Denominator Exceptions

Similar documents
All visits for patients with diagnosis of epilepsy. Denominator Statement Denominator Exceptions

Female patients or caregivers counseled* at least once a year about how epilepsy and its treatment may affect contraception OR pregnancy.

All patients with a diagnosis of treatment resistant (intractable) epilepsy.* Denominator Statement

Patient is unable to communicate and caregiver/informant is unavailable to provide information. Risk

MEASURE #9: MIGRAINE OR CERVICOGENIC HEADACHE RELATED DISABILITY FUNCTIONAL STATUS Headache Quality Improvement Only

Screening and Management of Behavioral and Psychiatric Symptoms Associated with Dementia

ICD-9 to ICD-10 Conversion of Epilepsy

MEASURE #4: Overuse of Barbiturate Containing Medications for Primary Headache Disorders Headache

MEASURE #1: MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK Headache

Pain Assessment and Follow-Up for Patients with Dementia

Measure Components Numerator Statement

Quality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment National Quality Strategy Domain: Effective Clinical Care

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

NUMERATOR: All patients with a diagnosis of Parkinson s Disease who were assessed for cognitive impairment or dysfunction in the past 12 months

MEASURE #3: PREVENTIVE MIGRAINE MEDICATION PRESCRIBED Headache

Epilepsy Update 2017 Quality Measurement Set

Background. Correlation between epilepsy and attention deficit hyperactivity disorder. Background. Epidemiology of ADHD among children with epilepsy

Do Not Cite. Draft for Work Group Review.

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Efficiency

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome

Pharmacological Treatment of Dementia

Do Not Cite. For Public Comment Period DRAFT MEASURE #3: Evaluation of Pulmonary Status Ordered MUSCULAR DYSTROPHY

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Efficiency

NUMERATOR: Female patients or caregivers counseled at least once a year about how epilepsy and its treatment may affect contraception OR pregnancy

Measure #106 (NQF 0103): Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

Evaluation and management of drug-resistant epilepsy

Measure #6: ALS Noninvasive Ventilation Treatment for Respiratory Insufficiency Discussed Amyotrophic Lateral Sclerosis

Subject: Cannabidiol (Epidiolex )

Measure #412: Documentation of Signed Opioid Treatment Agreement National Quality Strategy Domain: Effective Clinical Care

Laurence M. Hirshberg, Sufen Chiu, and Jean A. Frazier

33rd International Epilepsy Congress 2019 Sunday

Overuse of barbiturate and opioid containing medications for primary headache disorders Description

NEURO/PSYCH FOR PRIMARY CARE. San Juan, Puerto Rico InterContinental San Juan February 25 28, 2016

Clinical Policy: Ambulatory Electroencephalography Reference Number: CP.MP.96

Neuropsychological Testing (NPT)

ADMINISTRATIVE POLICY AND PROCEDURE

Measure #110 (NQF 0041): Preventive Care and Screening: Influenza Immunization National Quality Strategy Domain: Community/Population Health

Pediatric Epilepsy Care in Milwaukee

Measure #403: Adult Kidney Disease: Referral to Hospice National Quality Strategy Domain: Patient and Caregiver-Centered Experience and Outcomes

Autism & Epilepsy: Which Comes First?

33rd International Epilepsy Congress 2019 Sunday

Matthew P. Janicki, Ph.D.

Measure #412: Documentation of Signed Opioid Treatment Agreement National Quality Strategy Domain: Effective Clinical Care

Neurology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)

SETPEG GENETIC TESTING GUIDELINES Version 1.0, 5 th October 2017

Quality ID #435: Quality of Life Assessment For Patients With Primary Headache Disorders National Quality Strategy Domain: Effective Clinical Care

Controlled IOP Uncontrolled IOP Diabetes with or without retinopathy

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE

Case study 2 Diacomit and severe myoclonic epilepsy in infancy*... Payer approval

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

Measure #402: Tobacco Use and Help with Quitting Among Adolescents National Quality Strategy Domain: Community / Population Health

American Medical Association, American Academy of Neurology Institute and American Psychiatric Association (2016)

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

Measure #408: Opioid Therapy Follow-up Evaluation National Quality Strategy Domain: Effective Clinical Care

MEDICAL POLICY: Telehealth Services

Quality ID #414: Evaluation or Interview for Risk of Opioid Misuse National Quality Strategy Domain: Effective Clinical Care


Presurgical Evaluation before Epilepsy Surgery

Epilepsy management What, when and how?

