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Bipolar Disorder and Major Depression: Assessment for Manic or hypomanic behaviors

1.4 Project
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
1.3 Measure Description

Percentage of patients treated for depression who were assessed, prior to treatment, for the presence of current and/or prior manic or hypomanic behaviors.

        • 1.14 Numerator

          Documentation of an assessment that considers the presence or absence of current and/or prior symptoms or behaviors of mania or hypomania. Sources of documentation may include the following:
          Documentation of presence or absence of the symptoms/behaviors associated with mania/hypomania (Reference List of Symptoms/Behaviors of Mania or Hypomania included in data collection form-will be available to TAP review)
          Use of a bipolar disorder screening or assessment tool :
          Clinical Global Impression - Bipolar
          MDQ: Mood Disorder Questionnaire
          BSDS: Bipolar Spectrum Diagnostic Scale
          YMRS: Young Mania Rating Scale
          BDSS: Brief Bipolar disorder Symptom Scale
          Hypomanic Personality Scale
          Self Report Mania Inventory
          Altman Self Report Mania Scale
          Bech-Rafaelsen Mania Rating Scale
          Or, Other scale used & documented at site
          Timeframe for chart documentation of the assessment for mania/hypomania must be present prior to, or concurrent with, the visit where the treatment plan is documented as being initiated

        • 1.15 Denominator

          Patients 18 years of age or older with an initial diagnosis or new presentation/episode of depression
          Documentation of a diagnosis of depression; to include at least one of the following:
          • Codes 296.2x; 296.3x. 300.4 or 311 (ICD9CM or DSM-IV-TR) documented in body of chart, such as a pre-printed form completed by a clinician and/or codes documented in chart notes/forms
          • Diagnosis or Impression or “working diagnosis” documented in chart indicating depression
          • Use of a screening/assessment tool for depression with a score or conclusion that patient is depressed and documentation that this information is used to establish or substantiate the diagnosis
          Documentation of treatment for depression; to include at least one of the following:
          Antidepressant pharmacotherapy (Reference List of Antidepressant Medications included in data collection form)
          Psychotherapy for depression; provided at practice site or through referral

          New diagnosis” or a “new episode,” is defined as cases where the patient has not been involved in active treatment for 6 months. Active treatment includes being hospitalized or under the out-patient care of a physician.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Behavioral Health Project 2013-2015
          Initial Endorsement
          Last Updated
          Removal Date