eCQM Title | Anti-depressant Medication Management |
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eCQM Identifier (Measure Authoring Tool) | 128 | eCQM Version number | 8.3.000 |
NQF Number | Not Applicable | GUID | 8924f2b3-ec06-4650-b634-d70a53dee577 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Initial Population"
Hospice."Has Hospice" or exists ( ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where OnAntiDepressant.relevantPeriod overlaps Interval[AntidepressantDispensed.authorDatetime - 105 days, AntidepressantDispensed.authorDatetime ) )
"Cumulative Medication Duration Greater Than or Equal to 84 Days"
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Initial Population"
Hospice."Has Hospice" or exists ( ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where OnAntiDepressant.relevantPeriod overlaps Interval[AntidepressantDispensed.authorDatetime - 105 days, AntidepressantDispensed.authorDatetime ) )
"Cumulative Medication Duration Greater Than or Equal to 180 Days"
First(["Medication, Dispensed": "Antidepressant Medication"] Antidepressant where Antidepressant.authorDatetime 245 days or less before start of "Measurement Period" or Antidepressant.authorDatetime 120 days or less on or after start of "Measurement Period" sort by authorDatetime )
["Medication, Active": "Antidepressant Medication"] ActiveAntidepressant let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where ActiveAntidepressant.relevantPeriod starts 114 days or less on or after day of AntidepressantDispensed.authorDatetime return ActiveAntidepressant.relevantPeriod intersect Interval[AntidepressantDispensed.authorDatetime, AntidepressantDispensed.authorDatetime + 114 days]
["Medication, Active": "Antidepressant Medication"] ActiveAntidepressant let InitialAntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where ActiveAntidepressant.relevantPeriod starts 231 days or less on or after day of InitialAntidepressantDispensed.authorDatetime return ActiveAntidepressant.relevantPeriod intersect Interval[InitialAntidepressantDispensed.authorDatetime, InitialAntidepressantDispensed.authorDatetime + 231 days]
"Cumulative Medication Duration"("Antidepressant Taken In 231 Days After Initial Dispense")>= 180
"Cumulative Medication Duration"("Antidepressant Taken In 114 Days After Initial Dispense")>= 84
"Initial Population"
Hospice."Has Hospice" or exists ( ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where OnAntiDepressant.relevantPeriod overlaps Interval[AntidepressantDispensed.authorDatetime - 105 days, AntidepressantDispensed.authorDatetime ) )
exists ( ["Diagnosis": "Major Depression"] MajorDepression let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where start of MajorDepression.prevalencePeriod within 60 days of AntidepressantDispensed.authorDatetime )
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Cumulative Medication Duration Greater Than or Equal to 84 Days"
"Cumulative Medication Duration Greater Than or Equal to 180 Days"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Telephone Management"] union ["Encounter, Performed": "Telephone Evaluation"] union ["Encounter, Performed": "Annual Wellness Visit"] union ["Encounter, Performed": "Nursing Facility Visit"] union ["Encounter, Performed": "Psych Visit - Diagnostic Evaluation"] union ["Encounter, Performed": "Psych Visit - Psychotherapy"] ) ValidEncounter let AntidepressantDispensed: "Antidepressant Dispensed 245 Days Before or 120 Days After Start of Measurement Period" where start of ValidEncounter.relevantPeriod within 60 days of AntidepressantDispensed.authorDatetime
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Sum((collapse(Medication))CumulativeAntidepressant return all duration in days of CumulativeAntidepressant )
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |