Dementia: Cognitive Assessment

Last updated: February 1, 2017

CMS Measure ID: CMS149v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period

Initial Patient Population:

All patients, regardless of age, with a diagnosis of dementia

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

Documentation of medical reason(s) for not assessing cognition (eg, patient with very advanced stage dementia, receiving palliative care, other medical reason)

Documentation of patient reason(s) for not assessing cognition

Measure Steward: PCPI(R) Foundation (PCPI[R])
Domain: Effective Clinical Care
Previous Version: Dementia: Cognitive Assessment
Improvement Notation:

Higher score indicates better quality

Guidance:

Use of a standardized tool or instrument to assess cognition other than those listed will meet numerator performance. Standardized tools can be mapped to the concept Intervention, Performed: Cognitive Assessment included in the numerator logic below.

The requirement of Count >=2 of Encounter, Performed is to establish that the eligible professional has an existing relationship with the patient.

Specifications

Release Notes

Header

  • Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated Definition to add Mini-Cog to the measure as an allowable standardized tool to assess cognition.

    Section: Definition

    Source: Measure Lead

  • ​Updated Denominator Exceptions by adding receiving palliative care to align with the logic.

    Section: Denominator Exceptions

    Source: Measure Lead

  • Updated Disclaimer.

    Section: Disclaimer

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Measure Developer.

    Section: Measure Developer

    Source: Measure Lead

  • Updated Measure Steward.

    Section: Measure Steward

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Denominator Exceptions

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

Value Set

  • Value set Medical Reason (2.16.840.1.113883.3.526.3.1007): Deleted 1 SNOMEDCT code (161590003).

    Section: None

    Source: None

  • Value set Patient Reason (2.16.840.1.113883.3.526.3.1008): Deleted 1 SNOMEDCT code (5015009).

    Section: None

    Source: None

  • Value set Standardized Tools for Assessment of Cognition (2.16.840.1.113883.3.526.3.1006): Added 1 LOINC code (72233-0).

    Section: None

    Source: None

External Resources