Difference between revisions of "Galen eCalcs - Calculator: PHQ 2014 (Depression Screening)"

From Galen Healthcare Solutions - Allscripts TouchWorks EHR Wiki
Jump to navigation Jump to search
 
(14 intermediate revisions by the same user not shown)
Line 1: Line 1:
−
[[File:PHQ_Screenshot.JPG|thumb|500 px]]
+
[[File:PHQ_2019.png|thumb|500 px]]
  
 
== Description ==
 
== 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.  
+
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==
 
==Calculator Search/Filter Keywords==
Line 20: Line 16:
  
 
*Nervous
 
*Nervous
−
 
  
 
==Calculator Configuration Options==
 
==Calculator Configuration Options==
Line 32: Line 27:
 
|Allow Force PHQ9 || True/False || '''“True”''' will allow a user to force the PHQ-9 even if the PHQ-2 is negative.  <br>'''“False”''' will not allow the user to override and allow the PHQ-9 to expand when the PHQ-2 is negative.
 
|Allow Force PHQ9 || True/False || '''“True”''' will allow a user to force the PHQ-9 even if the PHQ-2 is negative.  <br>'''“False”''' will not allow the user to override and allow the PHQ-9 to expand when the PHQ-2 is negative.
 
|-
 
|-
−
|Charge Code || Charge Code Entry Code ||
+
|Charge Code || Charge Code Entry Code || When Create Charges is enabled this is the Charge Code that will be submitted to the encounter form.
 
|-
 
|-
 
|Create Charges || True/False || '''“True”''' will show an additional input allowing the provider to document the amount of time spent performing the screening. If the time spent is at least 8 minutes, a charge will be filed.  <br>'''“False”''' will hide the input and no charges will be filed.
 
|Create Charges || True/False || '''“True”''' will show an additional input allowing the provider to document the amount of time spent performing the screening. If the time spent is at least 8 minutes, a charge will be filed.  <br>'''“False”''' will hide the input and no charges will be filed.
Line 38: Line 33:
 
|Create Task For Positives || True/False || '''“True”''' indicates that a task will be generated when a positive result is recorded.  <br>'''“False”''' indicates that a task WILL NOT be generated when a positive result is recorded.  
 
|Create Task For Positives || True/False || '''“True”''' indicates that a task will be generated when a positive result is recorded.  <br>'''“False”''' indicates that a task WILL NOT be generated when a positive result is recorded.  
 
|-
 
|-
−
|File Positive As Abnormal || True/False ||
+
|File Positive As Abnormal || True/False || '''“True”''' will file a positive PHQ result as an abnormal result.  <br>'''“False”''' will file the PHQ output as Normal regardless of calculated result value.
 
|-
 
|-
 
|Force PHQ9 Mode || True/False || '''"True"''' indicates that the calculator will only display PHQ 9 questions. <br> '''"False"''' indicates that calculator will display PHQ 2 and PHQ 9 questions.
 
|Force PHQ9 Mode || True/False || '''"True"''' indicates that the calculator will only display PHQ 9 questions. <br> '''"False"''' indicates that calculator will display PHQ 2 and PHQ 9 questions.
Line 44: Line 39:
 
|Negative Entry Code || Entry Code/Mnemonic || This value corresponds to the negative value in the answer dictionary.  
 
|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 Adolescent Orderable Item Code || Orderable Item Entry Code|| 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.
+
|PHQ2 Adult Orderable Item Code || Orderable Item Entry Code || 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 Adolescent Orderable Item Code || Orderable Item Entry Code || 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.  
+
|PHQ9 Adult Orderable Item Code || Orderable Item Entry Code || 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.
 
|Positive Entry Code || Entry Code/Mnemonic || This value corresponds to the value in the answer dictionary.
 
|-
 
|-
−
|Positive PHQ2 Value ||
+
|Positive PHQ2 Value || Numeric || The cutoff in number of points for a response to be considered positive on the PHQ-2 section.
 
|-
 
|-
−
|Positive PHQ9 Value ||
+
|Positive PHQ9 Value || Numeric || The cutoff in number of points for a response to be considered positive on the PHQ-9.
 
|-
 
|-
−
|Save Discrete Results || True/False ||
+
|Save Discrete Results || True/False || '''"True"''' will save each question on the PHQ output as a discrete result item. <br> '''"False"''' will save the questionnaire output as a list of list of non-discrete annotations.
 
|-
 
|-
−
|Set Task Owner To Encounter Provider || True/False ||
+
|Set Task Owner To Encounter Provider || True/False || '''"True"''' will route tasking from the PHQ to the encounter provider in context. <br> '''"False"''' task routing logic will remain default to the user performing the questionnaire.
 
|-
 
|-
 
|Severity Mild Entry Code || Answer Entry Code || Specifies the Answer dictionary entry for Mild Severity enabling direct SNOMED mapping for reporting.
 