Clinical Commissioning Policy: Vagal Nerve Stimulation (VNS) December Reference : NHSCB/D4/c/7

Child-Youth Epilepsy Overview, epidemiology, terminology. Glen Fenton, MD Professor, Child Neurology and Epilepsy University of New Mexico

Medicare Part C Medical Coverage Policy

Paediatric Epilepsy Update N o r e e n Te a h a n canp C o l e t t e H u r l e y C N S E p i l e p s y

Updated advice for nurses who care for patients with epilepsy

emeasure Titles and Descriptions

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY

2. Area of the brain affected by the seizures.

Clinical Commissioning Policy: Deep Brain Stimulation for Refractory Epilepsy

13th ECE - Programme at a Glance

13th ECE Vienna - PROGRAMME AT A GLANCE

EDUCATING PRIMARY HEALTH PRACTITIONERS ABOUT EPILEPSY

SUBSTANCE USE/ABUSE CODING FACT SHEET FOR PRIMARY CARE CLINICIANS

Documentation Tips for Quality Measures

Epilepsy in the Primary School Aged Child

Clinical Policy: Digital EEG Spike Analysis

Electroencephalography

General Providers. Tamper-Resistant Prescription Requirements

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder

Quality ID #110 (NQF 0041): Preventive Care and Screening: Influenza Immunization National Quality Strategy Domain: Community/Population Health

Measure #286: Dementia: Counseling Regarding Safety Concerns National Quality Strategy Domain: Patient Safety

Quality ID #166 (NQF 0131): Coronary Artery Bypass Graft (CABG): Stroke- National Quality Strategy Domain: Effective Clinical Care

Epilepsy Across the Spectrum Promoting Health and Understanding

Reporting Performance Measures. An Introduction for PCPs & Staff Nov. 4, 2016

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

PQRS in TRAKnet 2015 GUIDE TO SUBMIT TING AND REPORTING PQRS IN 2015 THROUGH TRAKNET

Measure #355: Unplanned Reoperation within the 30 Day Postoperative Period National Quality Strategy Domain: Patient Safety

CONVULSIONS - AFEBRILE

Measure #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care

Public Mental Health. Benedetto Saraceno University Nova of Lisbon University of Geneva Chairman Global Initiative on Psychiatry, The Netherlands

Note: This is an outcome measure and will be calculated solely using registry data.

13th ECE Vienna - PROGRAMME AT A GLANCE

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

Note: This is an outcome measure and will be calculated solely using registry data.

Ganaxolone as a Treatment for Drug-Resistant Epilepsy in Children

Behavioral Health Clinician in Primary Care Billing & Coding Guidance (Created September 2017)

Connecticut Medicaid Emerging Adults

The Potential of SNOMED CT to Improve Patient Care. Dec 2015

Epidemiologic Research and Surveillance of the Epilepsies

Transcription:

MEASURE #5: Screening for Psychiatric or Behavioral Health Disorders Measure Description Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders. Measure Components Numerator Statement Patient visits where patient was screened* for psychiatric or behavioral health disorders.** *Screened: Questioning by the individual provider to identify areas of concern, may include standardized testing. **Psychiatric or behavioral disorders may include, but are not limited to anxiety, depression, suicidality, mood disorder, attention deficit hyperactive disorder, cognitive dysfunction, or other neurobehavioral disorders. Statement Exceptions Supporting Guideline & Other References All visits for patients with diagnosis of epilepsy. Caregiver is unavailable for a patient who is non-communicative or has an intellectual disability. Patient has an existing diagnosis of psychiatric disorder and is being actively treated. Patient declines screening. The following clinical recommendation statements are quoted verbatim from the referenced clinical guidelines and represent the evidence base for the measure: If a person with epilepsy is found to have evidence of a mood disorder (e.g., depression, anxiety), then s/he should receive treatment or a referral for mental health care. (Level 2+/Primary) 1 A person with epilepsy should receive screening for depression at least once each year. (Level 4/Secondary) 1 It is recommended that mutual support groups for parents/families of vulnerable pediatric patients (i.e., children with ) in the inpatient care setting be developed, implemented and evaluated. The evidence demonstrates that parent support groups can: improve parental attitudes, increase parental knowledge, decrease parental anxiety. (Level IVb and IIb) 2 If seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon* for further assessment. Referral should be considered when one or more of the following criteria are present:...there is psychological and/or psychiatric co-morbidity. (Level IIb) 3 Maintain a high level of vigilance for treatment-emergent adverse effects (for example, bone health issues and neuropsychiatric issues*). [new 2012] *Treatment with AEDs [Antiepileptic Drug] is 33

