Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
HEDIS Measure
Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of members 18 years of age and older during the measurement year with schizophrenia or schizoaffective disorder who were dispensed and remained on an antipsychotic medication for at least 80% of their treatment period.
Numerator Compliance
Members who achieved a PDC of at least 80% for their antipsychotic medications during the measurement year.
IPSD - Index prescription start date. The earliest prescription dispensing date for any antipsychotic medication during the measurement year.
Treatment period - The period of time beginning on the IPSD through the last day of the measurement year.
PDC = Proportion of days covered. The number of days a member is covered by at least one antipsychotic medication prescription, divided by the number of days in the treatment period.
Best Practices
- Educate patients and their caregivers on the importance of medication compliance
- Discuss with members potential medication side-effects and when to call their provider
- Ensure providers maintain appointment availability in your practice for patients and schedule follow-up appointments before patient leaves appointment
- Reach out to patients that do not keep follow-up appointments and set flags if available in EHR or develop tracking method for patients due or past due for follow-up visits and require staff to follow up with patients that miss or cancel their appointment
- Coordinate care with patients’ behavioral health specialists
- Outreach patients who cancel appointments and reschedule them as soon as possible
Description | Prescription | Medication Lists |
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Miscellaneous antipsychotic agents (oral) |
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Aripiprazole Oral Medications List |
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Asenapine Oral Medications List | |
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Brexpiprazole Oral Medications List | |
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Cariprazine Oral Medications List | |
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Clozapine Oral Medications List | |
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Haloperidol Oral Medications List | |
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Iloperidone Oral Medications List | |
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Loxapine Oral Medications List | |
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Lumateperone Oral Medications List | |
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Lurasidone Oral Medications List | |
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Molindone Oral Medications List | |
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Olanzapine Oral Medications List | |
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Paliperidone Oral Medications List | |
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Quetiapine Oral Medications List | |
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Risperidone Oral Medications List | |
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Ziprasidone Oral Medications List | |
Phenothiazine antipsychotics (oral) |
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Chlorpromazine Oral Medications List |
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Fluphenazine Oral Medications List | |
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Perphenazine Oral Medications List | |
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Prochlorperazine Oral Medications List | |
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Thioridazine Oral Medications List | |
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Trifluoperazine Oral Medications List | |
Psychotherapeutic combinations (oral) |
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Amitriptyline Perphenazine Oral Medications List |
Thioxanthenes (oral) |
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Thiothixene Oral Medications List |
Description | Prescription | Medication Lists | |
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Long-acting injections 14 days supply |
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Long Acting Injections 14 Days Supply Medications List | |
Long-acting injections 28 days supply |
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Long Acting Injections 28 Days Supply Medications List |
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Long-acting injections 30 days supply |
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Long Acting Injections 30 Days Supply Medications List |
Quality Value Set Directory Coding Tips
Long Acting Injections 14 Days Supply
HCPCS
- J2794
Long Acting Injections 28 Days Supply
HCPCS
- J0401
- J1631
- J1943
- J1944
- J2358
- J2426
- J2680
Long Acting Injections 30 Days Supply
HCPCS
- J2798