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