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Bipolar Disorder: Appraisal for risk of suicide

CBE ID
0111
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of patients with bipolar disorder with evidence of an initial assessment that includes an appraisal for risk of suicide.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Numerator

    Documentation of an assessment for risk of suicide; to include at least one of the following:
    • Documented clinician evaluation of the presence or absence of suicidal ideation, intention or plans
    • Documented reference to comments the patient made that relate to the presence or absence of thoughts of suicide/death
    • Documented reference to use, or presence in the chart of, a screening tool or patient assessment form that addresses suicide (e.g., PHQ-9; Beck Hopelessness Scale; Beck Scale for Suicide)
    AND
    Timeframe for chart documentation of the assessment for risk of suicide must be present on the date of the initial assessment/evaluation visit

    Denominator

    Patients 18 years of age or older with an initial or new episode of bipolar disorder
    AND Documentation of a diagnosis of bipolar disorder; to include at least one of the following:
    • Codes 296.0x; 296.1x; 296.4x; 296.5x; 296.6x; 296.7; 296.80; 296.81; 296.82; 296.89; 301.13 documented in body of chart, such as a pre-printed form completed by a clinician and/or codes documented in chart notes/forms
    OR
    • Diagnosis or Impression or “working diagnosis” documented in chart indicating bipolar disorder
    OR
    • Use of a screening/assessment tool for bipolar disorder with a score or conclusion that patient has bipolar disorder and documentation that this information is used to establish or substantiate the diagnosis

    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.

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