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Depression Utilization of the PHQ-9 Tool

Specifications

Value Set content updated Sept 2017

General eCQM Information

CMS Measure ID CMS160v6
NQF Number 0712
Measure Description

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Initial Population Patients age 18 and older with an office visit and the diagnosis of major depression or dysthymia during the four month period
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 have a PHQ-9 tool administered at least once during the four-month period

Numerator Exclusions

Not applicable

Denominator Exceptions

None

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

Higher scores indicate better quality

Guidance

If a patient has a qualifying diagnosis and encounter in more than one of the 4 month periods within the measurement year, the patient must be counted (denominator and numerator) in each qualifying 4 month period. For example, a patient could be counted in the first and third 4 month periods.

Next Version
Release Notes

Header

  • ​Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • Revised the Description statement to clarify that the PHQ-9 assessment must be completed during each applicable 4-month period in which there was a qualifying visit.

    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

  • Added a Definition statement to clarify 'Completed PHQ-9.'

    Measure Section: Definition

    Source of Change: Measure Lead

  • Added Guidance clarifying that a patient may need to be reported in more than one of the 4-month periods within the measurement period if a qualifying encounter and diagnosis exist.

    Measure Section: Guidance

    Source of Change: Measure Lead

Logic

  • 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