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

CBE ID
0418
1.4 Project
Behavioral Health and Substance Use
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2020
Is Under Review
No
1.3 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

    • 1.14 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

    • 1.15 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

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2020
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC 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.