CMS 159v12: Depression Remission at Twelve Months

Measure: The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event
Measure Type High Priority Measure Scoring
Outcome Yes A higher percentage indicates better quality
Denominator Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event. Patients may be assessed using PHQ-9 or PHQ-9M on the same date or up to 7 days prior to the encounter (index event)
Numerator Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older who achieved remission at twelve months as demonstrated by the most recent twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five
Denominator Exceptions None
Denominator Exclusions
  • Patients who died any time prior to the end of the measure assessment period

  • Patients who received hospice or palliative care services between the start of the denominator period and the end of the measurement assessment period

  • Patients with a diagnosis of bipolar disorder any time prior to the end of the measure assessment period

  • Patients with a diagnosis of personality disorder emotionally labile any time prior to the end of the measure assessment period

  • Patients with a diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period

  • Patients with a diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period

 

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