Electronic Care Plan Accessibility

Title	Electronic Care Plan Accessibility
Description	Possession of e-care plan with appropriate training A higher score is better
Rationale	Clinical documentation is required to validate actions occurred and provide patient care notes from one provider to another.
Logic Model	This measure ensures clinical documentation of patient encounters at the pharmacy. If it isn’t document, it didn’t happen. The E-Care Plan Accessibility measure creates the structure for future process, outcome, and patient-reported measures.
Level of Analysis	Pharmacy (Nominal and Structure)
Data Source	Survey
Denominator Statement	This measure is a structure-based measure evaluate a nominal endpoint. The denominator is the pharmacy.
Denominator Calculation	1. The pharmacy
Denominator Exclusions	No exclusions
Denominator Exclusion Rationale	N/A
Numerator Statement	Accessibility of e-care plan by all members of the pharmacy
Numerator Calculation	Nominal endpoint determined by survey results
Seguridad Measure Specification Process
Data Stratification	The measure rate will be reported as pharmacy. If available and feasible, measure rate will be reported by type of pharmacy (e.g., health-system, community, specialty, mail-order, long-term care). If available and feasible, measure rate will be reported by line of business (pharmacy Medicare rate, pharmacy Medicaid rate, pharmacy Commercial rate, and pharmacy uninsured rate). Risk adjustment will be applied when available.
Value Sets	No value set is required for the calculation of this measure.
Future Iterations	Many pharmacy measures are designed as structure or process. Future goals of this concept include evaluating the outcomes from E-Care Plan submissions, type of data within E-Care Plans, and other aspects of safety/quality.
Harmonization¹	Payors: N/A Providers: N/A

1. Measures that have either the same target populations (denominator) or the same measure focus (numerators) may be considered related, whereas measures that have the same targeted population (denominator) and same measure focus (numerator), are considered competing measures. Measures being developed should be harmonized, where feasible, to previously established measures to decrease measure burden. Choose My Pharmacy measures are developed for pharmacy evaluation, which is a novel area for measurement science, no current measure evaluates this level of analysis. Choose My Pharmacy measures will be harmonized to the extent possible, recognizing different levels of analysis have different data elements, and instead the focus will be to vertically integrate the Choose My Pharmacy measures with other measurement systems and measures.