associated with a small risk of suicidal thoughts and behavior; available data suggest that the increased risk applies to all AEDs and may be seen as early as 1 week after starting treatment. 3 In making a care plan for a child, young person or adult with learning disabilities and epilepsy, particular attention should be paid to the possibility of adverse cognitive and behavioral effects of AED therapy. (Level IV) 3 Neuropsychological assessment should be considered in children, young people and adults in whom it is important to evaluate learning disabilities and cognitive dysfunction, particularly in regard to language and memory. (Level IV) 3 Psychological interventions (relaxation, cognitive behavior therapy, biofeedback) may be used in conjunction with AED therapy in adults where either the person or the specialist considers seizure control to be inadequate with optimal AED therapy. This approach may be associated with an improved quality of life in some people. 3 Psychological interventions (relaxation, cognitive behavior therapy) may be used in children and young people with drug-resistant focal epilepsy. 3 Psychological interventions may be used as adjunctive therapy. 3 Rationale for the Measure: Opportunity for Improvement References The prevalence of psychiatric and behavioral health comorbidities in patients with epilepsy is well documented and the relationship between epilepsy and psychiatric and behavioral health disorders is complex. 4 Cognitive dysfunction is also a major concern for all people with epilepsy. 3,6,7 A gap remains between early detection, treatment, and prevention of psychiatric, cognitive, and social comorbidities in epilepsy. 5 Patients with epilepsy report dissatisfaction with life overall and perceive limitations in their social and emotional support. 6 This measure was created to ensure all patients, pediatric and adult, receive timely and standardized screening, thereby increasing the likelihood of early intervention and treatment which should increase patient s quality of life. Given the psychiatric and cognitive burdens, routine screening should be a standard component for pediatric and adult care. Brief, uniform screening is needed to identify patients at risk and standardize their access to care. 5 Routine screening and interventions are not currently being performed. Implementation of this measure will increase screening rates, and thereby improve treatment of behavioral health comorbidities. 1 Pugh MJ, Berlowitz DR, Montouris G, et al. What constitutes high quality of care for adults with epilepsy? Neurology 2007;69:2020-2027. 2 Cincinnati Children's Hospital Medical Center. Best evidence statement (BESt). Inpatient support groups for families of children with. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2009 May 13:5. Available at: 34

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja& uact=8&ved=0ccuqfjaa&url=http%3a%2f%2fwww.cincinnatichildrens.org%2 FWorkArea%2FDownloadAsset.aspx%3Fid%3D88037&ei=YmofU83IFIapyAG314 E4&usg=AFQjCNHowYnwapU-5NFpAM0yzYDMMl4wLA Accessed on March 11, 2014. 3 National Institute of Clinical Health and Excellence. The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care (update). 2012. Clinical guideline 137. Available at: http://www.nice.org.uk/nicemedia/live/13635/57779/57779.pdf Accessed on February 18, 2014 4 England MJ, Liverman CT, Schultz AM, and Strawbridge LM. Epilepsy across the Spectrum: Promoting health and understanding. 1 st ed. Washington, D.C.: The National Academies Press; 2012. Available at: http://www.iom.edu/reports/2012/epilepsy-across-the-spectrum.aspx Accessed February 4, 2014. 5 Lin JJ, Mula M, Herman BP. Uncovering the neurobehavioral comorbidities of epilepsy over the lifespan. Lancet 2012;380:1180-1192. 6 Kobau R, Luncheon C, Zack MM, et al. Satisfaction with life domains in people with epilepsy. Epilepsy Behav. 2012;25:546-551. 7 Vingerhoets G. Cognitive effects of seizures. Seizure 2006;15(4):221-226. Available at: http://www.sciencedirect.com/science/article/pii/s1059131106000380 Accessed on February 24, 2014. Measure Designation Measure purpose Type of measure Level of Measurement National Quality Strategy Domains Care setting Data Sources Quality improvement Accountability MOC Process Outcome Structure Individual Provider Practice Patient and Family Engagement Patient Safety Care Coordination Population/Public Health Efficient Use of Healthcare Resources Clinical Process/Effectiveness Outpatient Inpatient Emergency Departments and Urgent Care Electronic health record (EHR) data Administrative Data/Claims 35

