SCGhealth Blog

Screen for Depression During Mental Health Awareness Month

Wednesday, May 02, 2018

By Audrey Landers

Depression is an often misunderstood and underestimated mental illness. Many consider it to be a simple sadness that can be powered through, but that could not be further from the truth. Sadness is a normal human emotion, and one that can often help to make a person stronger by learning to deal with it. It is caused by difficult, upsetting and hurtful events. With sadness, there is a resolution to work towards or a lesson to learn that can help one overcome it. Depression is another beast entirely. Depression is not triggered by any particular event and causes those who suffer from it to feel worthless, hopeless, and unmotivated in every situation. Depression can change a person’s personality, make them have thoughts of death or suicide and make them lose interest in things they once loved. Unlike sadness, depression is long-lasting, with symptoms lasting more than two weeks and occurring chronically.

It is estimated that more than 300 million people worldwide suffer from depression, with approximately 16 million American adults having suffered at least one depressive episode in the last year. 

Screen for Depression and Report MIPS Measures
Throughout the year you can do your part to bring awareness to depression by screening for it, which coincidentally will allow you to report the Merit-based Incentive Payment System (MIPS) Measure 134: Preventive Care and Screenings: Screening for Depression and Follow-up Plan. The measure should be reported at least once for each patient age 12 and older seen during the performance period. If the screening is positive, there must be a documented follow-up.

The accepted exceptions for this measure are patient refusal, an urgent situation, and decreased functional capacity seen in the patient.

Quality Data Code  Performance  Service Provided 
 G8431  Performance Met

Screening for depression is documented as positive
a follow-up plan is documented

 G8510  Performance Met
Screening for depression is documented as negative

 G8433  Denominator Exception

Screening for depression not completed
reason documented

 G8432  Performance Not Met
Depression screening not documented

 G8511  Performance Not Met

Screening for depression is documented as positive
no reason documented

In addition to this MIPS measure, SCG Health has also licensed the Qualified Clinical Data Registery (QCDR) Measure MSSIC1: Pre-Surgical Screening for Depression. This measure, created by the Michigan Spine Surgery Improvement Collaborative, is similar to MIPS 134 but is only performed before a surgical procedure.

May is National Mental Health Awareness Month. Mental Health America first started the awareness campaign in 1948, this year the theme is Fitness #4Mind4Body. MHA hopes this theme will help bring awareness to the connection between mental health and fitness. The organization will be distributing information on topics like nutrition, exercise and sleep throughout the month to encourage people across the country to do what they can to better both their physical and mental health.

Meet the Measure: Assessment of Patients for Obstructive Sleep Apnea

Monday, April 16, 2018

By Audrey Landers

Last week we gave you a sneak peek at the six measures SCG Health has created for the 2018 MIPS reporting year, but that’s not all we have to offer. We’ve also licensed 21 measures from 7 other Qualified Clinical Data Registries (QCDR), including AQI51-Assessment of Patients for Obstructive Sleep Apnea.

An estimated 22 million American adults have sleep apnea. Those with obstructive sleep apnea (OSA) have an especially high risk.OSA is the most common form of sleep apnea, and occurs when throat muscles relax. OSA is characterized by blocked airways and can cause those who suffer from it to snore loudly or even stop breathing during sleep, forcing them awake in order to reopen the airway. Overweight or obese patients are more likely to suffer from sleep apnea, though it can also be caused by old age. In addition, Men are twice as likely as women to developed sleep apnea.

Sleep apnea doesn’t only affect patients when they are asleep. Those who suffer from OSA often suffer from fatigue during the day due to constantly being woken up by lack breathing during the night. Other complications can include high blood pressure, heart problems and type two diabetes. Sleep apnea can also put strain on a patient’s relationship, as the loud snoring can disturb the sleep of their partner.

In addition to these problems, OSA can also cause serious issues for patients who receive anesthesia. Patients with OSA are naturally at risk for airway obstruction, and likely to be more sensitive than the average patient to the effects of anesthesia. In addition, patients with OSA may have more difficulty regaining consciousness after being sedated. Screening for OSA allows the surgical team to be aware of any extra risks and can allow you to create a more personalized care plan for your patients.

AQI51-Assessment of Patients for Obstructive Sleep Apnea is a QCDR measure owned by the Anesthesia Quality Institute. This measure is defined as the percentage of patients, aged 18 and older, who underwent an elective procedure under anesthesia who were screened preoperatively for Obstructive Sleep Apnea (OSA) using a standardized tool prior to the procedure. You must report this measure any time a patient undergoes an elective procedure under anesthesia during the reporting period.

Unlike many of the other measures we’ve covered in the SCG Health blog, the numerator options for this measure are very strait forward. Either you performed the screening or you didn’t.

Performance   Service Provided
 10A20  Performance Met

Patient was screened preoperatively for Obstructive
Sleep Apnea (OSA) using a standardized tool prior to
the procedure.

 10A21  Performance Not Met  

 Patient was NOT screened preoperatively for
Obstructive Sleep Apnea (OSA) using a
standardized tool prior to the procedure

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