This measure assesses whether patients discharged from an inpatient psychiatric facility (IPF) with major depressive disorder (MDD), schizophrenia, or bipolar disorder filled a prescription for evidence-based medication within 2 days prior to discharge and 30 days post-discharge. This measure evaluates admissions over a two-year period.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The numerator for the measure includes:
• Discharges with a principal diagnosis of MDD in the denominator population for which patients were dispensed evidence-based outpatient medication within 2 days prior to discharge through 30 days post-discharge
• Discharges with a principal diagnosis of schizophrenia in the denominator population for which patients were dispensed evidence-based outpatient medication within 2 days prior to discharge through 30 days post-discharge
• Discharges with a principal diagnosis of bipolar disorder in the denominator population for which patients were dispensed evidence-based outpatient medication within 2 days prior to discharge through 30 days post-discharge
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1.15 Denominator
The target population for this measure is Medicare fee-for-service (FFS) beneficiaries with Part D coverage aged 18 years and older discharged from an inpatient psychiatric facility with a principal diagnosis of MDD, schizophrenia, or bipolar disorder.
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Exclusions
The denominator for this measure excludes discharged patients who:
• Received electroconvulsive (ECT) during the inpatient stay or follow-up period
• Received transcranial stimulation (TMS) during the inpatient stay or follow-up period
• Were pregnant at discharge
• Had a secondary diagnosis of delirium at discharge
• Had a principal diagnosis of schizophrenia with a secondary diagnosis of dementia at discharge
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2020Initial EndorsementLast UpdatedRemoval Date
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Steward Organization EmailSteward Organization Copyright
None
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Risk Adjustment
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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Planned UseUse In Federal Program
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