Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)

HEDIS Measure

Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)

Line of business: Medicaid

Data Collection Method: Administrative (Claims)

Measure Description

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

Numerator Compliance

An LDL-C test performed during the measurement year.

Best Practices

• Incorporate standard orders for screening test every year
• Set 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 cancel appointments and reschedule them as soon as possible

Quality Value Set Directory Coding Tips

LDL-C Lab Test

LDL-C Test Result or Finding