Dementia: Cognitive Assessment
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
American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)
American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)
None
Finalized Date/Time
Copyright 2013 American Medical Association. All Rights Reserved.
None
None
None
Dementia is often characterized by the gradual onset and continuing cognitive decline in one or more domains including memory, executive function, language, judgment, and spatial abilities. (APA, 2007) Cognitive deterioration represents a major source of morbidity and mortality and poses a significant burden on affected individuals and their caregivers. (NIH, 2010) Although cognitive deterioration follows a different course depending on the type of dementia, significant rates of decline have been reported. For example, one study found that the annual rate of decline for Alzheimer’s disease patients was more than four times that of older adults with no cognitive impairment. (Wilson et al., 2010) Nevertheless, measurable cognitive abilities remain throughout the course of dementia. (APA, 2007) Initial and ongoing assessments of cognition are fundamental to the proper management of patients with dementia. These assessments serve as the basis for identifying treatment goals, developing a treatment plan, monitoring the effects of treatment, and modifying treatment as appropriate.
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 time, so regular monitoring allows detection of new symptoms and adaptation of treatment strategies to current needs…Cognitive symptoms that almost always require assessment include impairments in memory, executive function, language, judgment, and spatial abilities. It is often helpful to track cognitive status with a structured simple examination. (APA, 2007)
Conduct and document an assessment and monitor changes in cognitive status using a reliable and valid instrument. Cognitive status should be reassessed periodically to identify sudden changes, as well as to monitor the potential beneficial or harmful effects of environmental changes, specific medications, or other interventions. Proper assessment requires the use of a standardized, objective instrument that is relatively easy to use, reliable (with less variability between different assessors), and valid (results that would be similar to gold-standard evaluations). (California Workgroup on Guidelines for Alzheimer’s Disease Management, 2008)
Higher score indicates better quality
NQF ID Number
Disclaimer
Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Performance Improvement(R) (PCPI[R]). These Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The Measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the user and the AMA, (on behalf of the PCPI). Neither the AMA, PCPI nor its members shall be responsible for any use of the Measures.
THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.
Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the PCPI and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications.
CPT(R) contained in the Measure specifications is copyright 2004-2013 American Medical Association. LOINC(R) copyright 2004-2013 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2013 International Health Terminology Standards Development Organisation. ICD-10 copyright 2013 World Health Organization. All Rights Reserved.
Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
eMeasure Identifier
149
measureStartDate
measureEndDate
American Psychiatric Association (APA). Practice guideline for the treatment of patients with Alzheimer's disease and other dementias. Arlington (VA): American Psychiatric Association (APA); 2007 Oct.
California Workgroup on Guidelines for Alzheimer’s Disease Management. Guidelines for Alzheimer’s disease management. Los Angeles, CA: Alzheimer’s Disease and Related Disorders Association, Inc., Los Angeles Chapter. 2008.
National Institutes of Health (NIH). NIH State-of-the-Science Conference: Preventing Alzheimer’s Disease and Cognitive Decline. April 26–28, 2010. http://consensus.nih.gov/2010/docs/alz/alz_stmt.pdf. Accessed June 9, 2010.
Wilson RS, Aggarwal NT, Barnes LL, Mendes de Leon CF, Hebert LE, Evans DA. Cognitive decline in incident Alzheimer disease in a community population. Neurology. 2010 Mar 23;74(12):951-5.
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, where appropriate, administration to a knowledgeable informant. Examples include, but are not limited to:
-Blessed Orientation-Memory-Concentration Test (BOMC)
-Montreal Cognitive Assessment (MoCA)
-St. Louis University Mental Status Examination (SLUMS)
-Mini-Mental State Examination (MMSE) [Note: The MMSE has not been well validated for non-Alzheimer’s dementias]
-Short Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)
-Ascertain Dementia 8 (AD8) Questionnaire
-Minimum Data Set (MDS) Brief Interview of Mental Status (BIMS) [Note: Validated for use with nursing home patients only]
-Formal neuropsychological evaluation
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 of Encounter, Performed” is to establish that the eligible professional has an existing relationship with the patient.
Transmission Format
TBD
Initial Patient Population
All patients, regardless of age, with a diagnosis of dementia
Denominator
Equals Initial Patient 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 medical reason(s) for not assessing cognition (eg, patient with very advanced stage dementia, other medical reason)
Documentation of patient reason(s) for not assessing cognition
Measure Population
Not Applicable
Measure Observations
Not Applicable
Supplemental Data Elements
For every patient evaluated by this measure also identify payer, race, ethnicity and sex.
