2023 # MBHR05 Monitoring for psychosocial problems among children and youth

Measure Title:Monitoring for psychosocial problems among children and youth

Description: Percentage of children from 3 to 17 years of age who are receiving a psychiatric or behavioral health intake visit AND who demonstrated a reliable change in parent-reported problem behaviors 2 to 10 months after initial positive screen for externalizing and internalizing behavior problems.  

This measure relies on the Pediatric Symptom Checklist-17 (PSC-17) assessment tool, which can be found here.

Denominator: DENOMINATOR:
All patients aged 3 to 17 years of age receiving a psychiatric or behavioral intake visit and an Index Pediatric Symptom Checklist Externalizing Subscale (PSC-ES) score above 6 or an Index Pediatric Symptom Checklist Internalizing Subscale (PSC-IS) score above 4 during the measurement period.

Denominator Criteria (Eligible cases):
Patients aged 3 to 17 years
AND 
Patient encounter during the performance period (CPT): 0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354,  99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439 
AND
Pediatric Symptom Checklist Externalizing Subscale (PSC-ES) score above 6 points at index
OR
Pediatric Symptom Checklist Internalizing Subscale (PSC-IS) score above 4 points at index
AND
a follow-up PSC score during the measurement period

Numerator: Patients who demonstrated a Response to Treatment as indicated by a positive improvement of 2 or more points on the PSC-ES or PSC-IS assessments taken 2 to 10 months later.

Denominator Exclusions: None

Denominator Exceptions: Patients who present an acute condition or crisis during the intake visit who are not administered a behavior problem screener.

National Quality Forum (NQF) number, if applicable
N/A

Care setting(s) 
Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Hospital; Long Term Care; Outpatient Services; Rehabilitation Facility; Rehabilitation Facility: Inpatient

Telehealth, if applicable
Yes

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS