Thank you for your inquiry on CMS2v12: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. The measure assesses the most recent depression screening completed either during the qualifying encounter or within the 14 calendar days prior to that encounter. Depression screening is required once per measurement period, not at all encounters. If your patient was screened for depression during the OBGYN encounter and has another eligible visit later in the measurement period and was not rescreened, they would meet the numerator criteria by virtue of the OBGYN encounter (assuming that if the screen was positive, an appropriate follow-up plan was documented).

At our system we follow the best practice for annual depression screening, and sometimes depression screening via the PHQ2 or PHQ9 may be done at our OBGYN visits. We have noticed in our fallouts for the measure that patients had a Primary Care visit during the measurement period, however they did not receive depression screening because patient was recently screened within the months prior at an OBGYN visit so technically were not due yet for their annual depression screen at the time of the Primary Care denominator eligible encounter. How do we address this for metric reporting as it is falsely looking as though we are underscreening in Primary Care?