Baseline TSH CBC CBC ECG (for patients >40 LFTs LFTs of age) Albumin Albumin Pregnancy test Sodium Electrolytes Ammonia Pregnancy Test Pregnancy Test Serum Levels At steady state At steady state Two levels to establish dose, four weeks apart 3-6 months As clinically indicated As clinically indicated As clinically indicated Longitudinal Monitoring Every three Once At 3months: Every three months Monthly for three months: months BUN for the 1st year of CBC SCr therapy: LFTs TSH Weight Albumin CBC Electrolytes LFTs BUN Albumin SCr Sodium Every six --- --- months Every 12 Weight Weight CBC months CBC LFTs LFTs Albumin Albumin Electrolytes Sodium BUN BP* SCr Bone density* FBG Fasting lipids* *If there are clinical risk factors BP blood pressure; BUN blood urea nitrogen; CBC complete blood count; ECG – – – – echocardiogram; FBG fasting blood glucose; FLP fasting lipid profile; LFTs liver function – – – tests; SCr serum creatinine; TSH thyroid stimulating hormone; VPA valproic acid and – – – derivatives Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 90% 90% 90% 90% Target 79% Laboratory (FY2016) 60% 42% 47% 72% Parameters Actual
Baseline TSH ECG (for patients >40 of age) Pregnancy test CBC LFTs Albumin Sodium Ammonia Pregnancy Test CBC LFTs Albumin Electrolytes Pregnancy Test Serum Levels At steady state 3-6 months As clinically indicated At steady state As clinically indicated Two levels to establish dose, four weeks apart As clinically indicated Longitudinal Monitoring Every three months Once At 3months: BUN SCr TSH Every three months for the 1st year of therapy: Weight CBC LFTs Albumin Sodium Monthly for three months: CBC LFTs Albumin Electrolytes BUN SCr Every six months --- --- Every 12 months Weight Weight CBC LFTs Albumin Sodium BP* Bone density* FBG Fasting lipids* CBC LFTs Albumin Electrolytes BUN SCr *If there are clinical risk factors BP – blood pressure; BUN – blood urea nitrogen; CBC – complete blood count; ECG – echocardiogram; FBG – fasting blood glucose; FLP – fasting lipid profile; LFTs – liver function tests; SCr – serum creatinine; TSH – thyroid stimulating hormone; VPA – valproic acid and derivatives Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 Target Laboratory Parameters 79% (FY2016) 90% 90% 90% 90% Actual 60% 42% 47% 72%
2017Q4.docx