Screening for Depression and Follow-Up Plan
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Universal Foundation measures
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Mental Health
Defining Attributes
Definition
Percentage of 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 depression screening tool and if positive, a follow-up plan is documented.
Numerator
Denominator
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
MIPS Clinical Quality Measures (CQMS)
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Traditional MIPS
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
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)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
Contents
Actions
Date Modified 02 December 2025