No completion of PHQ-9 when PHQ-2 is positive

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Amanda S Babin
    • 3096807628
    • Heartland Health Services
    • Hide
      Thank you for your inquiry regarding CMS2v14. Regarding depression screening specifically (not follow-up), per the measure specification, an age-appropriate, standardized, and validated depression screening tool must be used for numerator compliance. The measure’s Definition section provides examples of acceptable tools (e.g., PHQ-2, PHQ-A); however, it is not prescriptive, and providers are encouraged to use their clinical judgment to select the appropriate tool for their patient population. Therefore, use of the PHQ-2 alone is sufficient to meet the screening requirement. The PHQ-9 may be used in addition to the PHQ-2, but its completion is not required for screening compliance.
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      Thank you for your inquiry regarding CMS2v14. Regarding depression screening specifically (not follow-up), per the measure specification, an age-appropriate, standardized, and validated depression screening tool must be used for numerator compliance. The measure’s Definition section provides examples of acceptable tools (e.g., PHQ-2, PHQ-A); however, it is not prescriptive, and providers are encouraged to use their clinical judgment to select the appropriate tool for their patient population. Therefore, use of the PHQ-2 alone is sufficient to meet the screening requirement. The PHQ-9 may be used in addition to the PHQ-2, but its completion is not required for screening compliance.
    • CMS0002v14
    • Reporting/Scores debate

      When the patient is screened for depression, and the PHQ-2 is positive, they are prompted to complete the PHQ-9. IF the PHQ-9 is not completed, does that mean they are noncompliant in screening that patient for depression? Or is the completion of the PHQ-2 (with a positive score) sufficient? I am solely referring to the screening itself, not the follow-up. 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Amanda Babin
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