URSA-MSSP-ECQM-DEP: Depression Screening (CMS2v14)

  • Published on Aug 21, 2025
  • 2 minute(s) read
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Measure Description

Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if a positive a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Entity
  • Component Class: Long-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Up

Denominator Description

Patients Age 12+

Numerator Description

Qualifying denominator patients with Screening and Follow Up

Published Fields

  • Data Model Keys

    • Patient ID
    • Affiliated Program Entity ID
    • Affiliated Program Entity Provider ID
    • Primary Payor ID
    • Primary Plan ID
    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Individual Provider ID
    • Primary Plan Attributee Provider Group Provider ID
    • Primary Plan Attributee Provider Contract ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID

  • Patient Fields

    • Is Patient Alive
    • Patient Date of Birth
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category
    • UW HIP ADI Decile Category
    • Is Patient Sex Female
    • Is Patient Sex Male
    • Patient Age Integer

  • Date Fields

    • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Insurance Fields

    • Member MBI
    • Is Any Current Plan Membership
    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Denominator Fields

    • Is Required Exclusion for Bipolar Disorder
    • Is Required Exclusion for Patient Death
    • Is Required Exception for Medical or Patient Reason for Not Screening
    • Is Any Required Exclusion or Exception
    • Is Eligible Population
    • Denominator Encounter Document ID
    • Denominator Encounter Source ID
    • Denominator Encounter Document Effective Date

  • Numerator Fields

    • Numerator Contribution
    • Numerator Depression Screening Date
    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Component Contribution Using Standard End-of-Year Timing
    • Numerator Screener Document ID
    • Numerator Screener Document Effective Date
    • Is Numerator Screener eCQM Adolescent Depression Screening Assessment Document
    • Is Numerator Screener eCQM Adult Depression Screening Assessment Document
    • Is Finding eCQM Depression Screening Negative Document
    • Is Finding eCQM Depression Screening Positive Document

  • Validation Only Fields

    • Most Recent Adolescent Depression Screening Date
    • Is Follow Up Intervention for Positive Adolescent Depression Screening
    • Most Recent Adult Depression Screening Date
    • Is Follow Up Intervention for Positive Adult Depression Screening

  • Measure Fields

    • Denominator
    • Numerator

  • [No Field Group]