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Preventive Care and Screening: Screening for Depression and Follow-Up Plan

CBE ID
0418
Project
Behavioral Health and Substance Use
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Fall 2020
Is Under Review
No
Measure Description

Percentage of patients aged 12 years and older screened for depression on the date of the encounter or 14 days prior to the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the eligible encounter

  • Measure Type
    Process
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Clinician: Group/Practice
    Clinician: Individual
    Care Setting
    Outpatient Services
    Numerator

    Patients screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age appropriate standardized tool AND, if positive, a follow-up plan is documented on the date of the eligible encounter

    Denominator

    All patients aged 12 years and older at the beginning of the measurement period with at least one eligible encounter during the measurement period

    Exclusions

    Denominator Exclusions
    Not Eligible – A patient is not eligible if one or more of the following conditions are documented during the encounter during the measurement period:
    -Patient has an active diagnosis of depression prior to any encounter during the measurement period
    -Patient has a diagnosed bipolar disorder prior to any encounter during the measurement period

    Denominator Exceptions
    Patients with a Documented Reason for not Screening for Depression:
    -Patient refuses to participate
    -Patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardize the patient’s health status
    -Situations where the patient’s functional capacity or motivation to improve may impact the accuracy of results of standardized depression assessment tools. For example: certain court appointed cases or cases of delirium

    Testing Data Sources
    Claims Data
    Registry data
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2020
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date
  • Steward
    Centers for Medicare & Medicaid Services
    Steward Organization Email
    [email protected]
    Steward Organization Copyright

    These measures were developed by Quality Insights of Pennsylvania as a special project under the Quality Insights´ Medicare Quality Improvement Organization (QIO) contract HHSM-500-2005-PA001C with the Centers for Medicare & Medicaid Services. These measures are in the public domain.
    Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights of Pennsylvania disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications. CPT® contained in the Measures specifications is copyright 2004- 2015 American Medical Association. All Rights Reserved. These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.