[CQM-6553] CMS2v11 -Screening for Depression and Follow-up Plan of Care Created: 10/31/23 Updated: 11/20/23 Resolved: 11/08/23 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Moderate |
| Reporter: | Debra Barnhart | Assignee: | Mathematica EC eCQM Team |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Solution: | Thank you for your inquiry regarding CMS2v13: Preventative Care and Screening: Screening for Depression and Follow-Up Plan.
The measure does not exclude patients in palliative care, hospice or those who are currently deceased. All patients who have had a depression screening during the encounter or 14 days prior to the date of the encounter will be included in the denominator population. Only patients with a history of bipolar disorder are excluded. |
| Solution Posted On: | |
| 2024 Performance Period EC eCQMs: |
CMS0002v13
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| 2023 Performance Period EC eCQMs: |
CMS0002v12
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| Impact: | Exclusions of palliative care, hospice and deceased patients are not included in the measure specifications. Is this an oversight? |
| Last Commented Date: |
| Description |
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Our clinicians do not address quality measures when a patient is receiving palliative care, hospice care or is deceased. The measure stewards (CMS and NCQA) routinely list these statuses as exclusions. We are hoping this is merely an oversight.
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| Comments |
| Comment by Mathematica EC eCQM Team [ 11/20/23 ] |
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Thank you for your comment. We will consider your recommendation for the next annual update cycle. |
| Comment by Mathematica EC eCQM Team [ 11/10/23 ] |
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Thank you for the follow-up question. We will review your ticket and provide a response as soon as possible. |
| Comment by Debra Barnhart [ 11/08/23 ] |
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Where should we submit the recommendation to add these patient statuses as exclusions for this measure.
Consistency in criteria across measure sets is extremely important. |
| Comment by Mathematica EC eCQM Team [ 11/08/23 ] |
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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 [ 11/01/23 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |