MBHR05 Monitoring for psychosocial problems among children and youth

Measure Title

Monitoring for psychosocial problems among children and youth

Measure 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.  

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

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. (Pro2005.2_Ex )

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

Functional Outcomes

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

 Ratio Measure

No

Number of performance rates to be submitted

1

Measure Risk-Adjusted?

No

 Care Setting

Ambulatory Care: Clinician Office/Clinic, Ambulatory Care: Hospital, Hospital, Long Term Care, Outpatient Services, Rehabilitation Facility, Rehabilitation Facility: Inpatient  

Includes Telehealth?    

Yes