{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:53:09Z","timestamp":1777420389401,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T00:00:00Z","timestamp":1504828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Pharmacother"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Background: In 2004, a consensus statement outlining recommended metabolic monitoring for patients prescribed second-generation antipsychotics (SGAs) was published. More than a decade later, suboptimal adherence rates to these recommendations continue to be reported, which could lead to long-term and costly complications. Objectives: To define the prevalence of appropriately monitored Medicaid patients receiving care at federally qualified health centers (FQHCs) prescribed SGAs. Methods: This was a retrospective study examining electronic health record and Medicaid claims data to assess the rates of glucose and lipid monitoring for patients prescribed SGAs from January 2014 to August 2016 in a FQHC. Prescription and laboratory claims for patients receiving care at 4 FQHCs were reviewed. Descriptive statistics were used to evaluate the primary outcome. Results: A total of 235 patients were included in the analysis. Patients initiated on SGA therapy (n = 92) had baseline glucose and lipid monitoring rates of 50% and 23%, respectively. The 3-month monitoring rates were 37% for glucose and 26% for lipids, whereas annual rates were 71% and 40%, respectively. Patients continuing SGA therapy (n = 143) had annual glucose and lipid monitoring rates of 67% and 44%. Conclusions: Medicaid patients at FQHCs initially prescribed SGAs have low baseline and 3-month metabolic monitoring, whereas annual monitoring was comparable to previously published studies. Adults receiving chronic care at a FQHC were more likely to receive glucose monitoring. Those with type 2 diabetes mellitus and\/or hyperlipidemia were more likely to receive glucose and lipid monitoring.<\/jats:p>","DOI":"10.1177\/1060028017731421","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T05:57:14Z","timestamp":1504850234000},"page":"160-165","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Monitoring of Recommended Metabolic Laboratory Parameters Among Medicaid Recipients on Second-Generation Antipsychotics in Federally Qualified Health Centers"],"prefix":"10.1177","volume":"52","author":[{"given":"Natalia E.","family":"Uzal","sequence":"first","affiliation":[{"name":"Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Chavez","sequence":"additional","affiliation":[{"name":"Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily R.","family":"Kosirog","sequence":"additional","affiliation":[{"name":"Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Billups","sequence":"additional","affiliation":[{"name":"Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA"},{"name":"CU Medicine, Office of Value Based Performance, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J.","family":"Saseen","sequence":"additional","affiliation":[{"name":"Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA"},{"name":"University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,9,8]]},"reference":[{"key":"bibr1-1060028017731421","unstructured":"Abou-Setta AM, Mousavi SS, Spooner C, et al. First-Generation Versus Second-Generation Antipsychotics in Adults: Comparative Effectiveness [Internet]. Rockville, MD: Agency for Healthcare Research and Quality (US); 2012 August. (Comparative Effectiveness Reviews, No. 63.) https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK107254\/."},{"key":"bibr2-1060028017731421","doi-asserted-by":"publisher","DOI":"10.2165\/00023210-200519001-00001"},{"key":"bibr3-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1186\/1744-859X-4-18"},{"key":"bibr4-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1016\/j.ambp.2005.11.002"},{"key":"bibr5-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1177\/070674370705200605"},{"key":"bibr6-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1176\/pn.38.20.0001a"},{"key":"bibr7-1060028017731421","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.2.596"},{"key":"bibr8-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400015"},{"key":"bibr9-1060028017731421","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-1720"},{"key":"bibr10-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08030383"},{"key":"bibr11-1060028017731421","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2015.21.9.769"},{"key":"bibr12-1060028017731421","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.11.015"},{"key":"bibr13-1060028017731421","unstructured":"National Alliance on Mental Illness. Medicaid expansion and mental health care. https:\/\/www.nami.org\/getattachment\/About-NAMI\/Publications\/Reports\/2013MedicaidReport.pdf. Accessed August 30, 2017."},{"key":"bibr14-1060028017731421","unstructured":"Shin P, Sharac J, Barber Z, et al; The Henry J. Kaiser Family Foundation. Community health centers: a 2013 profile and prospects as ACA implementation proceeds. http:\/\/files.kff.org\/attachment\/issue-brief-community-health-centers-a-2013-profile-and-prospects-as-aca-implementation-proceeds. Accessed August 30, 2017."},{"key":"bibr15-1060028017731421","unstructured":"National Association of Community Health Centers. Community health center chartbook. http:\/\/www.nachc.org\/wp-content\/uploads\/2017\/06\/Chartbook2017.pdf. 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