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Missouri: Overview QI Goals: • Identify individuals at risk for adherence and care gaps leading to ambulatory caresensitive hospital admissions • Provide prescribers with BH and medical information to improve cardio-metabolic outcomes • Better management at the provider level to improve total healthcare expenditures - ROI • Improve prescriber attention to AP use for adults with SMI and co-morbid medical conditions 22
California: Overview • Only state targeting one large county (Orange) and working within a Managed Care (CalOptima) framework • Orange County 2010 population 3,010,232 – 378,000 Medicaid members enrolled in CalOptima QI Goals: • Improve cardiometabolic risk reduction for adults on APs • Reduce the incidence of polypharmacy for adults receiving APs • Identify highest prescribers, and prescribers >=3 APs and intervene • Develop health information sharing between primary care providers and behavioral health providers for high risk enrollees 23
Page 1 and 2: Management and Monitoring of Psycho
Page 3 and 4: Percent with AP Use Antipsychotic U
Page 5 and 6: Polypharmacy (Cross-Class): Other P
Page 7 and 8: Local Area Variation: Rates of APM
Page 9 and 10: Collaborative CERTs/Multistate Init
Page 11 and 12: CERTs Educational and Stakeholder C
Page 13 and 14: ACP Report/Resource Guide and other
Page 15 and 16: MEDNET • Building on experience o
Page 17 and 18: MEDNET Consortium • Multi-partner
Page 19 and 20: Prioritization in Year 1 Planning
Page 21: QI Goals: Texas: Overview • Expan
Page 25 and 26: Oklahoma: Overview • Target child
Page 27 and 28: Key Strategies for Collaborative St
Page 29 and 30: Medicaid FFS Claims State Medicaid
Page 31: Questions? Contact Information Step

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