0418e: Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0418e

eCQM

Click here to download this measure's specifications from the Behavioral Health and Substance Use Fall Cycle 2020 project.

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

STEWARD: Centers for Medicare & Medicaid Services

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

Numerator Statement:

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

Numerator Details:

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Denominator Statement:

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

Denominator Details:

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Exclusions:

Denominator Exclusions:
Patients with an active diagnosis for depression or a diagnosis of bipolar disorder

Denominator Exceptions:
Patient Reason(s)
Patient refuses to participate
OR
Medical Reason(s)
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
OR
Situations where the patient´s cognitive capacity, 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

Exclusion Details:

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Risk Adjustment:

No risk adjustment or risk stratification

Classification:

Measure Type:

Process

Measure Format:

eCQM

Condition:

Behavioral Health, Depression

Non-Condition Specific:

Primary Prevention, Screening

Care Setting:

Outpatient Services

National Quality Strategy Priorities:

Health and Well-Being

Current Use:

Planned Use:

Payment Program, Public reporting, Quality Improvement with Benchmarking (external benchmarking to multiple organizations)

Data Source:

Electronic Health Data, Electronic Health Records: Electronic Health Records

Level of Analysis:

Clinician: Group/Practice, Clinician: Individual

Target Population:

Children, Elderly

Measure Selection Attributes (Learn more):

Lowest Data Collection Burden, Highly Prevalent Conditions, Prevention and Population Health, Patient-and Caregiver-Focused, Coordinated and Integrated Care

Measure Steward Contact Information:

For additional measure specification information, please contact the Measure Steward.

Measure Steward Organization:

Centers for Medicare & Medicaid Services

Primary Measure Steward Contact:

joel.andress@cms.hhs.gov

Measure Disclaimer:

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.

THE MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.

Measure Steward Copyright:

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 (R) contained in the Measure specifications is copyright 2007-2016 American Medical Association.

LOINC (R) copyright 2004-2015 [2.50] Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2015 [2014-09] International Health Terminology Standards Development Organization. All Rights Reserved.

Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].

Measure History: