URSA-QUALITY-DRR2: Depression Screening - Remission (DRR2)

Measure Description

The percentage of members 12 years of age and older with a diagnosis of depression and an elevated PHQ-9, who achieved remission within 4-8 months after the initial elevated score.

Metadata

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

Denominator Description

Members 12 years of age and older with a diagnosis of depression and an elevated PHQ-9 score in the last 20 months.

Numerator Description

Qualifying denominator members who achieved remission within 4-8 months after the initial elevated PHQ-9 score.

Published Fields

• Data Model Keys

  • Measure ID
  • Patient ID
  • Primary Payor ID
  • Primary Plan ID

• Patient Fields

  • Patient Operational ID
  • Patient Date of Birth
  • Is Patient Sex Female
  • Is Patient Sex Male
  • Patient State Abbreviation
  • Patient ZIP Code 5-Digit
  • Patient Age Integer

• Date Fields

  • Current Continuous Primary Payor Membership Episode Start Date
  • Current Continuous Primary Payor Membership Episode End Date
  • 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.

• Provider Fields

  • Primary Plan Attributee Provider ID
  • Primary Plan Attributee Provider Description
  • Primary Plan Attributee Primary NUCC Provider Taxonomy Description

• Insurance Fields

  • Primary Payor Description
  • Primary Plan Description
  • Primary Plan Financial Class Description

• Denominator Fields

  • Is Denominator Event Criteria Met
  • Is Eligible Population
  • Is Continuous Membership Criterion Met
  • Is Any Required Exclusion
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death
  • Is Required Exclusion for Any Qualifying Mental Health Conditions
  • Qualifying Denominator Index Episode Start Date
  • Qualifying Denominator PHQ Loinc
  • Qualifying Denominator PHQ Score

• Numerator Fields

  • Numerator Document Effective Date
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Is Age Appropriate Screener Complete
  • Numerator Result Numeric

• Metadata Fields

  • Is Parameter Set to Override Continuous Enrollment Criteria
  • Is Parameter Set to Override Payor Criteria
  • Numerator Window Start Date
  • Numerator Window End Date

• Validation Only Fields

  • Intake Period Start Date
  • Intake Period End Date
  • Is Current Year Continuous Membership Criterion Met
  • Is Prior Year Continuous Membership Criteria Met

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

  • Is NCQA Numerator Criteria Met
  • Is Record with Payer that Meets NCQA Epop Criteria
  • Output NCQA Payer Type Code
  • NCQA Gender Code
  • Patient Age Integer Unbounded by Death

• [No Field Group]

  • Ursa Serial ID