The percentage of patients with a history of a traumatic event (i.e., an experience that was unusually or especially frightening, horrible, or traumatic) who report symptoms consistent with PTSD for at least one month following the traumatic event AND with documentation of a standardised symptom monitor (PCL-5 for adults, CATS for child/adolescent) AND demonstrated a response to treatment at six months (+/- 120 days) after the index visit. This measure is a multi-strata measure, which addresses symptom monitoring for both child and adult patients being treated for post-traumatic stress symptoms. Assessment instruments monitoring severity of symptoms for PTSD are validated either for adult or child populations. Thus, while the measurement structure will be similar for both populations, the specified instruments for symptom monitoring will be different.

The number of patients in the denominator who demonstrated a response to treatment, using the identified validated PTSD self-report symptom monitor for the patient's age group with a demonstrated change score indicating improvement.

1. For adults (age 18 and older), the instrument is the PCL-5, and a score reflecting symptom improvement is decrease of 5 or more on the total score from baseline administration.
2. For children and adolescents, age 7-17, a CATS, score decrease of 12 or more in the total score OR a score less than 15 on the follow-up administration.

Adult patients (18 years of age or older) with one of the PTSD related diagnoses

Patients who die OR Are enrolled in hospice in the measurement year OR Are unable to complete the required assessment measure at follow-up due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available Ongoing care not indicated (e.g., referred to another provider or facility, consultation only) OR Patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown) OR Medical reasons (e.g., scheduled for surgery or hospitalised)

None

MBHR Mental and Behavioural Health Registry in Collaboration with Healthmonix

qpp.cms.gov/mips/traditional-mips

qpp.cms.gov/resources/document/21270f55-5241-4fe4-af2f-800931504a65