Dementia: Cognitive Assessment

Last updated: October 25, 2017

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 Patient 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
Previous Version: Dementia: Cognitive Assessment
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.

Addendum 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

External Resources