Percentage of patients treated for depression who were assessed, prior to treatment, for the presence of current and/or prior manic or hypomanic behaviors.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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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)
Or
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
AND
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
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1.15 Denominator
Patients 18 years of age or older with an initial diagnosis or new presentation/episode of depression
AND
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
AND
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)
AND/OR
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.
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Most Recent Endorsement Activity - OLDMeasure Retired and Endorsement Removed Behavioral Health Project 2013-2015Initial EndorsementLast UpdatedRemoval Date
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StewardCenter for Quality Assessment and Improvement in Mental HealthSteward Organization Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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