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 any time prior to the end of the measure assessment period
2: Patients who received hospice or palliative care services between the start of the denominator period and the end of the measurement assessment period
3: Patients who were permanent nursing home residents between the start of the denominator period and the end of the measurement assessment period
4: Patients with a diagnosis of bipolar disorder any time prior to the end of the measure assessment period
5: Patients with a diagnosis of personality disorder emotionally labile any time prior to the end of the measure assessment period
6: Patients with a diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
7: Patients with a diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
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
Not Applicable
None
Higher score indicates better quality
When an index 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 5.6. Please refer to the QDM page 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 a twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five
When a baseline 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 5.5. Please refer to the eCQI resource center for more information on the QDM.
Revised formatting and grammar to improve readability.
Measure Section: Description
Source of Change: Measure Lead
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated references.
Measure Section: Reference
Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.
Measure Section: Guidance
Source of Change: Standards/Technical Update
Replaced reference to 'baseline assessment' with 'index assessment' to align with the phrase used elsewhere in the header and logic.
Added denominator exclusion timeframes to reflect the measure logic.
Measure Section: Denominator Exclusions
Added clarifying text of 'most recent' depression assessment to align with the logic.
Measure Section: Numerator
Revised formatting and grammar for improved clarity and readability.
Measure Section: Multiple Sections
Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.
Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability.
Updated logic to use 'let' statement and updated the timing precision in the definitions from datetime to date by adding 'day of', 'date from', and/or function 'ToDate' to align with the measure intent.
Updated denominator exclusion logic related to patients who receive hospice or palliative care to better harmonize with other measures, and restricted the lookback period to begin during the denominator identification period.
Source of Change: ONC Project Tracking System (JIRA): CQM-4194
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Added direct reference code SNOMED CT code (428361000124107) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Removed two value sets (Palliative Care Encounter 2.16.840.1.113883.3.600.1.1575 and Palliative or Hospice Care 2.16.840.1.113883.3.600.1.1579) and added five value sets (Hospice Care Ambulatory 2.16.840.1.113883.3.526.3.1584, Hospice Encounter 2.16.840.1.113883.3.464.1003.1003, Palliative Care Encounter 2.16.840.1.113883.3.464.1003.101.12.1090, Palliative Care Intervention 2.16.840.1.113883.3.464.1003.198.12.1135, and Encounter Inpatient 2.16.840.1.113883.3.666.5.307) to harmonize with other measures and better identify patients receiving hospice or palliative care for denominator exclusion.
Value set Contact or Office Visit (2.16.840.1.113762.1.4.1080.5): Added 8 CPT codes (99384, 99394, 99385, 99386, 99387, 99395, 99396, 99397) based on review by technical experts, SMEs, and/or public feedback. Deleted 1 CPT code (99201) based on terminology update.
Added direct reference code SNOMED CT code (428371000124100) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code ICD-10-CM code (Z51.5) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code LOINC code (71007-9) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code LOINC code (45755-6) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code SNOMED CT code (373066001) based on review by technical experts, SMEs, and/or public feedback.