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
All patients, regardless of age, with a diagnosis of dementia
Equals Initial Population
None
Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
Not Applicable
Documentation of patient reason(s) for not assessing cognition
Higher score indicates better quality
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.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
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
Updated copyright.
Measure Section: Copyright
Updated disclaimer.
Measure Section: Disclaimer
Revised 'Qualifying Encounter' definition construction to reuse existing definition for clarification.
Measure Section: Definitions
Updated 'Dementia Encounter' definition name to account for timing constraint and align with CQL Style Guide.
Measure Section: Multiple Sections
Updated 'Face to Face Encounter During Measurement Period' definition name to align with guidance for virtual visits.
Updated 'Qualifying Encounter' definition name to account for timing constraint and align with CQL Style Guide.
Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
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.
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.
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