title: A survey of compliance: Medicaid's mandated blood lead screenings for children age 12-18 months in Nebraska.
abstract: BACKGROUND
  To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site.
  
  
  METHODS
  Retrospective chart review for evidence of BLLs. Data analyses were conducted using frequencies, percentages & chi-square.
  
  
  RESULTS
  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 (X2 = 18.460, df = 3, p < 0.001).
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Nursing, Creighton University Medical Center, Nebraska 68178, USA. mwilken@creighton.edu
authors.forename: Marlene
authors.initials: M
authors.lastname: Wilken
authors.forename: Sarah
authors.initials: S
authors.lastname: Currier
authors.forename: Carla
authors.initials: C
authors.lastname: Abel-Zieg
authors.forename: Linda A
authors.initials: LA
authors.lastname: Brady
mesh_terms: D002648:Child; D002662:Child Health Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005006:Ethnicity; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D007854:Lead / Q000097:blood*; D008297:Male; D018580:Mandatory Testing / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000191:economics / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D009329:Nebraska; D013221:State Health Plans / Q000331:legislation & jurisprudence*; D014481:United States
chemical_list: D007854:Lead