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
1.15 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.
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
Public Comments