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Depression Remission at Twelve Months

General eCQM Information

CMS Measure ID CMS159v10
NQF Number 0710e
Measure Description

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.

Initial Population 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).
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 emotionally labile

6: Patients with a diagnosis of schizophrenia or psychotic disorder

7: Patients with a diagnosis of pervasive developmental disorder

Numerator Statement

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

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

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

Higher score indicates better quality

Guidance

When a baseline 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 5.5. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

Quality ID 370
Meaningful Measure Prevention, Treatment, and Management of Mental Health
Telehealth Eligible Yes
Previous Version

Release Notes

Header

  • Updated the eCQM version number.

    Measure Section: eCQM Version Number

    Source of Change: Annual Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated language about timing of PHQ-9 assessment in relation to encounter for clarity and to better align with intent and logic.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

Logic

  • Updated Stratification age logic to interval for harmonization with other measures.

    Measure Section: Stratification

    Source of Change: Annual Update

  • Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.

    Measure Section: Multiple Sections

    Source of Change: Standards Update

  • Updated Denominator Exclusion logic to better align with measure intent and count the Measure Assessment Period appropriately.

    Measure Section: Definition

    Source of Change: ONC Project Tracking System (Jira): CQM-3981

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 Contact or Office Visit (2.16.840.1.113762.1.4.1080.5): Added 8 CPT codes (90833, 90836, 90838, 90839, 90840, 96156, 96158, 96159). Deleted 1 CPT code (99444) based on review by technical experts, SMEs, and/or public feedback. Deleted 3 HCPCS Level II codes (G2061, G2062, G2063) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Major Depression Including Remission (2.16.840.113883.3.67.1.101.3.2444): Added 1 SNOMED CT code (16264621000119109) based on terminology update. Deleted 6 SNOMED CT codes (191601008, 191602001, 231499006, 274948002, 300706003, 321717001) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Jul 08, 2021