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Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity

Percentage of patients aged 18 years and older with a diagnosis or recurrent episode of major depressive disorder (MDD) with evidence that they met the DSM-IV criteria for MDD AND for whom there is an assessment of depression severity during the visit in which a new diagnosis or recurrent episode was identified.

Date Reviewed: April 27, 2015

Measure Info

NQF 0103CMS 106NQF Endorsement Removed
Measure Type: 
Process
Measure Steward: 
Physician Consortium for Performance Improvement
Clinical Topic Area: 
Depression

Care Setting: 
Outpatient
Data Source: 
Registry

ACP does not support PQRS 106: “Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation”. The two issues with this measure are: 1) it specifically requires using DSM-IV criteria rather than any standardized valid and reliable isntrument to diagnose depression; 2) documentation of complete DSM-IV criteria as described in this measure is highly burdensome to the provider without improvements in current electronic data entry systems; and 3) the current American Psychiatric Association (APA) guideline recommends a thorough diagnositc assessment in order to establish a diagnosis of MDD and does not state that formal DSM-IV criteria need to be met. In addition, there is no evidence that there is a current gap in patient care.