Overview
CMS159v8 (2020)
CMS159v9 (2021)
CMS159v10 (2022)
Identifiers
| CMS eCQM ID |
NQF eCQM ID |
NQF |
MIPS Quality ID |
| CMS159v10 |
0710e |
0710 |
370 |
*MIE only supports data collection and reporting using eCQM specifications
Definitions
| Description |
The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event. |
| Initial Patient Population |
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event. Patients may be assessed using PHQ-9 or PHQ-9M on the same date or up to 7 days prior to the encounter (index event). |
| Denominator |
Equals Initial Population |
| Denominator Exclusions |
- Patients who died
- Patients who received hospice or palliative care services
- Patients who were permanent nursing home residents
- Patients with a diagnosis of bipolar disorder
- Patients with a diagnosis of personality disorder emotionally labile
- Patients with a diagnosis of schizophrenia or psychotic disorder
- Patients with a diagnosis of pervasive developmental disorder
|
| Numerator |
Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older who achieved remission at twelve months as demonstrated by a twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five |
| Numerator Exclusions |
– |
| Denominator Exceptions |
– |
| Measure Type |
Outcome measure |
| Measure Scoring |
Proportion measure |
| Stratification |
- 12-17 years
- 18 years and older
|
| Granularity |
Patient |
| Improvement Notation |
Higher score indicates better quality |
| Domain |
Effective Clinical Care |
Clinical Instructions
New UI Visit Encounter (valid RC202109+)
Original Visit Encounter
Evidence
Initial Patient Population
| Name |
Value Set |
| Assessment, Performed: PHQ 9 and PHQ 9M Tools |
2.16.840.1.113883.3.67.1.101.1.263 |
| Diagnosis: Bipolar Disorder |
2.16.840.1.113883.3.67.1.101.1.128 |
| Diagnosis: Dysthymia |
2.16.840.1.113883.3.67.1.101.1.254 |
| Encounter, Performed: Contact or Office Visit |
2.16.840.1.113762.1.4.1080.5 |
Denominator Exclusions
| Name |
Value Set |
| Diagnosis: Personality Disorder Emotionally Labile |
2.16.840.1.113883.3.67.1.101.1.246 |
| Diagnosis: Pervasive Developmental Disorder |
2.16.840.1.113883.3.464.1003.105.12.1152 |
| Diagnosis: Schizophrenia or Psychotic Disorder |
2.16.840.1.113883.3.464.1003.105.12.1104 |
| Encounter, Performed: Care Services in Long-Term Residential Facility |
2.16.840.1.113883.3.464.1003.101.12.1014 |
| Encounter, Performed: Palliative Care Encounter |
2.16.840.1.113883.3.600.1.1575 |
| Intervention, Order: Palliative or Hospice Care |
2.16.840.1.113883.3.600.1.1579 |
Numerator
| Name |
Value Set |
| Assessment, Performed: PHQ 9 and PHQ 9M Tools |
2.16.840.1.113883.3.67.1.101.1.263 |
Source(s)
eCQI CMS159