Performance Measures

About Perinatal Mental Health Screening Measures

In 2019, the National Committee for Quality Assurance — with assistance from the ZOMA Foundation and the California Health Care Foundation — developed care quality measures around screening for depression during pregnancy and the postpartum period.

In 2020, these measures were added to the national Healthcare Effectiveness Data and Information Set (HEDIS), which includes measures for physicians, insurance providers, and other organizations.

In 2021, the Center for Medicaid and CHIP Services (CMCS) added the POSTPARTUM Depression Screening and Follow-Up Measure to the Adult Core Set of measures.

  • The percentage of deliveries in which members were screened for clinical depression while pregnant and, if screened positive, received follow-up care. Two rates are reported:

    • Depression Screening: The percentage of deliveries in which members were screened for clinical depression during pregnancy using a standardized instrument.

    • Follow-Up on Positive Screen: The percentage of deliveries in which members received follow-up care within 30 days of screening positive for depression.

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  • The percentage of deliveries in which members were screened for clinical depression during the postpartum period and, if screened positive, received follow-up care. Two rates are reported:

    • Depression Screening: The percentage of deliveries in which members were screened for clinical depression during the postpartum period using a standardized instrument.

    • Follow-Up on Positive Screen: The percentage of deliveries in which members received follow-up care within 30 days of screening positive for depression.

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  • Includes information about the importance of performance measures, along with specific details about the National Committee for Quality Assurance (NCQA) performance measures for screening for depression during and following pregnancy.

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