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