Beyond Medication Prescription as Performance Measures

Developing Performance Measures for Prescription Drug Management

Prescription drug management plans are outpatient drug benefit programs that strive to manage the cost effective and clinically appropriate delivery of prescription drugs to beneficiaries. The demand for accountability and a means to evaluate performance of drug benefit management programs is growing; nevertheless, a set of valid, standardized indicators for evaluating performance does not exis...

A comparison between antihypertensive medication adherence and treatment intensification as potential clinical performance measures.

BACKGROUND Medication adherence and treatment intensification have been advocated as performance measures to assess the quality of care provided. Whereas previous studies have shown that adherence and treatment intensification (TI) of antihypertensive medications is associated with blood pressure (BP) control at the patient level, less is known about whether adherence and TI is associated with ...

Comparison of various measures for assessing medication refill adherence using prescription data.

BACKGROUND Several measures using prescription data have been developed for estimating medication refill adherence. Few studies have made direct comparisons, and little is known about the accuracy of these measures in patients on a multiple-drug regimen. PURPOSE To compare different calculation methods using prescription data for assessing refill adherence. METHOD An observational cohort st...

Comparison of various measures for assessing medication refill adherence using prescription datay

Performance-based measures of physical function as mortality predictors: Incremental value beyond self-reports

BACKGROUND Although previous studies have indicated that performance assessments strongly predict future survival, few have evaluated the incremental value in the presence of controls for self-reported activity and mobility limitations. OBJECTIVE We assess and compare the added value of four tests - walking speed, chair stands, grip strength, and peak expiratory flow (PEF) - for predicting al...