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What are PQA measures?

What are PQA measures?

PQA measures are grouped into four domains: Adherence, Appropriate Medication Use, Medication Safety, and Medication Management Services. Most PQA measures are for evaluating health plan performance. PQA also has a set pharmacy measures for evaluating pharmacy performance and quality improvement.

How is CMS star rating calculated?

1)Health Inspection ratings: – Ratings are calculated from points that are assigned to the results of nursing home surveys over the past three years, as well as complaint surveys from the past three years and survey revisits.

What are the hedis measures for 2022?

Race/Ethnicity Stratification HEDIS 2022 adds this stratification to the following measures: Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes, and Prenatal and Postpartum Care. These measures currently show in Evoke360.

Who is required to do a medication reconciliation?

The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.

Why is PQA important?

The PQA provides an internationally comparable framework and criteria for assessing organizational performance. It is a template for competitiveness based on the principles of Total Quality Management (TQM). The Award focuses on results, including customer satisfaction.

What is PQA data?

PQA performance measures are grouped into the domains of Adherence, Appropriate Medication Use, Medication Safety, and Medication Therapy Management. PQA has multiple measures focused on opioid prescribing and specialty medications.

What is CMS star rating based on?

The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system — the Star Rating Program. Health plans are rated on a scale of 1 to 5 stars, with 5 being the highest.

What is the current HEDIS measurement year?

HEDIS® Measurement Year 2020–continuing the pursuit of meaningful measures.

What is medication reconciliation according to Joint Commission?

Medication Reconciliation According to the Joint Commission. In short, medication reconciliation is a clinician’s comparison of the prescribed medications a patient is actually using against the new medications ordered for the patient during an encounter, resolving any discrepancies, and updating the medical record to reflect them. Here’s…

Is medication reconciliation an effective safety intervention?

Medication reconciliation has therefore become an example of a safety intervention that has been effective in research settings but has been difficult to implement successfully in general practice. A 2016 commentary identified the major reasons for difficulty achieving safety improvements via medication reconciliation.

What files are included in the submission for a medication reconciliation?

The files included in the submission are as follows: • Medication reconciliation PPT slides (Appendix A)—to be used in presenting the importance of appropriate medication reconciliation and keys to effective transitions of care. The slides include descriptive text and additional information in the Notes section.

When should you reconcile your medication list?

Many organizations have a process in place that calls for reviewing the patients’ medication list at every primary care visit and within 24 hours of an inpatient admission. High-risk medications such as antihypertensives, antiseizures, and antibiotics may need to be reconciled sooner, for example, within 4 hours of admission.