Development of Key Performance Indicators for Capturing Impact of Pharmaceutical Care in Palestinian Integrative Healthcare Facilities: A Delphi Consensus Study
Table 4
The consensus-based key performance indicators.
#
KPI
Second Delphi round
Third Delphi round
Thematic area
M
IQR
% of panel members who rated the KPI 7–9
M
IQR
% of panel members who rated the KPI 7–9
1
Number of medication and/or CAM related problems identified and addressed/resolved by pharmacists including contraindications, inappropriate doses (over- and/or underdoses), allergies, interactions, duplications, omissions, vague/ambiguous orders, inappropriate routes of administration, inappropriate duration of therapy, and reported ineffective therapies.
8.0
3.0
60.0
9.0
1.0
90.0
Care
2
Number of patients who received documented medication and/or CAM reconciliation by pharmacists including the best possible medication/CAM history/review and/or had their medication and/or CAM-related problems and discrepancies identified and addressed/resolved.
8.0
3.5
62.0
8.0
1.0
88.0
Reconciliation
3
Number of patients who received direct, comprehensive, and/or collaborative care by pharmacists.
7.0
3.5
60.0
8.0
2.0
86.0
Care
4
Number of patients for whom pharmacists were involved in planning/preparing/implementing/executing/completing a therapeutic plan.
6.5
3.5
58.0
7.5
2.0
84.0
Care
5
Number of patients who received formal counseling/education on their diseases and/or medications/CAM by pharmacists at the time of admission, stay, transition of care, and/or discharge from the healthcare facility.
6.5
4.0
56.0
7.0
1.0
82.0
Counseling/education
6
Number of written complaints on the services delivered by pharmacists received per a predefined period of time.
6.0
4.0
52.0
7.0
1.0
80.0
Competence/performance/satisfaction
7
Number of errors committed by pharmacists per a predefined period of time.
5.5
4.0
50.0
7.0
1.0
78.0
Competence/performance/satisfaction
8
Number of multi-healthcare provider discussions/deliberations for the purpose of improving care of patients in which pharmacists actively participated and contributed including answering formal inquiries by other healthcare providers.
5.5
4.0
48.0
7.0
0.0
76.0
Multi-healthcare provider patient care
Or percentage out of the total number of patients who were admitted/visited/received care in the healthcare facility per a predefined period of time. CAM: complementary and alternative medicine; IQR: interquartile range; KPI: key performance indicator; M: median.