A Medicaid Quality Improvement Collaborative on Psychotropic Medication Prescribing for Children

Psychiatric Services : a Journal of the American Psychiatric Association
Jonathan ThackerayMary Applegate

Abstract

A Medicaid statewide quality improvement (QI) collaborative was developed to improve antipsychotic prescribing practices for children. With use of a multistrategy approach that incorporated data-driven feedback and evidence-based recommendations, improvements were seen in three measures: antipsychotics prescribed to children under age six, prescription of two or more concomitant antipsychotics for longer than two months, and prescription of four or more psychotropic medications. Challenges and complexities are reviewed, including use of ongoing QI to address factors influencing antipsychotic prescribing behaviors, engagement of providers in QI efforts, and financial sustainability of such efforts.

Citations

Nov 6, 2018·Epidemiology and Psychiatric Sciences·E R Barnett, M T Concepcion Zayas
Jun 11, 2019·Clinical Pediatrics·Rachel Ballard, Nia Heard-Garris
Jul 25, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Serene OlinSarah Hudson Scholle
Mar 20, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Kelly J KelleherKimberly Hoagwood
Apr 16, 2020·Journal of Abnormal Child Psychology·Bonnie T Zima
Feb 2, 2019·Current Psychiatry Reports·Bonnie T ZimaSamantha A Shugarman
Sep 24, 2020·Journal of the American Academy of Child and Adolescent Psychiatry·Thomas I MackieJustine Larson
Jan 30, 2021·Journal of Child and Adolescent Psychopharmacology·Osnat C MelamedValerie H Taylor
Jun 19, 2021·Journal of Child and Adolescent Psychopharmacology·Laura J ChavezRobert B Penfold

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