Continuous Quality Improvement Practice Test

A community pharmacy serving many patients with hypertension finds that only 58% of patients newly started on an angiotensin-converting enzyme inhibitor refill the medication on time (proportion of days covered at least 80%) at 3 months. Patients report confusion about expected benefits and fear of side effects; a barrier is limited private counseling space during busy periods. The team includes a pharmacist, two technicians, and a clerk who schedules immunizations and could schedule follow-ups. What is the most effective strategy to improve medication adherence in this scenario?

A community pharmacy experiences frequent stockouts of albuterol inhalers and amoxicillin suspension. Over the last quarter, the pharmacy recorded 14 stockout events causing 22 delayed fills and 9 transfers to other pharmacies; patient complaints about delays increased from 4 to 17 per month. The primary barrier is inconsistent ordering practices between technicians and lack of a defined reorder point. The CQI team includes the pharmacist-in-charge, the lead technician responsible for ordering, a staff pharmacist, and a technician who receives inventory. What is the most important metric to track for measuring improvement after implementing reorder points and a weekly inventory review?