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National Quality Forum
Measure Application Partnership (MAP)
MAP Families of Measures: Public Comment Draft
Comments submitted September 10, 2012
General comments on the draft report:
The Academy of Managed Care Pharmacy commends the Measure Application Partnership
for developing this report, which introduces the concept of families of measures – sets of
related available measures and measure gaps that span programs, care settings, levels of
analysis, and populations for specific topic areas. The Academy believes that the families of
measures can provide measures that are coordinated within and across federal government
and private sector programs.
Prevention and Treatment - Cardiovascular Conditions and Diabetes:
AMCP is pleased that the MAP identified “medications” as a priority for measurement in
both the cardiovascular and diabetes families of measures. AMCP noted that the MAP has
indicated that medication management measures that focus on persistence of medications
(patients taking medications) are a gap for both secondary prevention of acute cardiovascular
conditions and for chronic cardiovascular condition measurement. AMCP disagrees with the
assertion that there are not adequate measures in this area. “Proportion of Days Covered”
measures developed by the Pharmacy Quality Alliance (PQA) are NQF-endorsed medication
adherence measures. These measures assess the percentage of patients 18 years and older
who met the Proportion of Days Covered (PDC) threshold of 80 percent during the
measurement period. The PDC measures include cardiovascular and diabetes medication
classes.
The Centers for Medicare and Medicaid Services (CMS) five-star rating system, used by the
CMS as a relative quality and performance scoring method used for Medicare Advantage
(MA) plans and Part D prescription drug plans (PDPs) offered to Medicare beneficiaries,
includes the PQA Proportion of Days Covered measures for quality reporting and for the
Quality Bonus Payments (QBPs) demonstration project.
Rather than identifying this area as a “prioritized gap measure,” AMCP recommends that
MAP add the PQA Proportion of Days Covered measures to the families of measures
identified by the MAP.
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