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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

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

CBE ID
0418e
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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 Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      Yes
      1.9 Care Setting
      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:
      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

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

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