Cms-10434 #26 Cqm2018-cdf-ch

Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
CQM 2018 - Screening for Depression and Followup Plan: Ages 12-17 (CDF-CH) Core Measure PRA
Document
Version 1.0
07/19/2018

Document Number: 428-CQM-2018-CDF-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Screening for Depression and Follow-up Plan: Ages 12-17 (CDF-CH)
Screenshots ............................................................................................................. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14
1.15
1.16
1.17

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure ..................................................................................... 4
Deviations from Measure Specifications- Screenshot 1 .................................. 4
Deviations from Measure Specifications – Screenshot 2 ................................ 5
Combined Rate(s) from Multiple Reporting Units ............................................ 5
Additional Notes/Comments on Measure (Optional) ....................................... 5
Optional Measure Stratification – Screenshot 1 .............................................. 6
Optional Measure Stratification – Screenshot 2 .............................................. 6
Optional Measure Stratification – Screenshot 3 .............................................. 7
Optional Measure Stratification – Screenshot 4 .............................................. 7
Optional Measure Stratification – Screenshot 5 .............................................. 8
Optional Measure Stratification – Screenshot 6 .............................................. 8
Optional Measure Stratification – Screenshot 7 .............................................. 9

Appendix A: Acronyms ............................................................................................... 10

List of Figures
Figure 1: Measurement Specifications – Path 1........................................................................................ 1
Figure 2: Measurement Specifications – Path 2 ............................................................................................ 1
Figure 3 : Data Source................................................................................................................................... 2
Figure 4: Date Range .................................................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................................................ 3
Figure 6: Performance Measure .................................................................................................................... 4
Figure 7: Deviations from Measure Specifications – Screenshot 1 ................................................................ 4
Figure 8: Deviations from Measure Specifications – Screenshot 2 ................................................................ 5
Figure 9: Combined Rate(s) from Multiple Reporting Units ........................................................................... 5
Figure 10: Additional Notes/Comments on Measure (Optional) ..................................................................... 5
Figure 11: Optional Measure Stratification – Screenshot 1............................................................................ 6
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List of Tables

Figure 12: Optional Measure Stratification – Screenshot 2............................................................................ 6
Figure 13: Optional Measure Stratification- Screenshot 3 ............................................................................. 7
Figure 14: Optional Measure Stratification-Screenshot 4 .............................................................................. 7
Figure 15: Optional Measure Stratification - Screenshot 5 ............................................................................ 8
Figure 16: Optional Measure Stratification- Screenshot 6 ............................................................................. 8
Figure 17: Optional Measure Stratification - Screenshot 7 ............................................................................ 9

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. Screening for Depression and Follow-up Plan: Ages
12-17 (CDF-CH) Screenshots
1.1

Measurement Specifications – Path 1

Figure 1: Measurement Specifications – Path 1

1.2

Measurement Specifications – Path 2

Figure 2: Measurement Specifications – Path 2

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1.3

Data Source

Data Source

Figure 3 : Data Source

1.4

Date Range

Figure 4: Date Range

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1.5

Definition of Population Included in the Measure

Definition of Population Included in the Measure

Figure 5: Definition of Population Included in the Measure

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1.6

Performance Measure

Performance Measure

Figure 6: Performance Measure

1.7

Deviations from Measure Specifications- Screenshot 1

Figure 7: Deviations from Measure Specifications – Screenshot 1

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1.8

Deviations from Measure Specifications – Screenshot 2

Deviations from Measure Specifications – Screenshot 2

Figure 8: Deviations from Measure Specifications – Screenshot 2

1.9

Combined Rate(s) from Multiple Reporting Units

Figure 9: Combined Rate(s) from Multiple Reporting Units

1.10 Additional Notes/Comments on Measure (Optional)

Figure 10: Additional Notes/Comments on Measure (Optional)

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Optional Measure Stratification – Screenshot 1

1.11 Optional Measure Stratification – Screenshot 1
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 11: Optional Measure Stratification – Screenshot 1

1.12 Optional Measure Stratification – Screenshot 2

Figure 12: Optional Measure Stratification – Screenshot 2

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Optional Measure Stratification – Screenshot 3

1.13 Optional Measure Stratification – Screenshot 3

Figure 13: Optional Measure Stratification- Screenshot 3

1.14 Optional Measure Stratification – Screenshot 4

Figure 14: Optional Measure Stratification-Screenshot 4

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Optional Measure Stratification – Screenshot 5

1.15 Optional Measure Stratification – Screenshot 5

Figure 15: Optional Measure Stratification - Screenshot 5

1.16 Optional Measure Stratification – Screenshot 6

Figure 16: Optional Measure Stratification- Screenshot 6

CQM 2018 - Screening for Depression and Follow-up Plan: Ages 12-17 (CDF-CH) Core Measure PRA Document Version
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Optional Measure Stratification – Screenshot 7

1.17 Optional Measure Stratification – Screenshot 7

Figure 17: Optional Measure Stratification - Screenshot 7

CQM 2018 - Screening for Depression and Follow-up Plan: Ages 12-17 (CDF-CH) Core Measure PRA Document Version
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Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

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