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Dementia: Cognitive Assessment

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Compare Versions of: "Dementia: Cognitive Assessment"

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Table Options
Measure Information 2024 Performance Period
Title Dementia: Cognitive Assessment
CMS eCQM ID CMS149v12
CBE ID* 2872e
MIPS Quality ID 281
Measure Steward American Academy of Neurology
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

Measure Scoring Proportion
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

An estimated 5.8 million of adults in the US were living with dementia in 2019. Dementia is often characterized by the gradual onset and continuing cognitive decline in one or more domains including memory, communication and language, ability to focus or pay attention, reasoning and...

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Clinical Recommendation Statement

Ongoing assessment includes periodic monitoring of the development and evolution of cognitive and noncognitive psychiatric symptoms and their response to intervention (Category I). Both cognitive and noncognitive neuropsychiatric and behavioral symptoms of dementia tend to evolve over...

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Improvement Notation

Higher score indicates better quality

Definition

Cognition can be assessed by the clinician during the patient's clinical history.

Cognition can also be assessed by direct examination of the patient using one of a number of instruments, including several originally developed and validated for screening purposes. This can also include,...

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Guidance

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...

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Initial Population

All patients, regardless of age, with a diagnosis of dementia who have two or more visits during the measurement period

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

Telehealth Eligible Yes
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Last Updated: May 01, 2025