Reduced Accuracy of Intake Screening Questionnaires Tied to Quality Metrics

Jodi Simon; Jeffrey Panzer; Katherine M. Wright; Abbey Ekong; Patrick Driscoll; Nivedita Mohanty; Christine A. Sinsky

doi:10.1370/afm.3019

Reduced Accuracy of Intake Screening Questionnaires Tied to Quality Metrics

Jodi Simon^*, Jeffrey Panzer, Katherine M. Wright, Abbey Ekong, Patrick Driscoll, Nivedita Mohanty, Christine A. Sinsky

^*Corresponding author for this work

Family and Community Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Clinical workflows that prioritize repetitive patient intake screening to meet performance metrics may have unintended consequences. This retrospective analysis of electronic health record data from 24 Federally Qualified Health Centers assessed effectiveness and accuracy of the 2-item Patient Health Questionnaire (PHQ-2) for depression screening and Generalized Anxiety Disorder 2 (GAD-2) for anxiety screening from 2019 to 2021. Scores of over 91% of PHQ-2 and GAD-2 tests indicated low likelihood of depression or anxiety, which diverged markedly from published literature on screening outcomes. Visit-based screenings linked to performance metrics may not be delivering the intended value in a real-world setting and risk distracting clinical effort from other high value activities.

Original language	English (US)
Pages (from-to)	444-447
Number of pages	4
Journal	Annals of family medicine
Volume	21
Issue number	5
DOIs	https://doi.org/10.1370/afm.3019
State	Published - Sep 1 2023

Keywords

PHQ-9
administrative burden
health care quality
performance measures
physician burnout
practice-based research
quality improvement

ASJC Scopus subject areas

Family Practice

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10.1370/afm.3019

Cite this

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abstract = "Clinical workflows that prioritize repetitive patient intake screening to meet performance metrics may have unintended consequences. This retrospective analysis of electronic health record data from 24 Federally Qualified Health Centers assessed effectiveness and accuracy of the 2-item Patient Health Questionnaire (PHQ-2) for depression screening and Generalized Anxiety Disorder 2 (GAD-2) for anxiety screening from 2019 to 2021. Scores of over 91% of PHQ-2 and GAD-2 tests indicated low likelihood of depression or anxiety, which diverged markedly from published literature on screening outcomes. Visit-based screenings linked to performance metrics may not be delivering the intended value in a real-world setting and risk distracting clinical effort from other high value activities.",

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AU - Sinsky, Christine A.

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AB - Clinical workflows that prioritize repetitive patient intake screening to meet performance metrics may have unintended consequences. This retrospective analysis of electronic health record data from 24 Federally Qualified Health Centers assessed effectiveness and accuracy of the 2-item Patient Health Questionnaire (PHQ-2) for depression screening and Generalized Anxiety Disorder 2 (GAD-2) for anxiety screening from 2019 to 2021. Scores of over 91% of PHQ-2 and GAD-2 tests indicated low likelihood of depression or anxiety, which diverged markedly from published literature on screening outcomes. Visit-based screenings linked to performance metrics may not be delivering the intended value in a real-world setting and risk distracting clinical effort from other high value activities.

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Reduced Accuracy of Intake Screening Questionnaires Tied to Quality Metrics

Abstract

Keywords

ASJC Scopus subject areas

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