HCC Best Practice: Suspected Major Depression

BPA Spotlight - Major Depression Suspect BPA

To help providers identify patients with a potential Major Depressive, Bipolar or Paranoid Disorder (HCC 59) diagnosis, the clinical documentation excellence (CDE) team in collaboration with clinical leaders have created logic within the HCC Best Practice Advisory (BPA) based on the following criteria:

HCC 59 – Major Depressive, Bipolar and Paranoid Disorders

(1 and 2) or (3 and 4)

1. Patient age is greater than or equal to 18
2. PHQ-9 score of 5 or greater in last 1 year
3. Patient age is 12-17
4. PHQ-9 score of greater than 9 in last 1 year

Identifying the Suspect BPA

• Morbid Obesity Suspected BPAs will always have a header above the condition with the language “Probable Condition Based on Epic Documentation – Major Depression” in a Grey Bar.
• Any Suspected Conditions will populate towards the top portion of the BPA tool.
• Similar to the standard Recapture Chronic Conditions in the BPA, the provider will always have the button selections of “Add Visit Diagnosis” to add the condition; “Do Not Add” to suppress the alert to the next appointment; or “N/A to Patient” to disagree and remove the condition from the tool.
• To refer to the logic outlined above, the provider can select the “link” hyperlink from the “For more information on Ochsner / Epic Probable Condition Logic click this link.”