Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-777

Identifying positive or negative Depression Screenings

XMLWordPrintable

    • How do we determine that a depression screening is negative or positive, when the QRDA CAT 1 file does not contain the negative/positive codes?
    • Hide
      Answer: The existence or absence of the diagnosis codes does not indicate a depression screening result. The result of the depression screening must be indicated with the appropriate SNOMED code (428181000124104 - Depression Screening Positive or 428171000124102 – Depression Screening Negative) in order to be included in the numerator.
      Show
      Answer: The existence or absence of the diagnosis codes does not indicate a depression screening result. The result of the depression screening must be indicated with the appropriate SNOMED code (428181000124104 - Depression Screening Positive or 428171000124102 – Depression Screening Negative) in order to be included in the numerator.
    • CMS2v1/NQF0418
    • Hide
      Excludes patients from the numerator. Currently we are trying to identify the result using the attribute result included in the data criteria.

      Show
      Excludes patients from the numerator. Currently we are trying to identify the result using the attribute result included in the data criteria.

      In the measure there are numerous references to positive and negative Depression Screening results. We are using the value set codes from the data criteria to search for the result in the patient data. What we have found is that the codes within the value set are not present in the patient data (QRDA Cat I). But we did find a Diagnosis, Active: Depression diagnosis occurred after a Risk Category Assessment: Adolescent Depression Screening.

      Does the existence of a Diagnosis, Active: Depression diagnosis indicate a 'positive depression screening'?

      If this is the case, would the nonexistence would indicate a 'negative depression screening'?

      I've included the file of the patient in question.

      7/31/2013

      I've also added the HTML for patient Betty Nelson. In the HTML it list SNOMED-CT: 428171000124102 (Negative Depression Screening) but this code is not in the QRDA CAT 1 file.

        1. 2_Betty_Nelson.xml
          15 kB
        2. 2_Betty_Nelson.html
          52 kB
        3. 0_GP_Peds_B.html
          52 kB
        4. 0_GP_Peds_B.xml
          317 kB
        5. 0_Heart_Adult_C.html
          34 kB
        6. 0_Heart_Adult_C.xml
          208 kB

            julia.skapik Julia Skapik (Inactive)
            rcallsbrooks Robert Allsbrooks (Inactive)
            Minet Javellana (Inactive), Patricia Lawson (Inactive), Rob McClure (Inactive), Saul Kravitz (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            6 Start watching this issue

              Created:
              Updated:
              Resolved: