A survey of compliance: Medicaid's mandated blood lead screenings for children age 12–18 months in Nebraska

<p>Abstract</p> <p>Background</p> <p>To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site.</p> <p>Methods</p> <p>Retrospective chart review for evidence of BLLs. Data analyses were con...

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Bibliographic Details
Main Authors: Abel-Zieg Carla, Currier Sarah, Wilken Marlene, Brady Linda A
Format: Article
Language:English
Published: BMC 2004-02-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/4/4
Description
Summary:<p>Abstract</p> <p>Background</p> <p>To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site.</p> <p>Methods</p> <p>Retrospective chart review for evidence of BLLs. Data analyses were conducted using frequencies, percentages & chi-square.</p> <p>Results</p> <p>The overall incidence of documented BLLs was 78.9% with one clinic demonstrating 100% BLLs while the others had 72%. Screening rates differed significantly by clinical site (<it>X</it><sup>2 </sup>= 18.460, df = 3, p < 0.001).</p> <p>Conclusion</p> <p>Although universal blood lead screening is mandated, there were missed opportunities to obtain BLLs in 21.1% of the records reviewed. Only one clinic had 100% documentation of BLLs when children on Medicaid were seen between the ages of 12–18 months.</p>
ISSN:1471-2458