Galen eCalcs - Calculator: PHQ 2014 (Depression Screening)

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 postive 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 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

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.
Postive 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 questionaire. "False" indicates that the question will not display.

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