MBHR02 Anxiety Response at 6-months

Measure Title

Anxiety Response at 6-months

 

Measure Description

The percentage of adult patients (18 years of age or older) with an anxiety disorder (e.g., generalized anxiety disorder, social anxiety disorder, or panic disorder) who demonstrated a response to treatment (GAD-7 score at least 25% less than score at index event) at 6-months (+/- 60 days) after an index visit.

Denominator

Patients aged ≥ 18 years on date of encounter
AND
Diagnosis of anxiety disorder (generalized anxiety disorder, social anxiety disorder, or panic disorder) ICD-10-CM: F40.1, F40.10, F40.11, F41.0, F41.1, F41.3, F41.8, F41.9, F43.1

AND

CPT:
0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354,  99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439  

AND

GAD-7 administered at index visit, with an observed score >=8

AND
GAD-7 administered at follow-up visit within 6- months (+/- 60 days) of index

 

Numerator

The number of patients in the denominator who demonstrated a response to treatment, with a GAD-7 result that is reduced by 25% or greater from the index GAD-7 score, six months (+/- 60 days) after an index visit.

 

Denominator Exclusions

  • Patients who die OR
    • Are enrolled in hospice (PRO2002.1Y ) OR
    • Are unable to complete an anxiety measure due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available OR
    • Are diagnosed with schizophrenia or psychotic spectrum disorder OR are diagnosed with a personality disorder (ICD-10-CM)
    F20.0 – Paranoid schizophrenia
    F20.1 – Disorganized schizophrenia
    F20.2 – Catatonic schizophrenia
    F20.3 – Undifferentiated schizophrenia
    F20.5 – Residual schizophrenia
    F20.81 – Schizophreniform disorder
    F20.89 – Other schizophrenia
    F20.9 – Schizophrenia, unspecified
    F22 – Delusional Disorder
    F23 – Brief psychotic disorder
    F25.0 – Schizoaffective disorder, bipolar type
    F25.1 – Schizoaffective disorder, depressive type
    F25.8 – Other schizoaffective disorders
    F25.9 – Schizoaffective disorder, unspecified
    F28 – Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
    F29 – Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
    F21 – Schizotypal Personality Disorder
    F60.0 – Paranoid Personality Disorder
    F60.1 – Schizoid Personality Disorder
    F60.2 – Antisocial Personality Disorder
    F60.3 – Borderline Personality Disorder
    F60.4 – Histrionic Personality Disorder
    F60.5 – Obsessive-Compulsive Personality Disorder
    F60.6 – Avoidant Personality Disorder
    F60.7 – Dependent Personality Disorder
    F60.81 – Narcissistic Personality Disorder
    F60.89 – Other Specified Personality Disorder
    F60.9 – Unspecified Personality Disorder

 

Denominator Exceptions (PRO2002.8Y)

  • Ongoing care not indicated (e.g., referred to another provider or facility, consultation only) OR
  • Patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown) OR
  • Medical reasons (e.g., scheduled for surgery or hospitalized)

NQF Number    

N/A

 

NQS Domain

Effective Clinical Care

 

High Priority

Yes

 

High Priority Type

Outcome

 

 Measure Type

Patient Reported Outcome (PRO)

 

Meaningful Measure Area

Prevention, Treatment, and Management of Mental Health

 

Inverse Measure

No

 

Proportional Measure

Yes

 

Continuous Variable Measure

No

 

Ratio Measure

No

 

 Number of performance rates to be submitted

1

 

Measure Risk-Adjusted?

Yes

               

Care Setting

Ambulatory Care: Clinician Office/Clinic, Ambulatory Care: Hospital, Home Care, Hospital, Hospital Inpatient, Hospital Outpatient, Long Term Care, Nursing Home, Outpatient Services, Rehabilitation Facility, Rehabilitation Facility: Inpatient            

 

Includes Telehealth?    

Yes


Tags

Quality_2022


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