Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

Last updated: July 12, 2017

CMS Measure ID: CMS177v5
Version: 5
NQF Number: 1365
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 Patient 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
Next Version: Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
Previous Version: Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
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.

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 or instrument to assess suicide risk will meet numerator performance. Standardized tools can be mapped to the concept Intervention, Performed: Suicide Risk Assessment included in the numerator logic below.

Quality ID: 382
High Priority Measure: Yes
Data Submission Method: EHR
Specialty Measure Set: Mental/Behavioral Health,Pediatrics

Specifications

Release Notes

Header

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated Disclaimer.

    Section: Disclaimer

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Measure Developer.

    Section: Measure Developer

    Source: Measure Lead

  • Updated Measure Steward.

    Section: Measure Steward

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

External Resources