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. 2020 Sep 9;11(4):580–588. doi: 10.1055/s-0040-1715828

Table 1. Annual screening domains.

Measure Description Measure steward
Preventive care and screening: screening for depression and follow-up plan (CMS2; PREV-12; NQF 0418) Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen. Centers for Medicare and Medicaid Services (CMS)
Fall: screening for future fall risk (CMS139; CARE-2; NQF 0101) Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period. National Committee for Quality Assurance
SBIRT substance abuse screening and follow-up Percentage of patients age 18+ who were screened for excessive drinking and drug use and follow-up was performed if indicated. MO Healthnet Primary Care Health Home
Advance care plan (Quality ID #47; NQF 0326) Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. National Committee for Quality Assurance, Physician Consortium for Performance Improvement