Percentage of patients treated for depression who were assessed, prior to treatment, for the presence of current and/or prior manic or hypomanic behaviors.
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
Denominator
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.
Measure Record
Most Recent Endorsement Activity
Measure Retired and Endorsement Removed Behavioral Health Project 2013-2015
Initial Endorsement
Last Updated
Removal Date
Point of Contact
Steward Organization
Center for Quality Assessment and Improvement in Mental Health
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