Outcomes Framework - Trigger Criteria

These Trigger Criteria only apply for Efficiency Metrics.

ONLY ONE Trigger Criteria must be met for a patient to be considered triggered.

Each of the Trigger Criteria are described in more detail below.

Trigger Criteria are used to determine the event that will make an Treatment Episode included in the analysis. For example, achieving Remission. The date of this event will be used as the Time Period for analysis. You may set as many Trigger Criteria as you like, but only one needs to occur for the Treatment Episode to be considered a success.

Note that Treatment Episodes where the Trigger Criteria is never met - for example the patient never shows improvement - will never be included in the analysis. It is important to match an Efficiency Metric with an Effectiveness Metric to ensure you are counting both how long a successful Treatment Episode takes, but also how many patients achieve success.

First Measurement Showing Treatment Episode Response

This Trigger Criteria is only available for scales which support Treatment Episode Response.

When selected, the Treatment Episode will be triggered the first time the patient is seen as having responded to the Treatment Episode on the selected scale.

Note that any changes after this initial trigger will be ignored. For example, if the patient has an acute crisis subsequent to this trigger, that would not be included in the analysis.

This is one of the default recommended Trigger Criteria, along with First Measurement Showing Treatment Episode Remission. It easily measures how long it takes to see Treatment Episode Response.

First Measurement Showing Treatment Episode Remission

This Trigger Criteria is only available for scales which support Treatment Episode Remission, which are scales with Clinical Severity Categories.

When selected, the Treatment Episode will be triggered the first time the patient is seen as having moved into remission, i.e. a clinical severity of None.

Note that any changes after this initial trigger will be ignored. For example, if the patient has an acute crisis subsequent to this trigger, that would not be included in the analysis.

This is one of the default recommended Trigger Criteria, along with First Measurement Showing Treatment Episode Response It easily measures how long it takes to see Treatment Episode Remission.

First Measurement Showing Trend

This Trigger Criteria is only available for scales which support Treatment Episode Trend.

When selected, the Treatment Episode will be triggered the first time the trend in Treatment Episode is the specified value, which is most commonly improving.

Note that any changes after this initial trigger will be ignored. For example, if the patient has an acute crisis subsequent to this trigger, that would not be included in the analysis.

First Measurement Showing Improved Severity

This Trigger Criteria is only available for scales which support Clinical Severity Categories.

When selected, the Treatment Episode will be triggered the first time the clinical severity changes positively.

Note that any changes after this initial trigger will be ignored. For example, if the patient has an acute crisis subsequent to this trigger, that would not be included in the analysis.

Note that this may include patients who have not actually achieved Treatment Episode Response. If a patient scored a 20 (Severe Depression) on the PHQ-9 upon baseline, and subsequently scored 19 (Mod-Severe Depression), they would be considered to have improved a clinical category even though statistically it is more likely the result of random fluctuation rather than true Treatment Episode Response.

First Measurement Showing Specified Severity

This Trigger Criteria is only available for scales which support Clinical Severity Categories.

When selected, the Treatment Episode will be triggered the first time the clinical severity moves into the specified category. For example:

• With the severity set at Mild, if a patient moves from Moderate to Mild, this is triggered.