background: As the role of pharmacists in patient care and team-based approaches continues to expand, evidence suggests these interventions have a positive impact in improving patients ’ clinical outcomes. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Cuong Bui, Hank Hoang Source Type: research

Diabetes therapeutic drug classes: Evaluating Adherence and total cost of care
Background: An estimated 30.3 million Americans are affected by diabetes; specifically, 28% of members enrolled in Medicare in 2015 had been treated for diabetes. Diabetes cost an estimated $245 billion in 2012, where hospital inpatient care and prescription medications to treat complications of diabetes made up the largest portions. A previous study suggest that increased adherence to diabetes medications can reduce hospitalizations and emergency department visits, resulting in decreased total cost of care, despite increased pharmacy spend. (Source: Research in Social and Administrative Pharmacy)
Source: Research in Social and Administrative Pharmacy - May 1, 2018 Category: Pharmaceuticals Authors: Cali Thomas, Cassie Bobbitt, Sarah Kendrick, Laurin Dixon, Ashley Lanham, Salina Burns Source Type: research