Postpartum Visits

Refer to existing Data Dictionary

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1. 2021-04-28 GDM+Measure+Specification+Document_+Post-partum+followup+for+gestational+diabetes_EDIT.docx (sharepoint.com)

Cardiovascular care (hypertensive disorders of pregnancy)

Postpartum depression and anxiety screening, referral, and treatment

ACOG guideline: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/screening-for-perinatal-depression

HEDIS measure: https://www.ncqa.org/hedis/measures/postpartum-depression-screening-and-follow-up/

The percentage of deliveries in which members were screened for clinical depression during the postpartum period, and if screened positive, received follow-up care. Two rates are reported.

1. Depression Screening: The percentage of deliveries in which members were screened for clinical depression using a standardized instrument during the postpartum period.

   Follow-Up on Positive Screen: The percentage of deliveries in which members received follow-up care within 30 days of a positive depression screen finding.

• “Appropriate screening at the comprehensive post-partum visit”

• Validated tools for screening?

  • Edinburgh? (EDPS)-- short vs long

  • PDSS: http://www.ncbi.nlm.nih.gov/pubmed/11480533?ordinalpos=19&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

  • Other validated tools?

• Patients with prior screening in pregnancy?

• High risk patients/SMI

  • SMI diagnosis codes?

  • Mood disorder diagnosis codes?

  • Prior history of PPMD

• Addressing PP anxiety/psychosis?

• Emergent treatment: active SI, psychosis

  • https://www.samhsa.gov/find-help/national-helpline

Cardiovascular care (hypertensive disorders of pregnancy)

Substance use disorder screening, referral, and treatment

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