Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Core Quality Measures Collaborative (CQMC) Consensus Core Set: Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs), and Primary Care
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Preventive Care

Defining Attributes

Definition

Percentage of patients aged 12 years and older screened for depression on the date of the encounter or 14 days prior to the date of the encounter using an age appropriate standardised depression screening tool AND if positive, a follow-up plan is documented on the date of the eligible encounter.

Numerator

Patients screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age appropriate standardised tool AND, if positive, a follow-up plan is documented on the date of the eligible encounter.

Denominator

All patients aged 12 years and older at the beginning of the measurement period with at least one eligible encounter during the measurement period.

Exclusions

Denominator Exclusions: Not Eligible – A patient is not eligible if one or more of the following conditions are documented during the encounter during the measurement period: (1) Patient has an active diagnosis of depression prior to any encounter during the measurement period, (2) Patient has a diagnosed bipolar disorder prior to any encounter during the measurement period. Denominator Exceptions: Patients with a Documented Reason for not Screening for Depression: (1) Patient refuses to participate, (2) Patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardise the patient's health status, (3) Situations where the patient's functional capacity or motivation to improve may impact the accuracy of results of standardised depression assessment tools. For example: certain court appointed cases or cases of delirium.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Standardised clinical data
Data Collection Methods

Reporting is specific to sub-program

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025