Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD)

HEDIS Measure

Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD)

Line of business: Medicaid

Data Collection Method: Administrative

Measure Description

The percentage of members 18–64 years of age with schizophrenia or schizoaffective disorder and diabetes who had both an LDL-C test and an HbA1c test during the measurement year.

Numerator Compliance

An HbA1c test and an LDL-C test performed during the measurement year (on the same or different dates of service). The member must have both tests. The organization may use a calculated or direct LDL.

Best Practices

• Order screening tests every year and build care gap “alerts” in your electronic medical record
• Follow up with patients to discuss and educate on lab results
• Coordinate care with patients’ other providers
• Outreach patients who have not had their labs done and ask them to complete as soon as possible
• Encourage shared decision-making by educating patients and caregivers about increased risk of diabetes
• Discuss with member the Importance of screening for diabetes
• Educate the member on symptoms of new-onset diabetes

Quality Value Set Directory Coding Tips

HbA1c Lab Test

HbA1c Test Result or Finding

LDL-C Lab Test

LDL-C Test Result or Finding