URSA-PHARM-025: Percent of Chronic Med Fills by Mail Order

Measure Description

Among outpatient pharmacy fills for a chronic medications falling within patient-periods during which the patient has (1) active plan membership, (2) is alive, and (3) has 1 or more active chronic medications, the percent where the filling provider is a mail order pharmacy.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Document ID
• Target Direction: Up

Denominator Description

Outpatient fills for a chronic medication falling within patient-periods during which the patient has (1) active plan membership, (2) is alive, and (3) has 1 or more active chronic medications. Fills are considered chronic by meeting at least one of the following: (1) Two or more fills over the history of the patient for this or other medications in the same AHFS Therapeutic Class ; (2) 90 or more days supply over the history of the patient for this or other medications in the same AHFS Therapeutic Class.

Numerator Description

Denominator qualifying outpatient fills where the filling provider is a mail order pharmacy.

Related Key Concepts

None.

FAQs

None.