Quality Metrics & Outcome Assessment Flashcards
7 cards from real MTM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Metrics & Outcome Assessment flashcards as text
In the context of CMS Part D Star Ratings, the 'Statin Use in Persons with Cardiovascular Disease' (SUPD) measure is classified as a:
Answer: Process measure
SUPD is a process measure because it tracks whether an indicated medication was prescribed and filled, not the health outcome itself.
When evaluating MTM program effectiveness, 'number needed to treat' (NNT) is useful because it:
Answer: Quantifies the absolute risk reduction translated into patients treated to prevent one event
NNT = 1/ARR, expressing how many patients must receive an intervention to prevent one additional adverse outcome.
A pharmacist reviewing quality data notices that high-risk medication use in the elderly (HRM) rates are elevated. Which of the following drugs would MOST contribute to this measure?
Answer: Amitriptyline
Amitriptyline is a tricyclic antidepressant listed on the Beers Criteria as potentially inappropriate in older adults, directly affecting the HRM star measure.
A balanced scorecard approach to MTM program evaluation typically includes which four domains?
Answer: Financial, Customer, Internal Process, Learning & Growth
The Kaplan–Norton balanced scorecard framework uses Financial, Customer, Internal Process, and Learning & Growth perspectives to provide a comprehensive organizational view.
A MTM pharmacist documents a drug therapy problem (DTP) in a patient on warfarin whose INR is sub-therapeutic at 1.4. The MOST appropriate DTP category is:
Answer: Dosage too low
A sub-therapeutic INR on warfarin indicates the dose is insufficient to achieve the desired anticoagulation goal, classifying the DTP as 'dosage too low.'
Which statistical method is most appropriate for comparing pre- and post-MTM intervention outcomes in a single patient cohort without a control group?
Answer: Paired t-test or Wilcoxon signed-rank test
Paired tests compare the same subjects before and after an intervention, controlling for individual variability without requiring a separate control group.
The Medicare Part D 'Improving or Maintaining Physical Health' measure is captured through which data source?
Answer: Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey
Patient experience and functional health measures in Part D Star Ratings, including physical health status, are collected via the CAHPS survey.