eCQMs for 2020 Performance Period CMS2v9 CMS22v8 CMS50v8 CMS52v8 CMS56v8 CMS66v8 CMS68v9 CMS69v8 CMS74v9 CMS75v8 CMS82v7 CMS90v9 CMS117v8 CMS122v8 CMS124v8 CMS125v8 CMS127v8 CMS128v8 CMS129v9 CMS130v8 CMS131v8 CMS132v8 CMS133v8 CMS134v8 CMS135v8 CMS136v9 CMS137v8 CMS138v8 CMS139v8 CMS142v8 CMS143v8 CMS144v8 CMS145v8 CMS146v8 CMS147v9 CMS149v8 CMS153v8 CMS154v8 CMS155v8 CMS156v8 CMS157v8 CMS159v8 CMS160v8 CMS161v8 CMS165v8 CMS177v8 CMS249v2 CMS347v3 CMS349v2 CMS645v3 CMS771v1 CMS Measure ID CMS177v8 Version 8 NQF Number 1365e Measure Description Percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk Initial Population All patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder Denominator Statement Equals Initial Population Denominator Exclusions None Numerator Statement Patient visits with an assessment for suicide risk Numerator Exclusions Not Applicable Denominator Exceptions None Measure Steward PCPI(R) Foundation (PCPI[R]) Domain Patient Safety Previous Version CMS177v7 Measure Scoring Proportion Measure Type Process Improvement Notation Higher score indicates better quality Guidance A suicide risk assessment should be performed at every visit for major depressive disorder during the measurement period. Suicide risk assessments completed via telehealth services can also meet numerator performance. This measure is an episode-of-care measure; the level of analysis for this measure is every visit for major depressive disorder during the measurement period. For example, at every visit for MDD, the patient should have a suicide risk assessment.Use of a standardized tool(s) or instrument(s) to assess suicide risk will meet numerator performance, so long as the minimum criteria noted above is evaluated. Standardized tools can be mapped to the concept "Intervention, Performed": "Suicide risk assessment (procedure)" included in the numerator logic below, as no individual suicide risk assessment tool or instrument would satisfy the requirements alone. Quality ID 382 Meaningful Measure Prevention, Treatment, and Management of Mental Health Specifications Attachment Size CMS177v8.html 45.6 KB CMS177v8.zip 52.36 KB CMS177v8-TRN.xlsx 21.86 KB Release Notes Header Updated eCQM version number. Measure Section: eCQM Version number Source of Change: Measure Lead Added 'e' to NQF number. Measure Section: NQF Number Source of Change: Standards Update Updated copyright. Measure Section: Copyright Source of Change: Annual Update Updated disclaimer. Measure Section: Disclaimer Source of Change: Measure Lead Updated references to align with American Psychological Association (APA) style. Measure Section: Reference Source of Change: Measure Lead Updated references. Measure Section: Reference Source of Change: Measure Lead Updated definition statement to align with clinical expert recommendations. Measure Section: Definition Source of Change: Expert Work Group Review Updated guidance statement related to telehealth encounters based on clinical expert recommendations. Measure Section: Guidance Source of Change: Expert Work Group Review Updated guidance statement to align with clinical expert recommendations. Measure Section: Guidance Source of Change: Expert Work Group Review Updated parenthetical citations to align with American Psychological Association (APA) style. Measure Section: Multiple Sections Source of Change: Measure Lead Logic Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with CQL Style Guide. Measure Section: Definitions and Functions Source of Change: Standards Update Updated ‘Major Depressive Disorder Encounter’ definition to allow for Telehealth Services encounters to meet visit requirements based upon clinical expert recommendations. Measure Section: Multiple Sections Source of Change: Expert Work Group Review Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3). Measure Section: Multiple Sections Source of Change: Standards Update Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays. Measure Section: Multiple Sections Source of Change: Standards Update Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000). Measure Section: Multiple Sections Source of Change: Standards Update 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 Psych Visit - Family Psychotherapy (2.16.840.1.113883.3.526.3.1018): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1780) including 1 code. Measure Section: Terminology Source of Change: Annual Update Value set Group Psychotherapy (2.16.840.1.113883.3.526.3.1187): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1779) including 1 code. Measure Section: Terminology Source of Change: Annual Update Value set Major Depressive Disorder-Active (2.16.840.1.113883.3.526.3.1491): Added 17 SNOMED CT codes. Measure Section: Terminology Source of Change: Annual Update Value set Psychoanalysis (2.16.840.1.113883.3.526.3.1141): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1778) including 2 codes. Measure Section: Terminology Source of Change: Annual Update Value set Psych Visit - Diagnostic Evaluation (2.16.840.1.113883.3.526.3.1492): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1776) including 5 codes. Measure Section: Terminology Source of Change: Annual Update Value set Psych Visit - Psychotherapy (2.16.840.1.113883.3.526.3.1496): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1777) including 13 codes. Measure Section: Terminology Source of Change: Annual Update Value set Telehealth Services (2.16.840.1.113883.3.464.1003.101.12.1031): Added Telehealth Services. Measure Section: Terminology Source of Change: Annual Update Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable. Measure Section: Terminology Source of Change: Annual Update Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance. Measure Section: Terminology Source of Change: Standards Update Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files. Measure Section: Terminology Source of Change: Measure Lead External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)