Annual Awards Recognition Program
Thursday, May 14, 2020
2:00 PM ET
PQA QUALITY AWARDS
PQA recognizes Medicare plans for excellence in quality of medication use based on published CMS Part D Star Ratings. During the Awards Recognition Program, held on May 14, two awards were presented to member organizations: Excellence in Quality Award and Quality Improvement Award.
- Excellence in Quality Award
The PQA Excellent in Quality Award recognizes both Medicare Advantage Drug Plans (MAPDs) and Prescription Drug Plans (PDPs). For MAPDs, the award marks achievement of at least a 4.5-star Part D summary rating and a 5-star rating on all five PQA medication measures used within the 2020 CMS Star Ratings Program. For PDPs, the award marks he achievement of at least a 4.5-star Part D summary rating and a 4-star rating on all five PQA medication measures used within the 2020 CMS Star Ratings Program.
- Quality Improvement Award
This award goes to MAPDs and PDPs that received a 5-star rating on the 2020 CMS Quality Improvement measure and the greatest combined improvement in star ratings from 2019 to 2020 on the five PQA medication measures used within the CMS Star Ratings Program in 2019 and 2020.
This year’s quality award recipients:
Excellence in Quality Award – MAPDs (CMS Contract Number)
- Alignment Healthcare (H3815)
- Blue Cross Blue Shield of Massachusetts HMO Blue (H2261)
- CarePlus Health Plans (H1019)
- Cigna (H5410)
- Dean Health Plan (H9096)
- Florida Blue Medicare (H2758)
- Kaiser Permanente Colorado (H0630)
- Kaiser Permanente Georgia (H1170)
- Kaiser Permanente Hawaii Region (H1230)
- Kaiser Permanente Mid-Atlantic States (H2150)
- Kaiser Permanente Northern California Pharmacy (H2172)
- Kaiser Permanente Northwest (H9003)
- Kaiser Permanente Pharmacy Operations - Southern California Region (H0524)
- Kaiser Permanente Washington (H5050)
- PruittHealth Premier (H3291)
Excellence in Quality Award – PDPs (CMS Contract Number)
- CVS Health (S2893)
- Navitus MedicareRx (S9701)
- Health Alliance Medicare Prescription Plan (S4219)
- Pennsylvania Public School Employees' Retirement System – Health Options Program (E3014)
- Tufts Health Plan (S0655)
Quality Improvement Award – MAPDs (CMS Contract Number)
- Aetna Health (H3597)
- Coventry Health Care of Missouri (H2663)
- Superior HealthPlan (H5294)
Quality Improvement Award – PDPs (CMS Contract Number)
Community Pharmacy Innovations in Quality (CPIQ) Awards
PQA and the Community Pharmacy Foundation are pleased to continue the third year of the Community Pharmacy Innovation in Quality (CPIQ) Awards that celebrate innovations in community pharmacy practice that promote improvements in quality of care, medication optimization, and patient outcomes.
Nominations were submitted to recognize:
- An individual whose pioneering contributions to community pharmacy practice demonstrate improved patient outcomes through quality of care and medication optimization.
- A community pharmacy, which in collaboration with external partners has developed innovative programs resulting in improved quality of care, medication optimization, and patient outcomes.
Nominees were evaluated on the criteria: innovation, measurable impact, replicability and scalability, and reach. Priority areas of focus were practices or programs that addressed the Quadruple Aim, addressing quality and/or patient care gaps, and vulnerable populations.
The 2020 CPIQ Award recipient in the individual category is Vikram Sundararaman, PharmD, MBA, a Clinical Pharmacy Site Manager for Genoa Healthcare. Working in a pharmacy that is physically integrated into the clinic setting, Sundararaman has been an innovative leader in developing strategies to build personal relationships with physicians, nurses and patients, while ensuring access to the right pharmacy services at the right time.
The 2020 CPIQ Award recipient in the community pharmacy category is The Kroger Company. Kroger has made innovation a core focus of its work to improve the health of its employees and customers. For more than a decade, Kroger has implemented innovative programs for medication adherence, medication therapy management, health coaching, transitions of care, and nutrition.
This year PQA hosts its third annual Healthcare Quality Innovation Challenge (HQIC). Sponsored by Pharmacy Quality Solutions, the HQIC student competition invites teams to propose technology-enabled solutions to create realistic solutions that improve healthcare quality. The 2020 challenge prompts included tools to support initial opioid prescribing, addressing social determinants of health, and optimizing diabetes care.
The top 3 finalists competed live in front of a panel of judges during the competition. The winner of the 2020 HQIC is:
- University of Pittsburgh
- Student Team: Mohamed Kashkoush, Britney Stottlemyer, Torrey Trahanovsky
- Advisor: Douglas Leung, PharmD, Senior Pharmacist, Gateway Health