The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event.
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event. Patients may be assessed using PHQ-9 or PHQ-9M on the same date or up to 7 days prior to the encounter (index event).
Equals Initial Population
1: Patients who died
2: Patients who received hospice or palliative care services
3: Patients who were permanent nursing home residents
4: Patients with a diagnosis of bipolar disorder
5: Patients with a diagnosis of personality disorder emotionally labile
6: Patients with a diagnosis of schizophrenia or psychotic disorder
7: Patients with a diagnosis of pervasive developmental disorder
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older who achieved remission at twelve months as demonstrated by a twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five
Not Applicable
None
Higher score indicates better quality
When a baseline assessment is conducted with PHQ 9M, the follow-up assessment can use either a PHQ 9M or PHQ 9.
This eCQM is a patient-based measure.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event. Patients may be screened using PHQ-9 and PHQ-9M up to 7 days prior to the office visit (including the day of the office visit).
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older who achieved remission at twelve months as demonstrated by the most recent twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five
When an index assessment is conducted with PHQ-9M, the follow-up assessment can use either a PHQ-9M or PHQ-9.
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
Updated the eCQM version number.
Measure Section: eCQM Version Number
Source of Change: Annual Update
Updated copyright.
Measure Section: Copyright
Updated language about timing of PHQ-9 assessment in relation to encounter for clarity and to better align with intent and logic.
Measure Section: Multiple Sections
Source of Change: Measure Lead
Updated Stratification age logic to interval for harmonization with other measures.
Measure Section: Stratification
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.
Source of Change: Standards Update
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.
Updated Denominator Exclusion logic to better align with measure intent and count the Measure Assessment Period appropriately.
Measure Section: Definition
Source of Change: ONC Project Tracking System (Jira): CQM-3981
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Contact or Office Visit (2.16.840.1.113762.1.4.1080.5): Added 8 CPT codes (90833, 90836, 90838, 90839, 90840, 96156, 96158, 96159). Deleted 1 CPT code (99444) based on review by technical experts, SMEs, and/or public feedback. Deleted 3 HCPCS Level II codes (G2061, G2062, G2063) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Value set Major Depression Including Remission (2.16.840.113883.3.67.1.101.3.2444): Added 1 SNOMED CT code (16264621000119109) based on terminology update. Deleted 6 SNOMED CT codes (191601008, 191602001, 231499006, 274948002, 300706003, 321717001) based on review by technical experts, SMEs, and/or public feedback.