2020 Navigating The Stars with Medication Adherence and Quality – Post Test

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Question 1 of 10

1. Question
1. Regarding “medication adherence”, which of the following is TRUE (select all)
- A patient takes their medications (or gets their prescriptions filled) often enough to cover 80% of the time the medications are prescribed
- Filling the prescription once during the calendar year is adequate as long as the prescription is a 90-day fill
- A patient is written a prescription for a medication aligned with the Stars Medication Adherence measure in July. They take the prescription (get the medications filled) 80% of the time for the remainder of the year and as such, meets the medication adherence measure
- Generic medications are given a waiver by CMS due to cost breaks and as such are not tracked under the Stars Medication Adherence measure
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Question 2 of 10

2. Question
2. There are how many medication use/adherence related quality measures that are triple weighted?
- 2
- 4
- 6
- 8
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Question 3 of 10

3. Question
3. The American Journal of Medicine in 2020 linked three chronic conditions to most of the medication adherence problems. What three chronic conditions were they?
- Diabetes
- Hyperlipidemia
- Hypertension
- Cancer
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Question 4 of 10

4. Question
4. In the ABC Project (2012) AlGhurar, et al. stated several reasons for medication NON-adherence, the most prominent being
- Complexity of drug regimen
- Cost of drugs
- Lack of understanding of benefit of the medication & of the side effects
- Mainstream media influence on adverse event reporting
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Question 5 of 10

5. Question
5. Regarding Statin Use in Persons with Diabetes (SUPD): (choose one)
- It is a single-weighted Star Quality Measure
- Is met by filling a Rx for statin ONCE during the calendar year it was prescribed
- Is met by filling a Rx for at least 80% of the time it was prescribed during the year
- Has a 4-Star threshold of having > 89% of patients filling the Rx (5-Star is > 94%)
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Question 6 of 10

6. Question
6. The 4 Star performance for hypertension is 86% or higher and the measure includes patients 18 years or older who have been diagnosed with hypertension. To be included in this measure, a certain class of pharmaceuticals must be prescribed. That class is
- Renin Angiotensin System (RAS) Antagonist
- Beta Blocker
- Non-Dihydropyridine Calcium Channel Blocker
- Chlorthalidone or Thiazide Diuretic therapy
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Question 7 of 10

7. Question
7. Pill-splitting has been discouraged because (choose all that are TRUE)
- Most of the meds that fall into these categories are free or low cost, so limited economic benefit to split the pill
- There are safety concerns around pill splitting as it may alter pharmacokinetics
- Elderly patients have been known to cut themselves with pill-cutters really bad
- Not all pills are scored
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Question 8 of 10

8. Question
8. Which medication is NOT tracked in the Diabetes Medication Adherence measure?
- Sulfonylureas
- sodium glucose cotransporter 2 (SGLT2)
- Di-Peptidyl Peptidase (DPP)-IV Inhibitors
- Insulin
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Question 9 of 10

9. Question
9. In the triple-weighted medication adherence measures, what constitutes getting a patient EXCLUDED from the measure? (select ALL that apply)
- Having ESRD
- Being on Hospice
- Taking the medication > 90% of the time
- Using Generic Medications
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Question 10 of 10

10. Question
1o. The Medication Adherence Measure is one of the most difficult to succeed on the Stars Quality Program. Successful strategies have been found to include (choose best answer)
- Converting 30d prescriptions to 90d and prescribing Tier 1 or Tier 2 meds which are usually free to the patients
- Using a mail order pharmacy to alleviate the need for transportation and remembering to get refills timely
- Using a “chase list” to show patients who failed at the measure the prior year so that added education and follow-up can directed to them
- All of the above
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2020 Navigating The Stars with Medication Adherence and Quality – Post Test

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