Technical Specifications: Electronic Health Record (EHR) Data The AAN is in the process of creating code value sets and the logic required for electronic capture of the quality measures with EHRs. A listing of the quality data model elements, code value sets, and measure logic (through the CMS Measure Authoring Tool) for each of the epilepsy measures will be made available at a later date. Technical Specifications: Electronic Administrative Data (Claims) Administrative claims data collection requires users to identify the eligible population (denominator) and numerator using codes recorded on claims or billing forms (electronic or paper). Users report a rate based on all patients in a given practice for whom data are available and who meet the eligible population/ denominator criteria. (Eligible Population) ICD-9 and ICD-10 Diagnosis Codes: ICD-9 Codes 345.00, generalized nonconvulsive epilepsy, without mention of 345.01, generalized nonconvulsive epilepsy, with 345.10, generalized convulsive epilepsy, without mention of 345.11, generalized convulsive epilepsy, with 345.40, Localization-related (focal) syndromes with complex partial seizures, without mention of 345.41, Localization-related (focal) syndromes with complex partial seizures, with 345.50, Localization-related (focal) ICD-10 Codes G40.A01 Absence epileptic syndrome, not intractable, with OR G40.A09 absence epileptic syndrome, not intractable, G40.A11 Absence epileptic syndrome, intractable with OR G40.A19 absence epileptic syndrome, intractable, without G40.309 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without OR G40.401 Other generalized epilepsy and epileptic syndromes, not intractable, with OR G40.409 Other generalized epilepsy and epileptic syndromes, not intractable, without G40.311 Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus OR G40.411 Other generalized G40.201 Localization-related (focal) (partial) with complex partial seizures, not intractable, with OR G40.209 Localization-related (focal) (partial) with complex partial seizures, not intractable, G40.211 Localization-related (focal) (partial) with complex partial seizures, intractable, with OR G40.219 Localization-related (focal) (partial) with complex partial seizures, intractable, G40.101 Localization-related (focal) (partial) 36

syndromes with simple partial seizures, without mention of 345.51, Localization-related (focal) syndromes with simple partial seizures, with 345.60, Infantile spasms, without mention of 345.61, Infantile spasms, with 345.70, Epilepsia partialis continua, without mention of 345.71, Epilepsia partialis continua, with 345.90, Epilepsy, unspecified, without mention of with OR G40.109 Localization-related (focal) (partial) G40.111 Localization-related (focal) (partial) with simple partial seizures, intractable, with or: G40.119 Localization-related (focal) (partial) with simple partial seizures, intractable, without 2014 ICD-10-CM G40.821 Epileptic spasms, not intractable, with or: G40.822 Epileptic spasms, not intractable, G40.823 Epileptic spasms, intractable, with or: G40.824 Epileptic spasms, intractable, without G40.101 Localization-related (focal) (partial) with or: G40.109 Localization-related (focal) (partial) G40.111 Localization-related (focal) (partial) with simple partial seizures, intractable, with or: G40.119 Localization-related (focal) (partial) with simple partial seizures, intractable, without G40.901 Epilepsy, unspecified, not intractable, with or: G40.909 Epilepsy, unspecified, not intractable, 345.91, Epilepsy, unspecified, with G40.911 Epilepsy, unspecified, intractable, with or: G40.919 Epilepsy, unspecified, intractable, AND CPT E/M Service Code: 99201, 99202, 99203, 99204, 99205 (Office or other outpatient visit-new Patient); 99211, 99212, 99213, 99214, 99215 (Office or other outpatient visit-established Patient); 99241, 99242, 99243, 99244, 99245 (Office or Other Outpatient Consultation-New or Established Patient) 37