​Hello, Thank you for your inquiry about CMS2v10 "Preventive Care and Screening: Screening for Depression and Follow-Up Plan." You are correct that the intent of the measure is to assess the most recent depression screening completed either during an eligible encounter or within the 14 days prior to the encounter. To confirm, the guidance statement and the numerator statement both identify the timing of the depression screening in relation to the qualifying encounter as "…date of the encounter or up to 14 days prior to the date of the encounter…". There is no statement in the guidance section indicated the screening should occur up to 15 days prior to the date of the encounter ( https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS2v10.html ). The measure logic also defines the Most Recent Adolescent Depression Screening referenced in the numerator logic included in the initial inquiry as follows: Most Recent Adolescent Depression Screening Last(["Assessment, Performed": "Adolescent depression screening assessment"] AdolescentDepressionScreening     with "Qualifying Encounter During Measurement Period" QualifyingEncounter       such that AdolescentDepressionScreening.relevantDatetime 14 days or less on or before day of start of QualifyingEncounter.relevantPeriod         and AdolescentDepressionScreening.result is not null     sort by relevantDatetime The measure logic is consistent with the measure guidance, as the measure assesses the most recent depression screening completed either during the eligible encounter or within the 14 days prior to that encounter.

Good afternoon, Our project team received the inquiry below from an external partner regarding the following eCQM measure: Preventive Care and Screening: Screening for Depression and Follow-Up Plan (CMS 2v10). Our team drafted a proposed response, which is included below. To ensure that we have the correct understanding of the measure, we would appreciate any insight your team is able to provide on this inquiry. Inquiry: We are confused about whether to use the latest screening in the year, even if it is not within 14 days prior to a qualifying encounter or to only look for screening within the 14 days prior to a qualifying encounter. The specification has conflicting language related to this. In the Guidance section, the specification states, “The screening should occur during a qualifying encounter or up to 15 days prior to the date of the qualifying encounter.” However, in the Numerator section of the Logic, the specifications states: “Numerator ( "Patient Age 12 to 16 Years at Start of Measurement Period" and ( "Has Most Recent Adolescent Screening Negative" or exists "Most Recent Adolescent Screening Positive and Follow Up Provided" )) ” Can you provide clarification? Draft Response: The intent of the measure is to assess the most recent depression screening completed either during the eligible encounter or within the 14 days prior to the encounter. Therefore, only the most recent depression screening completed either during the eligible encounter or within the 14 days prior to the encounter should be used. Thank you! Megan