Dementia: Cognitive Assessment | eCQI Resource Center

Measure Information	2022 Performance Period
CMS eCQM ID	CMS149v10
NQF Number	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
Initial Population	All patients, regardless of age, with a diagnosis of dementia
Denominator	Equals Initial Population
Denominator Exclusions	None
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 Exceptions	Documentation of patient reason(s) for not assessing cognition
Measure 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.
MIPS Quality ID	281
Telehealth Eligible	Yes
Next Version	CMS149v11
Previous Version	CMS149v9

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Measure Information	2021 Performance Period	2022 Performance Period	2023 Performance Period
Title	Dementia: Cognitive Assessment	Dementia: Cognitive Assessment	Dementia: Cognitive Assessment
CMS eCQM ID	CMS149v9	CMS149v10	CMS149v11
NQF Number	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
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
Denominator	Equals Initial Population	Equals Initial Population	Equals Initial Population
Denominator Exclusions	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
Numerator Exclusions	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
Measure Steward	PCPI(R) Foundation (PCPI[R])	American Academy of Neurology	American Academy of Neurology
Measure Scoring	Proportion measure	Proportion measure	Proportion measure
Measure Type	Process measure	Process measure	Process measure
Improvement Notation	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.
MIPS Quality ID	281	281	281
Telehealth Eligible	Yes	Yes	Yes
Next Version	CMS149v10	CMS149v11	No Version Available
Previous Version	No Version Available	CMS149v9	CMS149v10

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Data Element Repository

Data Elements contained within CMS149v10

Value Sets

Value Sets to be used with CMS149v10

Release Notes

CMS149v10-TRN.xlsx

Header

Updated the eCQM version number.

Measure Section: eCQM Version Number

Source of Change: Annual Update
Updated Measure Steward.

Measure Section: Measure Steward

Source of Change: Measure Lead
Updated Measure Developer.

Measure Section: Measure Developer

Source of Change: Measure Lead
Updated copyright.

Measure Section: Copyright

Source of Change: Annual Update
Updated disclaimer.

Measure Section: Disclaimer

Source of Change: Annual Update

Logic

Revised 'Qualifying Encounter' definition construction to reuse existing definition for clarification.

Measure Section: Definitions

Source of Change: Annual Update
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
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
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
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
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
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.

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