PQA' A pharmacy quality alliance

1
PQA. A pharmacy quality alliance

• Governance and Structure

2
PQA Governance

• PQA is a self-sustaining, membership-based
  quality alliance
• Modeled, for the most part, after other
  healthcare alliances (AQA, et al.)
• PQA has no by-laws
• PQA governed by Steering Committee of
• 16 individuals

3
PQAs Steering Committee

• Broad base of stakeholders, the individual holds
  the appointment, not the organization.
• Comprised of practitioner-based pharmacy groups
• (APhA, AMCP, NCPA, NASPA)
• Comprised of healthcare trade organizations
  (NACDS, AHIP)
• Comprised of consumer organization (NCL)
• Government agencies (AHRQ, CMS)
• Employers (Pitney Bowes)
• Professional Organizations (NASMD)
• LTC providers (PharmaCare of Cumberland)
• Pharma member (GlaxoSmithKline)
• Generic member (TEVA USA)
• PBM (Express Scripts)
• Other (Dr. Mark McClellan, AEI-Brookings Joint
  Center)

4
PQA has two primary working groups

• Quality Metrics Workgroup
• Subcommittee on LTC
• Eight different cluster groups
• Reporting Workgroup
• NEW Data Aggregation Workgroup (to be formed
  following this meeting, co-chairs are in the
  process of being identified)

5
The Process to date

• Quality Metrics Workgroup
• The full membership of this group convened 11
  times in the past 6 months
• Nine Cluster Groups, (now condensed down to 8)
• Each Cluster Group met at a minimum of 3 times,
  and a maximum for some groups of 6-7 timesfor a
  total number of Cluster Group meetings that
  exceeded 30 Cluster Group Conference calls from
  end of August through November.
• Subcommittee on LTC
• Met four times, and was formed about two months
  after the Quality Metrics group began its work.
• Total of 45 teleconferences in over 6 months!
• 190 individuals have self-selected to be a part
  of the Quality Metrics Workgroup
• Average number of participants QM call is about
  75 participants.

6
The Process in the Reporting Workgroup

• The Reporting Workgroup has had 7 conference
  calls to date
• The Reporting Workgroup is at about 160
  participants self-selecting this group.

7
Consensus-based alliance

• Consensus Webster defines consensus as
  collective opinion
• Consensus on starter set will be assessed via a
  show of hands.
• The starter set of measures will have one of the
  following action steps taken
• 1. Endorsed, as is written and presented
• 2. Endorsed, with modifications raised at this
  meeting
• 3. Sent back to either the Quality Metrics
  Workgroup or the Reporting Workgroup with
  specific recommendations.

8
Reasonable Expectations for this First PQA meeting

• Approval of an initial starter set of 33 measures
  that will then move to the validation process, a
  survey instrument on patient satisfaction, a
  framework for considering all measures related to
  adherence and persistence, and reporting
  principles for consumers, pharmacists and
  pharmacy practices.
• The Breakdown of Measures
• Cardiovascular 12 PQA measures proposed
• Diabetes 3 PQA measures proposed
• Hyperlipidemia 2 measures proposed
• Respiratory 4 measures proposed
• Patient Safety 9 measures proposed drug
  interaction starter set Generic Efficiency 3
  measures proposed
• Patient Satisfaction Survey instrument
• Medication Adherence/Persistence conceptual
  definitions/structure to be approved
• Broader understanding of how these measures fit
  into HHSs over-arching goals of transparency and
  quality in overall healthcare system.