[CQM-5932] CMS159v10 Depression Remission denominator clarification Created: 02/01/23 Updated: 02/16/23 Resolved: 02/16/23 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Major |
| Reporter: | Jen Cunningham (Inactive) | Assignee: | Mathematica EC eCQM Team (Inactive) |
| Resolution: | Answered | Votes: | 0 |
| Labels: | CQM, Guidance, LOGIC | ||
| Solution: | Thank you for your question on CMS159, Depression Remission at Twelve Months. The measure does not include PHQ-9 or PHQ-9M scores documented at a date earlier than the start of the denominator identification period. If a patient has an active diagnosis of depression and an elevated PHQ-9 or PHQ-9M score during the measure identification period, then they would be included in the measure denominator. |
| Solution Posted On: | |
| Impact: | Clarification on this question directly impacts reporting for our UDS report. |
| Last Commented Date: |
| Description |
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The Index Event Date definition indicates that the first instance of an elevated PHQ9 event during the denominator identification period is the inclusion criteria. Does this only include patients whose first ever recorded elevated PHQ9 score which falls during the denominator identification period? Or can patients with a history of major depression have a prior history of elevated PHQ9 scores beginning prior to the denominator identification period be included as well, with the index event being the earliest elevated PHQ9 specifically during the denominator identification period? For example, a patient with an active diagnosis of major depression beginning 6 months prior to the denominator identification period and an elevated PHQ9 score 5 months prior to the denominator identification period. Would this patient be included in the denominator of this measure if they had an elevated PHQ9 during the denominator identification period? Or are they excluded because their first instance of an elevated PHQ9 score was prior to the denominator identification period? |
| Comments |
| Comment by Mathematica EC eCQM Team (Inactive) [ 02/16/23 ] |
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We apologize for the delay in providing a response for your question. We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your continued patience. |
| Comment by Mathematica EC eCQM Team (Inactive) [ 02/09/23 ] |
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We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience. |
| Comment by Mathematica EC eCQM Team (Inactive) [ 02/02/23 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |
| Comment by Heather Frideres [ 02/01/23 ] |
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I'm not sure if there is a user guide that crosses the various issue trackers cunningj. For the Bonnie MAT MADiE Issue tracker, we handle all things related to using the tools. This would include questions, reporting issues/bugs, requests to have a measure or library you own shared or transferred to another user (there is a separate process for sharing measures in MADiE), submit a question for the monthly User Group meetings or to submit an enhancement request. If your question is about the measure specification or the value sets the measure uses, those questions would not be submitted to the Bonnie MAT MADiE issue board. I would defer to the edave to provide guidance. |
| Comment by Jen Cunningham (Inactive) [ 02/01/23 ] |
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Thank you, Heather. Is there a user guide for how to submit a request like this correctly in the future? I found a page that described some fields in the create issue form, but some things were still unclear to me. |
| Comment by Heather Frideres [ 02/01/23 ] |
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Jen, we are transferring this ticket to the eCQM Issue Tracker as your question is about the measure rather than the tools we support on the Bonnie MAT MADiE issue tracker. |
| Comment by MADiE Team [ 02/01/23 ] |
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Thank you for submitting your question/issue. We will assign this to a team member and respond in one business day. If your question/issue is related to a particular measure, please upload the corresponding measure package. |