Comprehensive Diabetes Care for DMH Clients (CDC)


Why is it important?

Department of Mental Health (DMH) data demonstrates that while DMH Members receive primary care at rates similar to other MassHealth populations, they experience worse health outcomes and unhealthy behaviors.  The goal of the DMH measure is to: address DMH client access to primary care clinicians (PCCs); develop a new model of engagement that supports the Member to make personal choices about adopting health strategies; and to methodically and effectively adhere to medical recommendations for treatment and health related activities such as diet and exercise, appointments, screenings, and lab tests. 

How is it measured?

The percentage of MBHP DMH Members 18 to 75 years of age with diabetes (type 1 and type 2) who had each of the following:
     1.  HbA1c control (<8%)
     2.  Blood Pressure Control (<140/90)
     3.  Eye Exam (Retinal) Performed
     4.  Medical Attention for Nephropathy


MBHP Perform DMHImprovement Initiatives
What can I do?

How does MBHP perform?

MBHP's CY 2015 final diabetes rates fell at:

How does MBHP stack up to Medicaid providers nationally?

The figure below presents CDC benchmark rates across Medicaid plans nationally.

DMH CDC benchmark rates

*Dotted lines represent MBHP Performance in 2015.

Performance goals

MBHP has the goal of reaching the next highest benchmark of national Medicaid providers Compressive Diabetes Care rates.  Based on current performance, MBHP has the following year-end goals for the diabetes measure:

Based on these benchmarks and MBHP's current performance, MBHP will need to improve HbA1c <8% by 16.92%, Blood Pressure Control <140/90 by 19.79%, Retinal Eye Exam by 56.61%, and Nephropathy by 2.09%. 

What are our current improvement initiatives?

MBHP's Quality Department is responsible for organizing improvement activities and initiatives that support the CDC measure.  Current efforts include:

SSD: In 2015, MBHP will be responsible for reporting the HEDIS quality measure Diabetes Screening Program for Members with Schizophrenia or Bipolar Disorder who are Using Antipsychotic Medications (SSD).  Routine diabetes screening is important for people with either of these diagnoses, particularly due to the added risk for diabetes associated with antipsychotic medications.  The SSD program will focus on working with the BH provider network to improve rates of screening for diabetes, with the intention of improving screening rates in the MBHP network and strengthening lines of communication and care coordination between the BH provider, PCC, and Member.

For more information on the SSD measure please see the SSD Provider Alert.

Collaboration with DMH to identify Members who are dually enrolled in DMH's CBFS program and MBHP's ICMP program: MBHP aims to improve coordination between DMH case workers/CBFS staff and MBHP's ICMP program in order to share information and better coordinate care.  MBHP will gather information on Members who use both services in order to better coordinate between the services and provide the highest quality care for our Members.

Outreach to Members through CSP Providers to support Members to schedule and get to appointments: Many barriers such as transportation and access to necessary resources can make it difficult for Members to get to diabetes-related care such as the annual retinal eyes exam or nephropathy screening.  CSP providers can offer support to Members to overcome barriers in order to increase rates of testing and treatment.

What can I do?

Follow best practices for treatment of diabetes:

Contact the Quality Department to access your DMH rate.
Contact Quality Department