eCQM Title | Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use |
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eCQM Identifier (Measure Authoring Tool) | 169 | eCQM Version number | 7.2.000 |
NQF Number | Not Applicable | GUID | b99aaef6-7889-4aba-85fc-5a2b739dd098 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Centers for Medicare & Medicaid Services (CMS) | ||
Measure Developer | Center for Quality Assessment & Improvement in Mental Health (CQAIMH) | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
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Supplemental Data Elements |
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 and exists ( "Qualifying Encounters" )
"Initial Population"
exists ( from ["Procedure, Performed": "BH Assessment for Alcohol or Other Drugs"] SubstanceAbuseAssessment, "Qualifying Encounters" QualifiedEncounter, "Qualifying Treatments" QualifiedTreatment where SubstanceAbuseAssessment.relevantPeriod starts same or after start of QualifiedEncounter.relevantPeriod and SubstanceAbuseAssessment.relevantPeriod ends same or before QualifiedTreatment.authorDatetime and not exists ( "Qualifying Treatments" PriorQualifiedTreatment where PriorQualifiedTreatment.authorDatetime before QualifiedTreatment.authorDatetime and PriorQualifiedTreatment.authorDatetime same or after start of QualifiedEncounter.relevantPeriod and PriorQualifiedTreatment !~ QualifiedTreatment ) )
["Medication, Active": "BH Antidepressant Medication"] union ["Medication, Active": "BH Mood Stabilizer Medication"]
( "Active Antidepressant or Mood Stabilizer" ActiveBHMedication union ( "Bipolar Disorder Or Unipolar Depression" Diagnoses return "Medication, Active" { relevantPeriod: Diagnoses.prevalencePeriod } ) )
["Medication, Order": "BH Antidepressant Medication"] union ["Medication, Order": "BH Mood Stabilizer Medication"]
["Encounter, Performed": "BH Outpatient encounter"] union ["Encounter, Performed": "BH Outpatient Psychotherapy"]
"Behavioral Health Outpatient Encounter" BehavioralEncounter with "Bipolar Disorder Or Unipolar Depression" BipolarUnipolarDiagnoses such that BehavioralEncounter.relevantPeriod includes start of BipolarUnipolarDiagnoses.prevalencePeriod
["Diagnosis": "BH Condition Involving Bipolar Disorder"] union ["Diagnosis": "BH Condition Involving Unipolar Depression"]
"Initial Population"
["Procedure, Order": "BH Electroconvulsive Therapy"] union ["Procedure, Order": "BH Counseling for Depression"]
["Procedure, Performed": "BH Electroconvulsive Therapy"] union ["Procedure, Performed": "BH Counseling for Depression"]
"Behavioral Health Outpatient Encounter" BehavioralEncounter with "Bipolar Disorder Or Unipolar Depression" Diagnoses such that BehavioralEncounter.relevantPeriod overlaps before Diagnoses.prevalencePeriod where BehavioralEncounter.relevantPeriod starts during Interval[start of "Measurement Period", start of "Measurement Period" + 323 days]
( "Index Behavioral Health Outpatient Encounter" IndexEncounter with ["Encounter, Performed": "BH Outpatient Psychotherapy"] Psychotherapy such that IndexEncounter.relevantPeriod starts 42 days or less on or before start of Psychotherapy.relevantPeriod and IndexEncounter !~ Psychotherapy ) union ( "Index Behavioral Health Outpatient Encounter" IndexEncounter with "Treatments" Treatment such that IndexEncounter.relevantPeriod starts 42 days or less on or before Treatment.authorDatetime )
( "Index Behavioral Health Outpatient Encounter" IndexEncounter with ( "Outpatient Encounter During Diagnosis or Medication Active" union "Outpatient Psychotherapy During Diagnoses" ) PriorEncounter such that IndexEncounter.relevantPeriod starts 180 days or less on or after start of PriorEncounter.relevantPeriod and IndexEncounter !~ PriorEncounter ) union ( "Index Behavioral Health Outpatient Encounter" IndexEncounter with "Behavioral Outpatient Encounter Includes Start of Diagnosis" PriorEncounterIncludesDiagnosis such that IndexEncounter.relevantPeriod starts 180 days or less on or after PriorEncounterIncludesDiagnosis.relevantPeriod and PriorEncounterIncludesDiagnosis !~ IndexEncounter ) union ( "Index Behavioral Health Outpatient Encounter" IndexEncounter with "Treatments" Treatment such that IndexEncounter.relevantPeriod starts 180 days or less on or after Treatment.authorDatetime )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 and exists ( "Qualifying Encounters" )
exists ( from ["Procedure, Performed": "BH Assessment for Alcohol or Other Drugs"] SubstanceAbuseAssessment, "Qualifying Encounters" QualifiedEncounter, "Qualifying Treatments" QualifiedTreatment where SubstanceAbuseAssessment.relevantPeriod starts same or after start of QualifiedEncounter.relevantPeriod and SubstanceAbuseAssessment.relevantPeriod ends same or before QualifiedTreatment.authorDatetime and not exists ( "Qualifying Treatments" PriorQualifiedTreatment where PriorQualifiedTreatment.authorDatetime before QualifiedTreatment.authorDatetime and PriorQualifiedTreatment.authorDatetime same or after start of QualifiedEncounter.relevantPeriod and PriorQualifiedTreatment !~ QualifiedTreatment ) )
["Encounter, Performed": "BH Outpatient encounter"] OutpatientEncounter with "Active Behavioral Health Medications or Diagnosis" MedicationDiagnosis such that OutpatientEncounter.relevantPeriod during MedicationDiagnosis.relevantPeriod
["Encounter, Performed": "BH Outpatient Psychotherapy"] OutpatientPsychotherapy with "Bipolar Disorder Or Unipolar Depression" RelevantDiagnoses such that OutpatientPsychotherapy.relevantPeriod during RelevantDiagnoses.prevalencePeriod
( "Index Behavioral Health Outpatient Encounter Before Treatment or Psychotherapy" except "Index Outpatient Encounter within 180 days after Prior Encounter Diagnosis or Treatment" )
( "Treatments" union ["Encounter, Performed": "BH Outpatient Psychotherapy"] PsychotherapyEncounter ) InclusiveTreatments with "Qualifying Encounters" QualifiedEncounters such that InclusiveTreatments.authorDatetime 42 days or less on or after start of QualifiedEncounters.relevantPeriod and InclusiveTreatments !~ QualifiedEncounters
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( "Depression Treatment Procedure Ordered" ProcedureOrdered union ( "Depression Treatment Procedure Performed" ProceduresPerformed return "Procedure, Order" { authorDatetime: start of ProceduresPerformed.relevantPeriod } ) union ( "Antidepressant or Mood Stabilizer Ordered" MedicationsOrdered return "Procedure, Order" { authorDatetime: MedicationsOrdered.authorDatetime } ) )
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 |