CMS 159 - Depression Remission at Twelve Months

Overview

CMS159v8 (2020)

CMS159v9 (2021)

CMS159v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS159v100710e0710370

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionThe 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.
Initial Patient PopulationAdolescent 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).
DenominatorEquals Initial Population
Denominator Exclusions
  • Patients who died
  • Patients who received hospice or palliative care services
  • Patients who were permanent nursing home residents
  • Patients with a diagnosis of bipolar disorder
  • Patients with a diagnosis of personality disorder emotionally labile
  • Patients with a diagnosis of schizophrenia or psychotic disorder
  • Patients with a diagnosis of pervasive developmental disorder
NumeratorAdolescent 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 a twelve month (+/- 60 days) PHQ-9 or PHQ-9M score of less than five
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeOutcome measure
Measure ScoringProportion measure
Stratification
  • 12-17 years
  • 18 years and older
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainEffective Clinical Care

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

NameValue Set
Assessment, Performed: PHQ 9 and PHQ 9M Tools2.16.840.1.113883.3.67.1.101.1.263
Diagnosis: Bipolar Disorder2.16.840.1.113883.3.67.1.101.1.128
Diagnosis: Dysthymia2.16.840.1.113883.3.67.1.101.1.254
Encounter, Performed: Contact or Office Visit2.16.840.1.113762.1.4.1080.5

Denominator Exclusions

NameValue Set
Diagnosis: Personality Disorder Emotionally Labile2.16.840.1.113883.3.67.1.101.1.246
Diagnosis: Pervasive Developmental Disorder2.16.840.1.113883.3.464.1003.105.12.1152
Diagnosis: Schizophrenia or Psychotic Disorder2.16.840.1.113883.3.464.1003.105.12.1104
Encounter, Performed: Care Services in Long-Term Residential Facility2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Palliative Care Encounter2.16.840.1.113883.3.600.1.1575
Intervention, Order: Palliative or Hospice Care2.16.840.1.113883.3.600.1.1579

Numerator

NameValue Set
Assessment, Performed: PHQ 9 and PHQ 9M Tools2.16.840.1.113883.3.67.1.101.1.263

Source(s)

eCQI CMS159


WebChart Documentation

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