General eCQM Information
CMS Measure ID | CMS149v8 |
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NQF Number | 2872e |
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 |
Equals Initial Population |
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 |
Measure Steward | PCPI(R) Foundation (PCPI[R]) |
Domain | Effective Clinical Care |
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. 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. |
Quality ID | 281 |
Meaningful Measure | Prevention, Treatment, and Management of Mental Health |
Telehealth Eligible | Yes |
Next Version | |
Previous Version |
Data Element Repository
Header
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Updated eCQM version number.
Measure Section: eCQM Version number
Source of Change: Measure Lead
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Added 'e' to NQF number.
Measure Section: NQF Number
Source of Change: Standards Update
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated disclaimer.
Measure Section: Disclaimer
Source of Change: Measure Lead
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Updated references to align with American Psychological Association (APA) style.
Measure Section: Reference
Source of Change: Measure Lead
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Updated parenthetical citations to align with American Psychological Association (APA) style.
Measure Section: Multiple Sections
Source of Change: Measure Lead
Logic
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Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with CQL Style Guide.
Measure Section: Definitions and Functions
Source of Change: Standards Update
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Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3).
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.
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Value set Dementia & Mental Degenerations (2.16.840.1.113883.3.526.3.1005): Added 46 SNOMED CT codes.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Occupational Therapy Evaluation (2.16.840.1.113883.3.526.3.1011): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1774) including 2 codes.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Patient Provider Interaction (2.16.840.1.113883.3.526.3.1012): Deleted 6 SNOMED CT codes (12843005, 18170008, 19681004, 207195004, 4525004, 439708006).
Measure Section: Terminology
Source of Change: Annual Update
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Value set Behavioral/Neuropsych Assessment (2.16.840.1.113883.3.526.3.1023): Deleted 3 CPT codes (96118, 96119, 96120). Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1775) including 1 code.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Psych Visit - Diagnostic Evaluation (2.16.840.1.113883.3.526.3.1492): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1776) including 5 codes.
Measure Section: Terminology
Source of Change: Annual Update
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Value set Psych Visit - Psychotherapy (2.16.840.1.113883.3.526.3.1496): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1777) including 13 codes.
Measure Section: Terminology
Source of Change: Annual Update
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Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files.
Measure Section: Terminology
Source of Change: Measure Lead