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CMS 128 - Anti-depressant Medication Management

Updated: 05/16/2024|Views: 2773

CMS 128 / Quality ID #009

Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported.

  1. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks)
  2. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months)
Denominator: Patients 18 years of age and older as of April 30 of the measurement period who were dispensed antidepressant medications during the Intake Period, and were diagnosed with major depression 60 days prior to, or 60 days after the dispensing event and had a visit 60 days prior to, or 60 days after the dispensing event.
  • Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
  • Create a note detailing the patient’s office visit.
  • The diagnosis of "Major Depression" is entered in the patient’s Problems with a Start Date.
  • Antidepressants are added to Medications.
Denominator Exclusions: Patients who were actively on an antidepressant medication in the 105 days prior to the Index Prescription Start Date (IPSD). Exclude patients whose hospice care overlaps the measurement period who are in hospice care for any part of the measurement period.
  • Hospice is documented under Hospice in History. These patients will be excluded from the denominator.
Numerator 1: Patients who have received antidepressant medication for at least 84 days (12 weeks) of continuous treatment beginning on the IPSD through 114 days after the IPSD (115 total days).
  • Based on the medications prescribed initially and in follow-up visits, Clinical will calculate how many days the patient has been on the medication.
Numerator 2: Patients who have received antidepressant medications for at least 180 days (6 months) of continuous treatment beginning on the IPSD through 231 days after the IPSD (232 total days).
  • Based on the medications prescribed initially and in follow-up visits, the system will calculate how many days the patient has been on the medication.
Office Visit Documentation:

Once all steps have been completed, the measure will be added to the Quality Measures Report.

Measure type: Process
High Priority Measure: No
Telehealth Eligible: Yes
Guidance: To identify new treatment episodes for major depression, there must be a 105-day negative medication history (a period during which the patient was not taking antidepressant medication) prior to the dispensing event associated with the IPSD.
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