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The Lifeblood of Your Specialty Pharmacy: Tracking the Right Metrics for Compliance and Outcomes Reporting

Written by: Guest Author on Monday, August 22, 2016 Posted in: Specialty Pharmacy

By: Jon Love, Rock-Pond Solutions


acloselook_dataPatient outcomes and adherence tracking are the lifeblood of specialty pharmacies because these measures are the evidence, for payers, that therapies work and are, therefore, worth the money. So what metrics should your specialty pharmacy be tracking and why are they important?

MPR, PDC, average time to fill, and adverse event reporting are some of the most common metrics that pharmacists should analyze on a routine basis. These metrics show your pharmacy’s ability to dispense prescriptions on time and track how well patients are adhering to their prescribed therapies.

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The key is to spend as little time as possible pulling the data by using automated technology, so that you can spend more time analyzing what the data means.

  • MPR (medication possession ratio) is useful for tracking a single medication because it shows how many days each patient was prescribed a medication and how many days worth was actually provides. The result is a percentage based on the days’ supply for all fills in a time period divided by the number of days in that period. There isn’t a solid standard on what percentage needs to be obtained; in excess of 80% is what most pharmacists strive for, but greater than 90% is preferred.
  • PDC (proportion of days covered) is better suited for diseases like HIV that may require more complex regimens with multiple medications. It gives a broader scope of patient regimens and how they’re adhering to each. This formula accounts for the number of days that are “covered” by medication divided by the number of days in the period. Like MPR, the expected adherence rate is more than 80%, but more than 90% is expected for serious diseases.
  • Average time to fill: There isn’t an exact standard on how long it should take to fill a prescription because there’s a fine line between filling too early and filling too late. Every pharmacy is different. Some may fill within a couple hours and others may take a couple days due to unforeseen obstacles such as financial factors or waiting for a doctor’s signature. Ideally, specialty pharmacists should strive for same-day dispensing to avoid a lapse in coverage.
  • Adverse event reporting: Adverse events need to be documented, so there’s a track record of when reactions occurred and the outcomes, so clinicians or prescribers can assess and alter therapies as needed.

This data should be tracked frequently so that patients are followed up with regularly, especially if there are adverse events. Viewing this information in real time can assist clinicians with altering therapies if the need arises, so that the best outcomes are achieved. Automated technology tools allow specialty pharmacies to see this type of data in multiple formats, including dashboards, trend analysis, and custom reporting options. Ensure that your pharmacy is taking a closer look at these key metrics so that you can continue to provide the best care to patients and increase your referrals.


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