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  2. CQM-6781

CMS2V13 - Question regarding multiple PHQ-9

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    • Icon: EC eCQMs EC eCQMs
    • Resolution: Answered
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    • None
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    • Kasey Rachel
    • 19185028636
    • Warren Clinic
    • Hide
      Thank you for your inquiry regarding CMS2v13 Preventative Care and Screening: Screening for Depression and Follow-Up Plan.

      The measure looks at the most recent screening. For your example, the PHQ-9 with the negative finding would be the ‘Most Recent’ and thus meet the numerator requirement.


      Numerator
      ( "Patient Age 12 to 16 Years at Start of Measurement Period"
          and ( "Has Most Recent Adolescent Screening Negative"
              or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided"
          )
      )
        or ( "Patient Age 17 Years at Start of Measurement Period"
            and ( "Has Most Recent Adolescent Screening Negative"
                or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided"
                or "Has Most Recent Adult Screening Negative"
                or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided"
            )
        )
        or ( "Patient Age 18 Years or Older at Start of Measurement Period"
            and ( "Has Most Recent Adult Screening Negative"
                or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided"
            )
        )

      Show
      Thank you for your inquiry regarding CMS2v13 Preventative Care and Screening: Screening for Depression and Follow-Up Plan. The measure looks at the most recent screening. For your example, the PHQ-9 with the negative finding would be the ‘Most Recent’ and thus meet the numerator requirement. Numerator ( "Patient Age 12 to 16 Years at Start of Measurement Period"     and ( "Has Most Recent Adolescent Screening Negative"         or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided"     ) )   or ( "Patient Age 17 Years at Start of Measurement Period"       and ( "Has Most Recent Adolescent Screening Negative"           or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided"           or "Has Most Recent Adult Screening Negative"           or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided"       )   )   or ( "Patient Age 18 Years or Older at Start of Measurement Period"       and ( "Has Most Recent Adult Screening Negative"           or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided"       )   )
    • CMS0002v13

      We would like to know if this following example would have the patient meeting the measure for the numerator or not meeting the measure:

      Patient A comes in and has a positive PHQ-9 but the provider does not document a follow up plan that day. Then, the Patient A comes in a month later and has another PHQ-9 and it is negative.

      Will this patient be compliant in the numerator since the last PHQ-9 is negative or will the previous positive PHQ-9 still count against the provider since the follow up plan was not documented?

            edave Mathematica EC eCQM Team
            KRACHEL Kasey Rachel
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