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Dementia: Cognitive Assessment

CMS Measure ID
CMS149v6
Version
6
NQF Number
2872
Measure 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 Statement
Denominator Exclusions

None

Numerator Statement

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

Next Version
Measure Scoring
Measure Type
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 "Count >=2 Encounter, Performed" is to establish that the eligible professional or eligible clinician has an existing relationship with the patient.

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.

Notes

Value Set content updated Sept 2017

Specifications

Release Notes

Header

  • ​Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • Added NQF Number as the measure is now endorsed.

    Measure Section: NQF Number

    Source of Change: Measure Lead

  • Added 'National Quality Forum' as the measure is now endorsed.

    Measure Section: Endorsed By

    Source of Change: Measure Lead

  • ​Updated Copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • ​Updated Disclaimer.

    Measure Section: Disclaimer

    Source of Change: Measure Lead

  • Updated Guidance.

    Measure Section: Guidance

    Source of Change: Measure Lead

  • Removed medical reason from the Denominator Exception language per clinical experts' recommendation.

    Measure Section: Denominator Exceptions

    Source of Change: Measure Lead

Logic

  • Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.

    Measure Section: Numerator

    Source of Change: QDM Standards

  • Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.

    Measure Section: Denominator Exceptions

    Source of Change: QDM Standards

  • ​Removed medical reason from the Denominator Exception per clinical experts’ recommendation. As a result, the following data elements have been removed from the logic: 'Diagnosis: Severe Dementia', 'Intervention, Performed: Palliative Care', 'Risk Category Assessment not done: Medical Reason' for 'Standardized Tools for Assessment of Cognition', 'Intervention, Performed not done: Medical Reason' for 'Cognitive Assessment'. The Data Criteria (QDM Data Elements) have been updated.

    Measure Section: Denominator Exceptions

    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 Patient Reason (2.16.840.1.113883.3.526.3.1008): Added 1 SNOMEDCT code (713247000) and deleted 1 SNOMEDCT code (258147002).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Medical Reason (2.16.840.1.113883.3.526.3.1007): Removed Medical Reason.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Severe Dementia (2.16.840.1.113883.3.526.3.1025): Removed Severe Dementia.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Palliative Care (2.16.840.1.113883.3.526.3.1024): Removed Palliative Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Occupational Therapy Evaluation (2.16.840.1.113883.3.526.3.1011): Added 4 CPT codes (97165, 97166, 97167, 97168) and deleted 2 CPT codes (97003, 97004).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

Last Updated: Aug 19, 2019