The Patient MPR% Report (Adherence Report) lists Patient RX Numbers, the Supply MPR%, Last Fill, Due Date, GAP Days, Drug Name/SIG, Quantity and Days. This report is listed under the Management Reports menu. Check Store Control, Store Control, Store Level Options, System Options and check Activate MPR% and Activate Cycle Rx? to run this report.
Prescriptions with an original date of 365 days or less are calculated for this report. Compounds, Profiled, Expired and Discontinued RXs are exempt from this process. The MPR% is calculated on any prescription that had a transaction update on the previous day. The process creates the Cycle Date for all RXs with a fill date of the previous day marked with the Cycle RX field. The earliest refill due date is determined and that date is saved as the Patient Cycle Date. Sample Report
The process of generating a report in NRx involves a set of steps referred to as Report Logic. These steps include selecting data, sorting the selected data in a certain order and then printing the report. Review Reports Overview for details on these steps.
To run this report:
Access NRx.
2. Click Reports. Select Management and click Patient MPR%. Select Options display:
3. Complete the Select Options and click Next. Sort Options are pre-defined and do not display. Print Options display:
4. The Print Option, Recalculate, defaults to YES during the Service Pack install. Recalculate updates the Rx MPR%, Gap Days and Patient MPR% for the patients selected. Click Finish.
MPR% Calculation Rules
RX MPR%
The RX MPR% is the sum of days supply for a qualifying RX during a defined period of time/number of days elapsed during the period.
The Rx must have been refilled and the dispensed drug of the RX must have MPR Drug checked on the Drug Record.
The RX MPR% is the sum of day supply dispensed minus day supply of the last fill divided by the sum of days between first and last fill date times 100.
Voided transactions are not used in the calculation.
The calculation takes each transaction day supply and sums the total.
Then, subtracts the day supply of the last fill (value X in the example below).
The total number of days from the first fill to the last fill is summed (value Y in the example below).
X is divided by Y and multiplied by 100 = Rx MPR%.*
*This number is rounded to the nearest whole number and the % will never exceed 100%.
Example:
RX is filled 4 times
30 day supply on each fill
30 + 30 + 30 + 30 = 120 - 30 (day supply of last fill) = 90 which is X
First fill was 01/01/14
Last fill was 04/05/14
Number of days = 94 which is Y
X/Y or 90/94 = .9473 * 100 = 94.73%
RX MPR% is 95%
Gap Days
Gap Days are the difference between the current system date and the refill due date of the RX.
Select RXs that have the MPR Drug checked on the Drug Record
Today's date is 12/01/14 and the refill due date on the RX is 11/28/14.
Gap Days = 4
Patient MPR%
The Patient MPR% is the sum of days supply for all qualifying RXs during a defined period of time/number of days elapsed during the period.
The RX must have been refilled and the dispensed drug of the RX must have MPR Drug check in order to qualify for the calculation.
The Patient MRP% is the sum of all of the day supply dispensed for each RX minus day supply of the last fill divided by the sum of days between the first and last fill date times 100.
Voided transactions are not used in the calculation.
The calculation takes each transaction day supply for all qualifying RXs and sums the total.
Example:
RX# 1 is filled 4 times
30 day supply on each fill
30 + 30 + 30 + 30 = 120 - 30 = 90
First fill was 01/01/14
Last fill was 04/08/14
Number of days = 97
Rx#2 is filled 3 times
90 day supply on each fill
90 + 90 + 90 = 270 - 90 = 180
First fill was 01/01/14
Last fill was 07/10/14
Number of days = 190
90 + 180 = 270
97 + 190 = 287
Patient MPR% is 270/287 = .9407 * 100 = 94%