Back to top
Top
U.S. flag

An official website of the United States government

Dementia: Cognitive Assessment

Compare Versions of: "Dementia: Cognitive Assessment"

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.

Compare 2024 version to

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
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...

Show more >
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...

Show more >
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,...

Show more >
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...

Show more >
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
Next Version
Previous Version

Header

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated disclaimer.

    Measure Section: Disclaimer

    Source of Change: Annual Update

  • Updated grammar, wording, and/or formatting to improve readability and consistency.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Annual Update

  • Updated guidance statement to clarify the mapping of other tools.

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Updated language to stipulate the two visits should occur during the measurement period.

    Measure Section: Initial Population

    Source of Change: Measure Lead

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): Deleted 3 ICD-10-CM codes (F01.51, F03.91, F02.81) based on new or changed coding guidelines. Deleted 1 SNOMED CT code (230283005) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Patient Reason (2.16.840.1.113883.3.526.3.1008): Deleted 3 SNOMED CT codes (183944003, 413310006, 413312003) based on terminology update.

    Measure Section: Terminology

    Source of Change: Annual Update

  • Value set Payer (2.16.840.1.114222.4.11.3591): Added 5 SOP codes (1111, 1112, 142, 344, 141) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set (2.16.840.1.113883.3.526.3.1006): Renamed to Standardized Tools Score for Assessment of Cognition based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Jun 03, 2024