eCQM Title | Anti-depressant Medication Management |
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eCQM Identifier (Measure Authoring Tool) | 128 | eCQM Version number | 7.2.000 |
NQF Number | 0105 | GUID | 8924f2b3-ec06-4650-b634-d70a53dee577 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | National Quality Forum | ||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Initial Population | |||
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Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Initial Population"
Hospice."Has Hospice" or exists ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" AntidepressantDispensed such that OnAntiDepressant.relevantPeriod starts 105 days or less before AntidepressantDispensed.authorDatetime
"Cumulative Medication Duration Greater Than or Equal to 84 Days"
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Initial Population"
Hospice."Has Hospice" or exists ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" AntidepressantDispensed such that OnAntiDepressant.relevantPeriod starts 105 days or less before AntidepressantDispensed.authorDatetime
"Cumulative Medication Duration Greater Than or Equal to 180 Days"
First(["Medication, Dispensed": "Antidepressant Medication"] FirstAntidepressant where FirstAntidepressant.authorDatetime 270 days or less before start of "Measurement Period" or FirstAntidepressant.authorDatetime 90 days or less on or after start of "Measurement Period" sort by authorDatetime )
["Medication, Active": "Antidepressant Medication"] OnAntidepressant with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" InitialDispense such that OnAntidepressant.relevantPeriod starts 114 days or less on or after day of InitialDispense.authorDatetime
["Medication, Active": "Antidepressant Medication"] ActiveAntidepressant with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" InitialDispense such that ActiveAntidepressant.relevantPeriod starts 231 days or less on or after day of InitialDispense.authorDatetime
"Cumulative Medication Duration"("Antidepressant Taken within 231 Days After Initial Dispense")>= 180
"Cumulative Medication Duration"("Antidepressant Taken within 114 Days After Initial Dispense")>= 84
"Initial Population"
Hospice."Has Hospice" or exists ["Medication, Active": "Antidepressant Medication"] OnAntiDepressant with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" AntidepressantDispensed such that OnAntiDepressant.relevantPeriod starts 105 days or less before AntidepressantDispensed.authorDatetime
First(["Diagnosis": "Major Depression"] MajorDepression with "Antidepressant Dispensed 270 days before or 90 days after Start of Measurement Period" AntidepressantDispensed such that MajorDepression.prevalencePeriod starts 60 days or less before or on day of AntidepressantDispensed.authorDatetime or MajorDepression.prevalencePeriod starts 60 days or less after day of AntidepressantDispensed.authorDatetime sort by start of prevalencePeriod )is not null
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and "Has Initial Major Depression Diagnosis" and exists "Qualifying Encounters"
"Cumulative Medication Duration Greater Than or Equal to 84 Days"
"Cumulative Medication Duration Greater Than or Equal to 180 Days"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Telephone Management"] union ["Encounter, Performed": "Telephone Evaluation"] union ["Encounter, Performed": "Annual Wellness Visit"] union ["Encounter, Performed": "Psych Visit - Diagnostic Evaluation"] union ["Encounter, Performed": "Psych Visit - Psychotherapy"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Sum((collapse(Medication.relevantPeriod))CumulativeAntidepressant return all duration in days of CumulativeAntidepressant )
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |