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

INACTIVE REVIEW: This measure review is older than five years.

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

Care Setting
Data Source

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.