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Depression Remission at Twelve Months

Specifications

Value Set content updated Sept 2017

General eCQM Information

CMS Measure ID CMS159v6
NQF Number 0710
Measure Description

The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.

Initial Population Patients age 18 and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 score greater than nine during the index visit
Denominator Statement

Equals Initial Population

Denominator Exclusions

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

Numerator Statement

Patients who achieved remission at twelve months as demonstrated by a twelve month (+/- 30 days) PHQ-9 score of less than five

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Measure Steward MN Community Measurement
Domain Effective Clinical Care
Measure Scoring Proportion measure
Measure Type Outcome measure
Improvement Notation

Higher score indicates better quality

Guidance

None

Next Version
Release Notes

Header

  • ​Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • Simplified the Description statement by removing unnecessary verbiage.

    Measure Section: Description

    Source of Change: Measure Lead

  • ​Updated Copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • ​​Updated Rationale.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Expanded the Clinical Recommendation Statement to provide more relevant, useful and detailed information.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Measure Lead

  • Updated References.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated the Definition to clarify the index date and the measure assessment period, which is 13 months (12 months +/- 30 days).

    Measure Section: Definition

    Source of Change: Measure Lead

Logic

  • Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.

    Measure Section: Initial Population

    Source of Change: QDM Standards

  • Updated the encounter numeric month timings in the $DepressionEncounter, $DepressionF2FSnomed, and $DepressionEncounterBH variables from '< 12 month(s) ends before end of Measurement Period' to '< 13 month(s) ends before end of Measurement Period' to more accurately reflect the measure intent.

    Measure Section: Initial Population

    Source of Change: Measure Lead

  • Updated palliative care criteria in the Denominator Exclusions to harmonize across measures.

    Measure Section: Denominator Exclusions

    Source of Change: JIRA (CQM-2005)

  • Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.

    Measure Section: Numerator

    Source of Change: QDM Standards

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Value set Dysthymia (2.16.840.1.113883.3.67.1.101.1.254): Deleted 1 ICD9CM code (300.4).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set PHQ-9 Tool (2.16.840.1.113883.3.67.1.101.11.723): Deleted 3 LOINC codes (44249-1, 44257-4, 54635-8).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Major Depression Including Remission (2.16.840.113883.3.67.1.101.3.2444): Deleted 14 ICD9CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Face to Face Interaction - No ED (2.16.840.1.113762.1.4.1080.1): Deleted 3 SNOMEDCT codes (12843005, 18170008, 87790002).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Palliative Care (2.16.840.1.113883.3.600.1.1579): Added Palliative Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Palliative care encounter (2.16.840.1.113883.3.600.1.1575): Added Palliative care encounter.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Palliative Care (2.16.840.1.113883.3.526.3.1024): Removed Palliative Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Major Depression Including Remission (2.16.840.113883.3.67.1.101.3.2444): Added 6 SNOMEDCT codes (719592004, 720451004, 720452006, 720453001, 720454007, 720455008).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

Last Updated: May 06, 2020