Top

What is EQuIPP™ ?

EQuIPP™ is a performance information management tool that provides standardized, benchmarked data to help shape strategies and guide medication-related performance improvement. Click play to watch more.

Go to EQuIPP™
Electronic Quality Improvement Platform for Plans and Pharmacies

EQuIPP™ is a performance information management tool that provides standardized, benchmarked data to help shape strategies and guide medication-related performance improvement.

Where does the Data Come From?

PQS receives prescription claims and member eligibility details from health plans and PBMs. Therefore, claims that are not adjudicated through the patient’s insurance are not captured.

What do these Numbers Mean?

Scores represent the percentage of patients that are meeting the intent of the measure. Therefore, for adherence measures, scores represent the percentage of patients at the pharmacy or across the pharmacy organization that are adherent. Performance measures hosted within EQuIPP™ are calculated using prescription drug claims data that has been adjudicated to a health plan or pharmacy benefit manager that partners with EQuIPP™.

EQuIPP™ Measurement Periods

The Performance Data Date range dropdown in EQuIPP™ lets you know which measurement periods are available. Under “View As,” users can select from a “Six-Month”, “Year-To-Date”, or “Immunization” measurement period.

EQuIPP™ Key Notes

01.

Update Frequency

Scores are updated monthly - typically on the 15th of each month.

02.

Data Sources

Data comes from payers (health plans and pharmacy benefit managers).

03.

Performance Measures

EQuIPP™ hosts industry endorsed performance measures according to detailed specifications.

04.

Program Level Performance

EQuIPP™ displays program specific performance for health plans and pharmacy benefit managers (PBMs).

05.

Actionable Improvement Opportunities

Identifies patient outliers (which are patients not meeting the intent of the measure and are targets for improvement).

06.

Frequency of Outlier Updates

Patient outliers or targets are updated as frequently as weekly.

07.

Outlier Documentation

Documentation allowing pharmacies to organize their efforts for patient and provider outreach.

08.

Types of Outliers

Actionable types of patient outliers may include standard outliers, patients late for refills or patients with a first fill of target medications.

09.

Outlier Designations

Patient level indicators targeting opportunities for 90 day fills, patients with low income subsidy benefits, and actionable impact indicators.

10.

Impact Indicators

Patient flags clearly identify patients with improvement opportunities within the calendar year.

Access EQuIPP™ Educational Videos

EQuIPP™ educational videos are a valuable tool in understanding your quality measures. Learn how to navigate the platform and identify key opportunities for you and your pharmacy staff to engage with your customers. EQuIPP™ learning videos can be accessed by clicking the button below.

Click Here to Watch

Interested in Learning More?

We encourage all interested pharmacies, health plans, PBMs and other business organizations to visit our contact us page. Please use the button below.

Contact Us