
Depression Screening Quality Improvement Activity
CMS recognizes that depression is a common psychological disorder for ESRD patients and that depression and mortality in ESRD patients may be linked. The intent of this Quality Improvement Activity is to improve the screening and treatment of depression for ESRD patients. Here you will find links and information that will assist you in development of a process to ensure completion, documentation, and appropriate follow-up of a depression screening for qualifying patients.
Depression Screening Tools

Depression Screening Walk-through
Download 748.80 KB 93 downloadsThis Depression Screening Walkthrough will assist you with correct documentation of your patient’s depression screening component in the CROWNWeb system. You can also use this document as a guide to verify that your batched data has been submitted correctly into CROWNWeb.

Train the Trainer Manual
Download 5.41 MB 58 downloadsDepression is a common health condition that affects patients thoughts, feelings, behavior, and physical health. Untreated depression can contribute to poorer health outcomes and inflated healthcare costs. This Train the Trainer manual can help you identify signs and symptoms of depression, assist you with screening, and aid you in planning suitable interventions for your patients. There are screening tools and depression resources available in the manual as well.
The Patient Health Questionnaire-2 (PHQ-2) is a two question survey to screen for depression as a first step. A positive screening should be further evaluated with the PHQ-9 or another screening tool.
The Patient Health Questionnaire-9 is a nine question screening tool that scores each of the 9 DSM-IV depression diagnostic criteria as “0” (not at all) to “3” (nearly every day). It can help with diagnosis, monitoring, and measuring the severity of depression.
Posters & Other Resources

Feeling Blue Poster
Download 1.87 MB 120 downloads
Feeling Blue Spanish Poster
Download 1.75 MB 45 downloads
Kidney Mandala Coloring Page
Download 848.37 KB 188 downloads
Train Your Brain to Relax
Download 245.49 KB 61 downloadsResources from Atom Alliance
Our behavioral health experts share insight into ways interview and discuss topics that may be difficult for patients to openly discuss with a medical provider.
A Difficult Conversation: How to Talk to Patients about Depression and Substance Abuse
Interviewing Intellectual Disabilities