Depression Remission at Twelve Months

Last updated: October 25, 2017

CMS Measure ID: CMS159v6
Version: 6
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 Patient 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
Previous Version: Depression Remission at Twelve Months
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Addendum Notes: Value Set content updated Sept 2017

Specifications

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

External Resources