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Dementia: Cognitive Assessment

Last updated: May 9, 2019

CMS Measure ID: CMS149v8
Version: 8
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 Patient Population:

All patients, regardless of age, with a diagnosis of dementia

Denominator Statement:

Equals Initial Populationinfo-icon

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:
Measure Scoring: Proportion
Measure Type: Process
Improvement Notation:

Higher score indicates better quality

Guidance:

Use of a standardized tool or instrument to assess cognition other than those listed will meet numeratorinfo-icon 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 professionalinfo-icon or eligible clinicianinfo-icon 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

Specifications

Release Notes

Header

  • Updated eCQMinfo-icon version number.

    Measure Section: eCQM Version number

    Source of Change: Measure Lead

  • Added 'e' to NQFinfo-icon number.

    Measure Section: NQF Number

    Source of Change: Standards Update

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Updated disclaimer.

    Measure Section: Disclaimer

    Source of Change: Measure Lead

  • Updated references to align with American Psychological Association (APA) style.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Updated parenthetical citations to align with American Psychological Association (APA) style.

    Measure Section: Multiple Sections

    Source of Change: Measure Lead

Logic

  • Updated the names of Clinical Quality Language (CQL)info-icon definitions, functions, and/or aliases for clarification and to align with CQL Style Guideinfo-icon.

    Measure Section: Definitions and Functions

    Source of Change: Standards Update

  • Updated Clinical Quality Language (CQL) expression to conform with the HL7info-icon Standard: Clinical Quality Language Specificationinfo-icon, Release 1 STUinfo-icon 3 (CQL 1.3).

    Measure Section: Multiple Sections

    Source of Change: Standards Update

Value Setinfo-icon

The VSACinfo-icon is the source of truth for the value set content, please visit the VSAC for downloads of current value setsinfo-icon.

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Standardized purpose statement language in value sets across eCQMsinfo-icon. 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

External Resources