Grading Algorithm
- Four metrics were selected based on known importance to adherence and ranked for the four conditions, resulting in 16 ranked metrics in total
- Metrics were weighted, using regression parameter estimates as a guide:
| Type of Metric | Metric | Description | Weight |
|---|---|---|---|
| Adherence | MPR | Measure of medication adherence | 45% |
| FFPR | % of new initiators getting a second fill | 30% | |
| Drug/Channel | GDR | % of scripts filled with generic medication | 15% |
| MDR | % of scripts filled at mail | 10% |
- Conditions were weighted equally (25% each)
Resulting state-level scores were ranked and assigned a color grade:
| Grade | Rank (1-50) |
|---|---|
| Gold | 1-17 |
| Silver | 18-34 |
| Bronze | 35-50 |
Definition of Pharmacy Home Rating
- For each of the five conditions, calculated % of patients using one pharmacy for their condition-related medications.
- For each of the five conditions, calculated the % synchronization of the medication refill schedules.
- Multiplied results of steps 1 and 2 at the condition-level to get a Condition Pharmacy Home Score.
- Averaged the Condition Pharmacy Home Scores (equal weighting) to get an Overall Pharmacy Home Score.
- Pharmacy Home Rating was scaled 1-5
Overall Metrics by State
Weighted average of the four conditions evaluated (diabetes, hypertension, dyslipidemia, depression).