|Severity Mild Entry Code || Answer Entry Code || Specifies the Answer dictionary entry for Mild Severity enabling direct SNOMED mapping for reporting.
Line 89: Line 84:
  
 
== Calculator Inputs ==
 
== Calculator Inputs ==
−
There are no inputs for this calculator.  
+
This calculator does not use any default mappings, all items require manual input.  
−
 
 
  
 
== Calculator Outputs ==
 
== Calculator Outputs ==
Line 101: Line 95:
 
|-
 
|-
 
|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
 
|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
 +
|-
 +
|Screening Result || Result || The patient's PHQ screening result
 
|-
 
|-
 
|Severity Level|| Result || The patient's level of depression in terms of severity
 
|Severity Level|| Result || The patient's level of depression in terms of severity
 
|}
 
|}
−
 
  
 
==Quality Measures==
 
==Quality Measures==
Line 120: Line 115:
 
|APM || CPCPlus || 418-NQF
 
|APM || CPCPlus || 418-NQF
 
|}
 
|}
−
 
  
 
==References==
 
==References==
 
http://www.psnpaloalto.com/wp/wp-content/uploads/2010/12/PHQ-2-to-9-for-adults-Self-Scoring.pdf
 
http://www.psnpaloalto.com/wp/wp-content/uploads/2010/12/PHQ-2-to-9-for-adults-Self-Scoring.pdf

Latest revision as of 18:09, 13 June 2020

PHQ 2019.png

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.

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.
Allow Force PHQ9 True/False “True” will allow a user to force the PHQ-9 even if the PHQ-2 is negative.
“False” will not allow the user to override and allow the PHQ-9 to expand when the PHQ-2 is negative.
Charge Code Charge Code Entry Code When Create Charges is enabled this is the Charge Code that will be submitted to the encounter form.
Create Charges True/False “True” will show an additional input allowing the provider to document the amount of time spent performing the screening. If the time spent is at least 8 minutes, a charge will be filed.
“False” will hide the input and no charges will be filed.
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.
File Positive As Abnormal True/False “True” will file a positive PHQ result as an abnormal result.
“False” will file the PHQ output as Normal regardless of calculated result value.
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 Orderable Item Entry Code This value matches the PHQ 2 Adolescent Orderable Item in the OID.
PHQ2 Adult Orderable Item Code Orderable Item Entry Code This value matches the PHQ 2 Adult Orderable Item in the OID.
PHQ9 Adolescent Orderable Item Code Orderable Item Entry Code This value matches the PHQ 9 Adolescent Orderable Item in the OID.
PHQ9 Adult Orderable Item Code Orderable Item Entry Code 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.
Positive PHQ2 Value Numeric The cutoff in number of points for a response to be considered positive on the PHQ-2 section.
Positive PHQ9 Value Numeric The cutoff in number of points for a response to be considered positive on the PHQ-9.
Save Discrete Results True/False "True" will save each question on the PHQ output as a discrete result item.
"False" will save the questionnaire output as a list of list of non-discrete annotations.
Set Task Owner To Encounter Provider True/False "True" will route tasking from the PHQ to the encounter provider in context.
"False" task routing logic will remain default to the user performing the questionnaire.
Severity Mild Entry Code Answer Entry Code Specifies the Answer dictionary entry for Mild Severity enabling direct SNOMED mapping for reporting.
Severity Minimal Entry Code Answer Entry Code Specifies the Answer dictionary entry for Minimal Severity enabling direct SNOMED mapping for reporting.
Severity Moderate Entry Code Answer Entry Code Specifies the Answer dictionary entry for Moderate Severity enabling direct SNOMED mapping for reporting.
Severity Moderately Severe Entry Code Answer Entry Code Specifies the Answer dictionary entry for Moderately Severe enabling direct SNOMED mapping for reporting.
Severity Negative Entry Code Answer Entry Code Specifies the Answer dictionary entry for Negative Severity enabling direct SNOMED mapping for reporting.
Severity Severe Entry Code Answer Entry Code Specifies the Answer dictionary entry for Severe Severity enabling direct SNOMED mapping for reporting.
Show Full Questions In Annotations True/False "True" will include the full question and answer text under the annotations when the results are filed.
"False" will not include any additional text under annotations when the results are filed.
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.
Use Carry Forward True/False "True" will carry forward the pre-populate the questionnaire when committed in the same day and for the current patient.
"False" will load the questionnaire with blank inputs upon load.
Verification Required True/False "True" will generate a Verify Results task when the results are submitted.
"False" will not generate a Verify Results task when the results are committed.

Calculator Inputs

This calculator does not use any default mappings, all items require manual input.

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
Screening Result Result The patient's PHQ screening result
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

Retrieved from "https://wiki.galenhealthcare.com/index.php?title=Galen_eCalcs_-_Calculator:_PHQ_2014_(Depression_Screening)&oldid=23237"