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

CBE ID
0109
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.20 Types of Data Sources
      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

      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.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Behavioral Health Project 2013-2015
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Center for Quality Assessment and Improvement in Mental Health
      Steward POC email
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