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Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

eCQM Compare View
Measure Information 2023 Performance Period
Title Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
CMS eCQM ID CMS161v11
CBE ID* 0104e
MIPS Quality ID 107
Measure Steward Mathematica
Description

Percentage of all patient visits for those patients that turn 18 or older during the measurement period in which a new or recurrent diagnosis of major depressive disorder (MDD) was identified and a suicide risk assessment was completed during the visit

Measure Scoring Proportion
Measure Type Process
Stratification *See CMS161v11.html
Risk Adjustment *See CMS161v11.html
Rationale *See CMS161v11.html
Clinical Recommendation Statement *See CMS161v11.html
Improvement Notation

Higher score indicates better quality

Definition *See CMS161v11.html
Guidance

This eCQM is an episode-based measure and should be reported for each instance of a new or recurrent episode of major depressive disorder (MDD) during the measurement period. This measure should be reported for each eligible encounter during which a new or recurrent episode of MDD is...

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Initial Population

Patient visits for patients that turn 18 or older during the measurement period during which a new diagnosis of MDD, single or recurrent episode, was identified

Denominator

Equals Initial Population

Denominator Exclusions

None

Numerator

Patient visits during which a new diagnosis of MDD, single or recurrent episode, was identified and a suicide risk assessment was completed during the visit

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
Next Version No Version Available
Previous Version No Version Available
Last Updated: May 01, 2025