Depression treatment decline

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Kasey Rachel
    • 918-502-8636
    • Saint Francis
    • Hide
      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM.
      1) The patient refusal exception only qualifies when the “Patient refuses to participate in or complete the depression screening”. In your scenario, if the provider orders a medication to treat the patient’s depression (regardless of whether the patient has taken the medication), then the provider’s intended numerator action is considered completed. The same would be true if the patient were referred for psychotherapy—their active participation is not required for the numerator if the order was placed.
      2) The measure is not prescriptive as to who performs the intervention, just that it is “documented on the date of or up to two calendar days after the date of the encounter” (Guidance section). Therefore, if mental healthcare education were provided and documentation met the timing constraints in the measure, it would meet the numerator criteria. Patient refusal, per #1 above, has no bearing on the follow-up.
      Show
      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. 1) The patient refusal exception only qualifies when the “Patient refuses to participate in or complete the depression screening”. In your scenario, if the provider orders a medication to treat the patient’s depression (regardless of whether the patient has taken the medication), then the provider’s intended numerator action is considered completed. The same would be true if the patient were referred for psychotherapy—their active participation is not required for the numerator if the order was placed. 2) The measure is not prescriptive as to who performs the intervention, just that it is “documented on the date of or up to two calendar days after the date of the encounter” (Guidance section). Therefore, if mental healthcare education were provided and documentation met the timing constraints in the measure, it would meet the numerator criteria. Patient refusal, per #1 above, has no bearing on the follow-up.
    • CMS0002v14

      1. If our providers provide education and/or recommendations (medication and/or therapy) to patient but patient refuses treatment, is there a way we can still meet the measure? Could we have an option stating "discussed results and potential care plan, patient declined treatment"? Is there a SNOMED code that could link to this?

      2. I see there is an option for SNOMED CT 410224008 (Mental health care education (procedure)). If the provider (PCP, not behavioral health) provided education on management of depression including the role of exercise, talk therapy and antidepressant medications - we could use this SNOMED code for that, correct? However, what if the patient refuses everything recommended? Will it still meet numerator criteria?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Kasey Rachel (Inactive)
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              Created:
              Updated:
              Resolved:
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