Dementia: Cognitive Assessment
| Measure Information | 2022 Performance Period |
|---|---|
| CMS eCQM ID | CMS149v10 |
| NQF Number | 2872e |
| MIPS Quality ID | 281 |
| 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 Population |
All patients, regardless of age, with a diagnosis of dementia |
| Numerator |
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 |
Equals Initial Population |
| Denominator Exclusions |
None |
| Denominator Exceptions |
Documentation of patient reason(s) for not assessing cognition |
| Steward | American Academy of Neurology |
| Measure Scoring | Proportion measure |
| Measure Type | Process measure |
| 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 two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient. In recognition of the growing use of integrated and team-based care, the diagnosis of dementia and the assessment of cognitive function need not be performed by the same provider or clinician. The DSM-5 has replaced the term dementia with major neurocognitive disorder and mild neurocognitive disorder. For the purposes of this measure, the terms are equivalent. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM. |
| Telehealth Eligible | Yes |
| Next Version | |
| Previous Version |
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| Measure Information | 2021 Performance Period | 2022 Performance Period | 2023 Performance Period | 2024 Performance Period |
|---|---|---|---|---|
| Title | Dementia: Cognitive Assessment | Dementia: Cognitive Assessment | Dementia: Cognitive Assessment | Dementia: Cognitive Assessment |
| CMS eCQM ID | CMS149v9 | CMS149v10 | CMS149v11 | CMS149v12 |
| NQF Number | 2872e | 2872e | 2872e | 2872e |
| 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 |
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 |
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 |
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 Population |
All patients, regardless of age, with a diagnosis of dementia |
All patients, regardless of age, with a diagnosis of dementia |
All patients, regardless of age, with a diagnosis of dementia |
All patients, regardless of age, with a diagnosis of dementia who have two or more visits during the measurement period |
| Denominator |
Equals Initial Population |
Equals Initial Population |
Equals Initial Population |
Equals Initial Population |
| Denominator Exclusions | None | None | None | None |
| Numerator |
Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period |
Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period |
Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period |
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 |
Not Applicable |
Not Applicable |
Not Applicable |
| Denominator Exceptions |
Documentation of patient reason(s) for not assessing cognition |
Documentation of patient reason(s) for not assessing cognition |
Documentation of patient reason(s) for not assessing cognition |
Documentation of patient reason(s) for not assessing cognition |
| Measure Steward | PCPI(R) Foundation (PCPI[R]) | American Academy of Neurology | American Academy of Neurology | American Academy of Neurology |
| Measure Scoring | Proportion measure | Proportion measure | Proportion measure | Proportion measure |
| Measure Type | Process measure | Process measure | Process measure | Process measure |
| Improvement Notation |
Higher score indicates better quality |
Higher score indicates better quality |
Higher score indicates better quality |
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 two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient. In recognition of the growing use of integrated and team-based care, the diagnosis of dementia and the assessment of cognitive function need not be performed by the same provider or clinician. The DSM-5 has replaced the term dementia with major neurocognitive disorder and mild neurocognitive disorder. For the purposes of this measure, the terms are equivalent. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM. |
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 two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient. In recognition of the growing use of integrated and team-based care, the diagnosis of dementia and the assessment of cognitive function need not be performed by the same provider or clinician. The DSM-5 has replaced the term dementia with major neurocognitive disorder and mild neurocognitive disorder. For the purposes of this measure, the terms are equivalent. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM. |
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 two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient. In recognition of the growing use of integrated and team-based care, the diagnosis of dementia and the assessment of cognitive function need not be performed by the same provider or clinician. The DSM-5 has replaced the term dementia with major neurocognitive disorder and mild neurocognitive disorder. For the purposes of this measure, the terms are equivalent. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM. |
Use of a standardized tool or instrument to assess cognition other than those listed will meet numerator performance if mapped to the concept "Intervention, Performed": "Cognitive Assessment" included in the numerator logic below. The requirement of two or more visits is to establish that the eligible professional or eligible clinician has an existing relationship with the patient. In recognition of the growing use of integrated and team-based care, the diagnosis of dementia and the assessment of cognitive function need not be performed by the same provider or clinician. The DSM-5 has replaced the term dementia with major neurocognitive disorder and mild neurocognitive disorder. For the purposes of this measure, the terms are equivalent. This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM. |
| MIPS Quality ID | 281 | 281 | 281 | 281 |
| Telehealth Eligible | Yes | Yes | Yes | Yes |
| Next Version | CMS149v10 | CMS149v11 | CMS149v12 | No Version Available |
| Previous Version | No Version Available | |||
| Notes |
Data Element Repository
Header
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Updated the eCQM version number.
Measure Section: eCQM Version Number
Source of Change: Annual Update
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Updated Measure Steward.
Measure Section: Measure Steward
Source of Change: Measure Lead
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Updated Measure Developer.
Measure Section: Measure Developer
Source of Change: Measure Lead
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Annual Update
Logic
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Revised 'Qualifying Encounter' definition construction to reuse existing definition for clarification.
Measure Section: Definitions
Source of Change: Annual Update
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Updated 'Dementia Encounter' definition name to account for timing constraint and align with CQL Style Guide.
Measure Section: Multiple Sections
Source of Change: Annual Update
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Updated 'Face to Face Encounter During Measurement Period' definition name to align with guidance for virtual visits.
Measure Section: Multiple Sections
Source of Change: Annual Update
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Updated 'Qualifying Encounter' definition name to account for timing constraint and align with CQL Style Guide.
Measure Section: Multiple Sections
Source of Change: Annual Update
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Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.
Measure Section: Multiple Sections
Source of Change: Standards Update
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
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Value set Dementia & Mental Degenerations (2.16.840.1.113883.3.526.3.1005): Added 1 SNOMED CT code (838276009) based on terminology update. Deleted 1 SNOMED CT code (62239001) based on terminology update.
Measure Section: Terminology
Source of Change: Annual Update