Anxiety and Depression Change Package Measures

Measure

Measure Definition

Source of Measure

Measure Calculation (Numerator/Denominator)

Data Source

Measure Target/Goal

Associated Data Tool Questions

Measure 1: Administer behavioral /  social / emotional screening

% of patients 8-21 years old who have had an age- appropriate practice-standardized, behavioral/social/emotional screening administered at the most recent health supervision visit or at another health visit within the last year consistent with AAP recommendations.

AAP/Bright Futures

Numerator: # of patients ages 8-21 with medical record documented results (no use or use) from a behavioral/social/emotional screening tool administered at the most recent health supervision visit or at another health visit within the last year consistent with AAP guidelines.

Denominator: All patients ages 8-21 seen in practice for health supervision or other health visit whose records are viewed. 

Patient record/record review tool

10% improvement over baseline or 95%

2.       Is there documentation in the patient’s medical record indicating a behavioral / social / emotional health screening tool was administered at the most recent health supervision or other appropriate health visit?

Measure 2: Provide follow-up / establish a follow-up plan to a positive behavioral / social emotional screening

% of patients ages 8-21 with a positive screen (identified need) for whom a follow-up plan was established during a recent health supervision or other health visit. 

Bright Futures

Numerator: Total # of patients/families ages 8-21 for whom a follow-up plan was established following a positive screening result using a behavioral / social / emotional screening tool during a health supervision or other health visit in the past year.

Denominator: Total # of patients ages 8-21 who were identified with a positive screening result from a behavioral / social / emotional screening tool during a health supervision or other health visit in the past year.

Patient record/ record review tool

10% improvement over baseline or 95%

3.        Is there documentation in the medical record that a follow-up plan was established during the health supervision or other health visit? 

Measure 3: Provide a brief intervention at a recent health supervision or other health visit

% of patients / families ages 8-21 with a positive screen that receieved a brief intervention for anxiety or depression during the most recent health supervision visit or at another health visit in the last year.

Bright Futures

Numerator: # of patients/families ages 8-21 that received a brief intervention for anxiety or depression following a positive screening result using a behavioral / social / emotional screening tool during a health supervision visit or other health visit.

Denominator: Total # of patients ages 8-21 who were identify with a positive screening result from a behavioral / social / emotional screening tool during a health supervision or other health visit in the past year.

Patient record / Record review tool

10% improvement over baseline or 95%

5.        Is there documentation in the medical record indicating that a brief intervention was provided following a positive screen during the visit?

Measure 4: Address patient/ family concerns around behavioral/social/ emotional health (at every health supervision visit)

% of patients / families ages 8-21 that have behavioral / social / emotional health concerns addressed. 

Bright Futures

Numerator: Total # of patients/families ages 8-21 whose concerns were addressed during a health supervision or other health visits.

Denominator: All patients ages 8-21 seen in practice for health supervision or other health visit whose records are viewed.

Patient record / Record review tool

10% improvement over baseline or 95%

6.       Is there documentation in the medical record that patient / family concerns around behavioral / social / emotional health were addressed?

Measure 5: Discuss patient/family strengths (at every health supervision visit)

% of patients/families ages 8-21 with medical record documentation of discussion of patient/family strengths during a health supervision or other health visit in the past year. 

Bright Futures

Numerator: Total number of patients ages 8-21 who have documentation in their medical record of a discussion with the provider about patient/family strengths.

Denominator: All patients ages 8-21 seen in practice for health supervision or other health visit whose records are viewed. 

Patient record/ record review tool

10% improvement over baseline or 95%

7.        Is there documentation in the medical record that the provider discussed patient/family strengths during the health supervision or other health visit in the past year?

Balancing Measure

Impact of intervention on practice's clinical work (5-point Likert scale) measure

5-point Likert Scale: (5=Much easier, 4=Somewhat easier, 3=About the same, 2=Somewhat more difficult, 1=Much more difficult)

Provider/practice survey

Participating in the QI program made our practice's clinical work: 

o   Much easier

o   Somewhat easier

o   About the same

o   Somewhat more difficult

o   Much more difficult