EQuIPP™ is a performance information management tool that provides standardized, benchmarked data to help shape strategies and guide medication-related performance improvement. Click play to watch more.
Electronic Quality Improvement Platform for Plans and Pharmacies
EQuIPP™ is a performance information management tool that provides standardized, benchmarked data to help shape strategies and guide medication-related performance improvement.
Where does the Data Come From?
PQS receives prescription claims and member eligibility details from health plans and PBMs. Therefore, claims that are not adjudicated through the patient’s insurance are not captured.
What do these Numbers Mean?
Scores represent the percentage of patients that are meeting the intent of the measure. Therefore, for adherence measures, scores represent the percentage of patients at the pharmacy or across the pharmacy organization that are adherent. Performance measures hosted within EQuIPP™ are calculated using prescription drug claims data that has been adjudicated to a health plan or pharmacy benefit manager that partners with EQuIPP™.
EQuIPP™ Measurement Periods
The Performance Data Date range dropdown in EQuIPP™ lets you know which measurement periods are available. Under “View As,” users can select from a “Six-Month”, “Year-To-Date”, or “Immunization” measurement period.
Six-Month Measurement Period
The Six-Month trend view is the standard trending view in EQuIPP™, where performance scores are based on a rolling six months of prescription drug claims activity.
Year-To-Date Measurement Period
The Year-To-Date (YTD) view is the newest data segment in EQuIPP™, and captures performance based on prescription drug claims activity from the beginning of the current calendar year until the most recent month of activity.
Immunization Measurement Period
The Immunization measurement period currently applies to the Annual Influenza Vaccination Rate measure. Note: The “flu season” does not fit into either the Six-Month or YTD measurement periods. The “Immunization” measurement period is August 1 -March 31 of the following year.
EQuIPP™ Key Notes
01.
Update Frequency
Scores are updated monthly - typically on the 15th of each month.
02.
Data Sources
Data comes from payers (health plans and pharmacy benefit managers).
03.
Performance Measures
EQuIPP™ hosts industry endorsed performance measures according to detailed specifications.
04.
Program Level Performance
EQuIPP™ displays program specific performance for health plans and pharmacy benefit managers (PBMs).
05.
Actionable Improvement Opportunities
Identifies patient outliers (which are patients not meeting the intent of the measure and are targets for improvement).
06.
Frequency of Outlier Updates
Patient outliers or targets are updated as frequently as weekly.
07.
Outlier Documentation
Documentation allowing pharmacies to organize their efforts for patient and provider outreach.
08.
Types of Outliers
Actionable types of patient outliers may include standard outliers, patients late for refills or patients with a first fill of target medications.
09.
Outlier Designations
Patient level indicators targeting opportunities for 90 day fills, patients with low income subsidy benefits, and actionable impact indicators.
10.
Impact Indicators
Patient flags clearly identify patients with improvement opportunities within the calendar year.
Access EQuIPP™ Educational Videos
EQuIPP™ educational videos are a valuable tool in understanding your quality measures. Learn how to navigate the platform and identify key opportunities for you and your pharmacy staff to engage with your customers. EQuIPP™ learning videos can be accessed by clicking the button below.
Interested in Learning More?
We encourage all interested pharmacies, health plans, PBMs and other business organizations to visit our contact us page. Please use the button below.