[CQM-6584] 2023 eCQM #159 Depression Remission @ 12 Months - Clarify Most Recent PHQ-9 les than 5 Created: 11/14/23 Updated: 02/06/24 Resolved: 12/08/23 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Moderate |
| Reporter: | Susan Joy (Inactive) | Assignee: | Mathematica EC eCQM Team (Inactive) |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Contact Name: | Susan Joy RN |
| Contact Email: | susan.joy@bannerhealth.com |
| Institution/Name: | Banner Health Arizona |
| Solution: | Thank you for your question regarding CMS159v11: Depression Remission at Twelve Months. The most recent PHQ-9 score would be the one used for numerator compliance. In the example below, it would be the score from 3/27/2023. |
| Solution Posted On: | |
| 2023 Performance Period EC eCQMs: |
CMS0159v11
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| Impact: | Potentially could create either false positive or false negative numerator outcomes if wrong value is chosen for numerator outcome. |
| Description |
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Specification Definition states: "The most recent PHQ-9 score less than five obtained during this four month grace period (+/- 60 days) is deemed as remission." Does this mean we are looking for the "most recent" PHQ-9 with a score less than 5 OR are we looking for the most recently completed PHQ-9? For example: +/- 60 day window = 01/01/2023 to 04/01/2023 There are three PHQ-9 results: 03/27/2023 PHQ9 score = 6 02/14/2023 PHQ9 score = 3 01/12/2023 PHQ9 score = 8 Which of these would fulfill the intent of the measure and used to determine numerator compliance for this measure?
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| Comments |
| Comment by Mathematica EC eCQM Team (Inactive) [ 12/01/23 ] |
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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) [ 11/22/23 ] |
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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) [ 11/15/23 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |