Table 1.
Summary of Process of Care Indicators for Bipolar Disorder and Source
| Process of Care Indicatorsa | Source |
|---|---|
| Symptom assessments | |
| Monitor change in symptom complex (assess psychotic, hallucinatory, and delusional symptoms) | STABLEb |
| Assess suicidal ideation | STABLE; APAc |
| Comorbidity assessments | |
| Assess illicit drug use | STABLE; RANDd |
| Assess alcohol use | STABLE; RAND |
| Assess tobacco use | RAND |
| Assess PTSD | RAND |
| Cardiometabolic assessment | |
| Record weight, blood pressure, pulse | RAND |
| Monitor for weight gain | STABLE; RAND |
| Documentation of patient treatment experience | |
| Record side effects from medications (monitor extrapyramidal symptoms) | STABLE; RAND; APA |
| Follow up with patient after a no-show visit (enhance treatment compliance) | APA |
| Note reason if patient voluntarily discontinues medication (enhance treatment compliance) | APA |
a
Indicators were applied using minimally adequate treatment criteria: patients had to have received the care on or within one year timeframe prior to their baselines assessment
b
STABLE = Standards for Bipolar Excellence
c
RAND = RAND-Altarum Evaluation of VA Mental Health Quality
d
APA = American Psychiatric Association