Galen eCalcs - Calculator: PHQ 2014 (Depression Screening)

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PHQ Screenshot.JPG

Description

The Patient Health Questionnaire (PHQ) is a depression scale. The questionnaire is split into two parts - PHQ-2 and PHQ-9. The first two questions are considered PHQ-2. Providers may use these two questions as an initial screen before choosing to answer the remaining 7 questions. PHQ-9 refers to the entire questionnaire.

Scoring

For PHQ 2, a negative score is considered 0-2 while a 3 or above is considered positive. For PHQ 9, a negative score is 0-10 and a positive score is >=11. SNOMED codes are associated with positive and negative results respectively.


Calculator Search/Filter Keywords

At the calculator level, eCalcs comes delivered with default keywords that can be leveraged in the "Search/Filter" field to enable Specialty or System driven calculator searching. The following calculator keywords are delivered by default for the PHQ 2014 calculator:

Specialties

  • Family Practice
  • Internal Medicine
  • Psychiatry

Systems

  • Nervous


Calculator Configuration Options

Preference Name Valid Range Description
Publishing Checked / Unchecked When checked the calculator will display for users on the front end.
When unchecked, the calculator WILL NOT display for users on the front end.
Create Task For Positives True / False “True” indicates that a task will be generated when a positive result is recorded.
“False” indicates that a task WILL NOT be generated when a positive result is recorded.
Force PHQ9 Mode True/False "True" indicates that the calculator will only display PHQ 9 questions.
"False" indicates that calculator will display PHQ 2 and PHQ 9 questions.
Negative Entry Code Entry Code/Mnemonic This value corresponds to the negative value in the answer dictionary.
PHQ2 Adolescent Orderable Item Code Entry Code/Mnemonic This value matches the PHQ 2 Adolescent Orderable Item in the OID.
PHQ2 Adult Orderable Item Code Entry Code/Mnemonic This value matches the PHQ 2 Adult Orderable Item in the OID.
PHQ9 Adolescent Orderable Item Code Entry Code/Mnemonic This value matches the PHQ 9 Adolescent Orderable Item in the OID.
PHQ9 Adult Orderable Item Code Entry Code/Mnemonic This value matches the PHQ 9 Adult Orderable Item in the OID.
Positive Entry Code Entry Code/Mnemonic This value corresponds to the value in the answer dictionary.
Task Priority Name Routine / ASAP / Urgent This configuration option indicates the priority of the task that will be generated when the “Create Task For Positives” configuration option is set to “True”.
Task Type Mnemonic Mnemonic entries from “Task Name” dictionary. This configuration option determines the Task that will be generated when the “Create Task For Positives” configuration option is set to “True”.
Galen recommends that new tasks types for the SBIRT are set up as delegated tasks.
Unable to Screen True/False "True" indicates that the question "Unable to Screen?" will display before the questionnaire.
"False" indicates that the question will not display.


Calculator Inputs

There are no inputs for this calculator.


Calculator Outputs

Output Mapping Type Description
Score Result The patient's numeric score
Difficulty Level Result Based on the patient's answers to the questionnaire, the level of difficulty they have with daily life and interacting with others
Severity Level Result The patient's level of depression in terms of severity


Quality Measures

Measure Category Measure Type Measure
MIPS PQRS 134, 367
MIPS MU-eCQM 418, 712-NQF
MIPS PCMH 3C9
APM CPCPlus 418-NQF


References

http://www.psnpaloalto.com/wp/wp-content/uploads/2010/12/PHQ-2-to-9-for-adults-Self-Scoring.pdf