Measure Title
Anxiety Response at 6-months
Measure Description
The percentage of adult patients (18 years of age or older) with an anxiety disorder (e.g., generalized anxiety disorder, social anxiety disorder, or panic disorder) who demonstrated a response to treatment (GAD-7 score at least 25% less than score at index event) at 6-months (+/- 60 days) after an index visit.
Denominator
Patients aged ≥ 18 years on date of encounter
AND
Diagnosis of anxiety disorder (generalized anxiety disorder, social anxiety disorder, or panic disorder) ICD-10-CM: F40.1, F40.10, F40.11, F41.0, F41.1, F41.3, F41.8, F41.9, F43.1
AND
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
GAD-7 administered at index visit, with an observed score >=8
AND
GAD-7 administered at follow-up visit within 6- months (+/- 60 days) of index
Numerator
The number of patients in the denominator who demonstrated a response to treatment, with a GAD-7 result that is reduced by 25% or greater from the index GAD-7 score, six months (+/- 60 days) after an index visit.
Denominator Exclusions
- Patients who die OR
• Are enrolled in hospice (PRO2002.1Y ) OR
• Are unable to complete an anxiety measure due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available OR
• Are diagnosed with schizophrenia or psychotic spectrum disorder OR are diagnosed with a personality disorder (ICD-10-CM)
F20.0 – Paranoid schizophrenia
F20.1 – Disorganized schizophrenia
F20.2 – Catatonic schizophrenia
F20.3 – Undifferentiated schizophrenia
F20.5 – Residual schizophrenia
F20.81 – Schizophreniform disorder
F20.89 – Other schizophrenia
F20.9 – Schizophrenia, unspecified
F22 – Delusional Disorder
F23 – Brief psychotic disorder
F25.0 – Schizoaffective disorder, bipolar type
F25.1 – Schizoaffective disorder, depressive type
F25.8 – Other schizoaffective disorders
F25.9 – Schizoaffective disorder, unspecified
F28 – Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
F29 – Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
F21 – Schizotypal Personality Disorder
F60.0 – Paranoid Personality Disorder
F60.1 – Schizoid Personality Disorder
F60.2 – Antisocial Personality Disorder
F60.3 – Borderline Personality Disorder
F60.4 – Histrionic Personality Disorder
F60.5 – Obsessive-Compulsive Personality Disorder
F60.6 – Avoidant Personality Disorder
F60.7 – Dependent Personality Disorder
F60.81 – Narcissistic Personality Disorder
F60.89 – Other Specified Personality Disorder
F60.9 – Unspecified Personality Disorder
Denominator Exceptions (PRO2002.8Y)
- 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 hospitalized)
NQF Number
N/A
NQS Domain
Effective Clinical Care
High Priority
Yes
High Priority Type
Outcome
Measure Type
Patient Reported Outcome (PRO)
Meaningful Measure Area
Prevention, Treatment, and Management of Mental Health
Inverse Measure
No
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Number of performance rates to be submitted
1
Measure Risk-Adjusted?
Yes
Care Setting
Ambulatory Care: Clinician Office/Clinic, Ambulatory Care: Hospital, Home Care, Hospital, Hospital Inpatient, Hospital Outpatient, Long Term Care, Nursing Home, Outpatient Services, Rehabilitation Facility, Rehabilitation Facility: Inpatient
Includes Telehealth?
Yes