Evidence-Based Practices for Medicaid Beneficiaries with Schizophrenia and Bipolar Disorder. C. Laboratory Monitoring and Physical Health

04/09/2012

Table A.6 summarizes the approach used to measure the receipt of preventive health care and laboratory monitoring of lithium, antipsychotics, or anticonvulsants.

TABLE A.6. Measurement of Preventive Health Services and Laboratory Monitoring

EBP

Numerator

Denominator

Physical health maintenance Beneficiaries with at least one claim during the study period for a comprehensive health examination or health behavior counseling Beneficiaries diagnosed with schizophrenia or bipolar disorder
Breast, cervical, or colon cancer screening Beneficiaries with at least one claim for a mammogram, Pap smear, or colonoscopy during the study period Beneficiaries diagnosed with schizophrenia or bipolar disorder
Diabetes screening Beneficiaries with at least one claim during the study period for a glucose test Beneficiaries diagnosed with schizophrenia or bipolar disorder with at least one prescription fill for an antipsychotic
Cardiovascular disease screening Beneficiaries with at least one claim during the study period for a cholesterol test Beneficiaries diagnosed with schizophrenia or bipolar disorder with at least one prescription fill for an antipsychotic and no diagnosis or procedures indicating prior cardiovascular problems
Lithium monitoring Beneficiaries with at least one claim during the study period for lithium level screening Beneficiaries diagnosed with schizophrenia or bipolar disorder with at least one prescription fill for lithium
Anticonvulsant monitoring Beneficiaries with at least one claim during the study period for valproate or carbamazepine level screening Beneficiaries diagnosed with schizophrenia or bipolar disorder with at least one prescription fill for valproate or carbamazepine

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