Depression Utilization of the PHQ-9 Tool

Last updated: May 3, 2018

CMS Measure ID: CMS160v6
Version: 6
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 Patient 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
Next Version:
Previous Version:
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.

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

  • 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

External Resources