Adult Major Depressive Disorder: Coordination of Care of Patients with Specific Comorbid Conditions
Percentage of medical records of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) and a specific diagnosed comorbid condition (diabetes, coronary artery disease, ischemic stroke, intracranial hemorrhage, chronic kidney disease [stages 4 or 5], End Stage Renal Disease [ESRD] or congestive heart failure) being treated by another clinician with communication to the clinician treating the comorbid condition.
ACP does not support QPP measure 325: "Coordination of Care of Patients with Specific Comorbid Conditions." While this measure represents an important clinical concept, there is a lack of high-quality evidence examining the impact of disease communication on meaningful clinical outcomes. Additionally, the measure specifications do not include appropriate exclusion criteria for patients with mild or stable depression. Furthermore, it is burdensome for clinicians to retrieve specialists’ reports for all patient visits, especially if the primary care clinician did not refer the patient to care.