Polypharmacy medication review (10+ medications)
Clinical Quality & Outcomes
How this indicator is defined
Methodology version v1.0
Percentage of rostered patients on 10 or more concurrent medications who have a documented structured medication review within the past 12 months.
Proportion of eligible patients (percentage)
The percentage of eligible patients (the denominator) who have at least one Polypharmacy review record within the 1-year window. Each patient is counted once.
Data inputs
- Polypharmacy review
Derived from
What this indicator measures— Name, alignment, goal, rationale.
- Indicator nameField 1 — Indicator name
- Polypharmacy medication review (10+ medications)
- AlignmentField 2 — Alignment
- Ontario College of Family Physicians — Best practices for medication review
- Canadian Deprescribing Network guidelines
- Strategic goalField 3 — Strategic goal
- Reduce adverse drug events and medication-related hospitalizations in patients on complex medication regimens through regular structured reviews.
- RationaleField 5 — Rationale
- Patients on 10+ medications face exponentially higher risk of adverse drug interactions. Structured medication reviews identify deprescribing opportunities and reduce medication-related emergency visits by up to 20%.
How it's computed— Scoring method, numerator, denominator, inclusions, exclusions.
- NumeratorField 6 — Numerator
- Rostered patients in the denominator with a documented structured medication review (K030-billed or equivalent) within 12 months of reporting-period end.
- DenominatorField 7 — Denominator
Active rostered patients on 10+ concurrent active medications, age 18+ at reporting-period end.
- Sex eligibility: F, M
- Age range: 18–120
- Active as of reporting-period end: yes
- ExclusionsField 9 — Exclusions
- Patients in palliative care (comfort-focused medication regimen).
- Patients deceased before the reporting-period end date.
How patients are attributed— Attribution rule and risk adjustment.
- Attribution ruleField 10 — Attribution rule
- Enrolment (rostered)
- Risk-adjustment modelField 11 — Risk-adjustment model
- None
How comparison works— Peer group, reliability threshold, peer comparator.
- Reliability thresholdField 13 — Reliability threshold
- 15
Data + reporting— Data source, reporting frequency, direction of improvement, limitations.
- Reporting frequencyField 15 — Reporting frequency
- quarterly
- Direction of improvementField 16 — Direction of improvement
- Higher is better
Targets + governance— Target, justification, owner, review, approval, version, notes.
- TargetField 18 — Target
- 50.0% — the clinic's target for this indicator, set by the product owner.
- Methodology versionField 23 — Methodology version
- v1.0