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  1. eCQM Issue Tracker
  2. CQM-7275

CMS 2 Positive Screening for Pt Already on Anti-Depressants

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • 5152388867
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      Thank you for your inquiry regarding CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Please see [EKI-22] for guidance on mapping to codes included in the measure that may be appropriate in cases where patients with active depression are rescreened positive and the clinician determines that no additional intervention is ordered because the patient is already on antidepressant medication.
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      Thank you for your inquiry regarding CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Please see [ EKI-22 ] for guidance on mapping to codes included in the measure that may be appropriate in cases where patients with active depression are rescreened positive and the clinician determines that no additional intervention is ordered because the patient is already on antidepressant medication.
    • CMS0002v13
    • CMS 2: Preventive Care and Screening: Screening for Depression and Follow-Up Plan
    • This is leading to mistrust in our data, and unreasonable expectations of our physicians who are taking care of patients. It doesn't align with best clinical practices.

      Hello! 

      Please advise for this situation: 

      1. A patient is screened for depression early in the measurement period and is diagnosed with depression. 
      2. As an intervention, PCP prescribed antidepressants
      3. As is best practice at many FQHCs, patient is screened with a PHQ-9 at each visit and tests positive
      4. No additional intervention is ordered, because patient is already on anti-depressant

      In the current logic, the patient is considered not compliant for follow-up. This should not be the case. The provider will not be ordering new medication every time the patient has a visit. 

      The logic should account for active medications, especially now that patients diagnosed with depression are no longer excluded.

            AIR EC eCQM Team AIR EC eCQM Team
            cahagarty Caitlyn Hagarty
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