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Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder

These HEDIS Measures

Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Assesses adults 18–64 years of age with schizophrenia or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes screening test during the measurement year.

Diabetes Monitoring for People With Diabetes and Schizophrenia: Assesses adults 18–64 years of age with schizophrenia and diabetes, who had both an LDL-C test and an HbA1c test during the measurement year.

Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia: Assesses adults 18–64 years of age with schizophrenia and cardiovascular disease, who had an LDL-C test during the measurement year.

So What?

Heart disease and diabetes are among the top 10 leading causes of death in the United States.1 Because persons with serious mental illness who use antipsychotics are at increased risk of cardiovascular diseases and diabetes, screening and monitoring of these conditions is important. Lack of appropriate care for diabetes and cardiovascular disease for people with schizophrenia or bipolar disorder who use antipsychotic medications can lead to worsening health and death. Addressing these physical health needs is an important way to improve health, quality of life and economic outcomes downstream.

References

1.      Murphy, S.L., J.Q. Xu, J.D. Kochanek. March 1, 2013. “Deaths: final data for 2010.” Morbidity and Mortality Weekly Report (MMWR). 62(08);155 http://www.cdc.gov/nchs/data/dvs/deaths_2010_release.pdf  

tables
Diabetes Monitoring for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 _ _ 80.7 _ _
2015 80.4
2014 79.8
2013 79.3
Diabetes Monitoring for People With Diabetes and Schizophrenia
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 _ _ 69.7 _ _
2015 68.2
2014 69.3
2013 68.5
Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 _ _ 77.8 _ _
2015 78.0
2014 76.2
2013 79.1