RT Journal Article
SR Electronic
T1 Reduced Accuracy of Intake Screening Questionnaires Tied to Quality Metrics
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 444
OP 447
DO 10.1370/afm.3019
VO 21
IS 5
A1 Simon, Jodi
A1 Panzer, Jeffrey
A1 Wright, Katherine M.
A1 Ekong, Abbey
A1 Driscoll, Patrick
A1 Mohanty, Nivedita
A1 Sinsky, Christine A.
YR 2023
UL http://www.annfammed.org/content/21/5/444.abstract
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.