Therapeutic drug management quality project
Download
1 / 18

- PowerPoint PPT Presentation


  • 94 Views
  • Updated On :

Therapeutic Drug Management Quality Project . Terri Smith Moore, PhD, MBA, RPh Senior Program Director National Quality Forum October 17, 2006. Presentation Overview. Evolving interest in quality Quality and performance measurement NQF Therapeutic Drug Management Quality Project .

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - vesna


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Therapeutic drug management quality project l.jpg
Therapeutic Drug Management Quality Project

Terri Smith Moore, PhD, MBA, RPh

Senior Program Director

National Quality Forum

October 17, 2006


Presentation overview l.jpg
Presentation Overview

  • Evolving interest in quality

  • Quality and performance measurement

  • NQF Therapeutic Drug Management Quality Project


Slide3 l.jpg

Interest in Healthcare Quality

Current Optimal

GAP


Slide4 l.jpg

Healthcare Quality

3 major reports:

  • Institute of Medicine (IOM) “The Urgent Need to Improve Health Care Quality” (1998)

  • IOM’s “To Err Is Human” (1999)

  • IOM’s “Crossing the Quality Chasm” (2001)


Slide5 l.jpg

Gaps in the Rx world

“BIG QUALITY GAPS”

in

  • Drug therapy management

  • Formulary review and decisions

  • Pharmacists performance

  • PBM performance

  • Patient education

  • Provider communications


Slide6 l.jpg

Rx Quality Movement

More activity in the quality aspects of drug therapy and drug therapy management spurred by:

  • Medicare Modernization Act (Part D)

  • Reports on poor adherence, medication errors

  • Incongruity in prescription drug benefit management


Quality of part d plans l.jpg
Quality of Part D Plans

No surprise that Part D Plans will be judged on:

1. Beneficiary enrollment

2. Access to medications; formularies

3. Medication management measures:

  • Prescribing

  • Disease specific therapy

  • Therapeutic monitoring


Slide8 l.jpg

Overall quality of therapeutic

medication management is

BROAD


Therapeutic drug management quality project9 l.jpg
Therapeutic Drug Management Quality Project

  • In June 2006, NQF launched the Therapeutic Drug Management (TDM) Quality Project

  • Project Goals:

    • Achieve consensus on comprehensive framework for TDM

    • Define “best practices”, policies/procedures for TDM

    • Identify and endorse performance standards and measures


Slide10 l.jpg

Approach to Establishing TDM Framework and Evaluating Practices and Measures

Step 1: Establish purpose of TDM Set

Step 2: Identify a framework for measurement that is responsive to the purpose

Universe of Practices and Measures

Step 3: Identify Scope

Step 6: Recommend practices & measures

Step 5: Evaluate candidate practices measures within framework via standard criteria

Step 4: Establish Screening Criteria


Tdm framework domains l.jpg
TDM Framework Domains Practices and Measures

  • NQF anticipates the TDM framework addressing the following domains:

    • Therapeutic decision making; effective evidence-based medication therapy

    • Patient education and drug adherence

    • Safety/ safe medication use/error avoidance

    • Efficiency / cost-effectiveness

    • Implementation/system coordination and communications


Tdm project l.jpg
TDM Project Practices and Measures

TDM Project Framework also addresses:

  • Medication therapy management services; definition and program criteria supported by 11-pharmacy related organizations (July 2004)

  • “Pharmaceutical Care” practice model (Hepler and Strand, 1989)


Tdm project progress l.jpg
TDM Project Progress Practices and Measures

  • Develop comprehensive framework for overall therapeutic drug management quality, including status of TDM quality measurements, practices and care guidelines


Slide14 l.jpg

TDM Project Progress Practices and Measures

  • Convene a workshop of approximately 20 people representing various stakeholders to refine the project scope and focus areas


Tdm project progress15 l.jpg
TDM Project Progress Practices and Measures

  • Establish formal multi-stakeholder consensus on framework and available standards and measures, guided by a Steering Committee, assisted by Technical Advisory Panels


Endorsed and candidate nqf tdm standards l.jpg
Endorsed and Candidate NQF TDM Standards Practices and Measures

  • Serious Reportable Events (2002)

  • Safe Practices (2003)

  • Hospital (2003), Cardiac Surgery (2004) and Ambulatory Care (2005)---specific diseases & conditions

  • Home Health Care (2005)

  • Ambulatory Care (ongoing)

  • Improving Use of Prescription Medications (2005 workshop)


Call for submissions l.jpg
Call for Submissions Practices and Measures

  • July 2006: NQF issued a call for submissions of therapeutic drug management frameworks, practices and measures

  • More research will continue


Slide18 l.jpg

Questions?? Practices and Measures

Email: [email protected]

Visit our Website: www.qualityforum.org

Thank – you!


ad