None
Population criteria
-
Initial Patient Population =
- AND: Count >= 2 of:
- OR: "Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Encounter, Performed: Nursing Facility Visit"
- OR: "Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Encounter, Performed: Home Healthcare Services"
- OR: "Encounter, Performed: Patient Provider Interaction"
- OR: "Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Encounter, Performed: Office Visit"
- OR: "Encounter, Performed: Outpatient Consultation"
- during "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Office Visit" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Encounter, Performed: Outpatient Consultation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Outpatient Consultation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Nursing Facility Visit" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Encounter, Performed: Home Healthcare Services" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Home Healthcare Services"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR:
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Encounter, Performed: Face-to-Face Interaction" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- None
-
Numerator =
- AND:
- OR: "Risk Category Assessment: Standardized Tools for Assessment of Cognition (result)"
- OR: "Intervention, Performed: Cognitive Assessment"
- <= 12 month(s) starts before or during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
-
Denominator Exceptions =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Outpatient Consultation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Home Healthcare Services"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Risk Category Assessment not done: Medical Reason" for "Standardized Tools for Assessment of Cognition" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Risk Category Assessment not done: Patient Reason" for "Standardized Tools for Assessment of Cognition" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Outpatient Consultation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Home Healthcare Services"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Intervention, Performed not done: Medical Reason" for "Cognitive Assessment" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Intervention, Performed not done: Patient Reason" for "Cognitive Assessment" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
Count >= 2
COUNT(var1)
var1
Encounter, Performed: Psych Visit - Diagnostic Evaluation
Encounter, Performed: Nursing Facility Visit
Encounter, Performed: Care Services in Long-Term Residential Facility
Encounter, Performed: Home Healthcare Services
Encounter, Performed: Patient Provider Interaction
Encounter, Performed: Psych Visit - Psychotherapy
Encounter, Performed: Behavioral/Neuropsych Assessment
Encounter, Performed: Occupational Therapy Evaluation
Encounter, Performed: Office Visit
Encounter, Performed: Outpatient Consultation
Measurement Period
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Measurement Period
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Initial Patient Population
Denominator
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Occurrence A of Diagnosis, Active: Severe Dementia
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Risk Category Assessment not done: Medical Reason
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Risk Category Assessment not done: Patient Reason
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Occurrence A of Intervention, Performed: Palliative Care
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Intervention, Performed not done: Medical Reason
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Intervention, Performed not done: Patient Reason
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Denominator
Risk Category Assessment: Standardized Tools for Assessment of Cognition (result)
Intervention, Performed: Cognitive Assessment
Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation
Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment
Occurrence A of Encounter, Performed: Occupational Therapy Evaluation
Occurrence A of Encounter, Performed: Office Visit
Occurrence A of Encounter, Performed: Outpatient Consultation
Occurrence A of Encounter, Performed: Nursing Facility Visit
Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility
Occurrence A of Encounter, Performed: Home Healthcare Services
Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy
Occurrence A of Encounter, Performed: Face-to-Face Interaction
Data criteria (QDM Data Elements)
-
"Diagnosis, Active: Dementia & Mental Degenerations" using "Dementia & Mental Degenerations Grouping Value Set (2.16.840.1.113883.3.526.3.1005)"
-
"Diagnosis, Active: Severe Dementia" using "Severe Dementia Grouping Value Set (2.16.840.1.113883.3.526.3.1025)"
-
"Encounter, Performed: Behavioral/Neuropsych Assessment" using "Behavioral/Neuropsych Assessment Grouping Value Set (2.16.840.1.113883.3.526.3.1023)"
-
"Encounter, Performed: Care Services in Long-Term Residential Facility" using "Care Services in Long-Term Residential Facility Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1014)"
-
"Encounter, Performed: Face-to-Face Interaction" using "Face-to-Face Interaction Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1048)"
-
"Encounter, Performed: Home Healthcare Services" using "Home Healthcare Services Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1016)"
-
"Encounter, Performed: Nursing Facility Visit" using "Nursing Facility Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1012)"
-
"Encounter, Performed: Occupational Therapy Evaluation" using "Occupational Therapy Evaluation Grouping Value Set (2.16.840.1.113883.3.526.3.1011)"
-
"Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
-
"Encounter, Performed: Outpatient Consultation" using "Outpatient Consultation Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1008)"
-
"Encounter, Performed: Patient Provider Interaction" using "Patient Provider Interaction Grouping Value Set (2.16.840.1.113883.3.526.3.1012)"
-
"Encounter, Performed: Psych Visit - Diagnostic Evaluation" using "Psych Visit - Diagnostic Evaluation Grouping Value Set (2.16.840.1.113883.3.526.3.1492)"
-
"Encounter, Performed: Psych Visit - Psychotherapy" using "Psych Visit - Psychotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.1496)"
-
"Intervention, Performed not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
-
"Intervention, Performed not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
-
"Intervention, Performed: Cognitive Assessment" using "Cognitive Assessment Grouping Value Set (2.16.840.1.113883.3.526.3.1332)"
-
"Intervention, Performed: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.526.3.1024)"
-
"Risk Category Assessment not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
-
"Risk Category Assessment not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
-
"Risk Category Assessment: Standardized Tools for Assessment of Cognition" using "Standardized Tools for Assessment of Cognition Grouping Value Set (2.16.840.1.113883.3.526.3.1006)"
Behavioral/Neuropsych Assessment
Care Services in Long-Term Residential Facility
Intervention, Performed: Cognitive Assessment
Intervention, Performed not done: Medical Reason
Intervention, Performed not done: Patient Reason
Dementia & Mental Degenerations
Face-to-Face Interaction
Home Healthcare Services
Nursing Facility Visit
Occupational Therapy Evaluation
Office Visit
Outpatient Consultation
Palliative Care
Encounter, Performed: Patient Provider Interaction
Psych Visit - Diagnostic Evaluation
Psych Visit - Psychotherapy
Severe Dementia
Risk Category Assessment: Standardized Tools for Assessment of Cognition
Risk Category Assessment not done: Medical Reason
Risk Category Assessment not done: Patient Reason
Encounter, Performed: Behavioral/Neuropsych Assessment
Encounter, Performed: Care Services in Long-Term Residential Facility
Diagnosis, Active: Dementia & Mental Degenerations
Encounter, Performed: Face-to-Face Interaction
Encounter, Performed: Home Healthcare Services
Encounter, Performed: Nursing Facility Visit
Encounter, Performed: Occupational Therapy Evaluation
Encounter, Performed: Office Visit
Encounter, Performed: Outpatient Consultation
Intervention, Performed: Palliative Care
Encounter, Performed: Psych Visit - Diagnostic Evaluation
Encounter, Performed: Psych Visit - Psychotherapy
Diagnosis, Active: Severe Dementia
Reporting Stratification
- None
Supplemental Data Elements
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"
Patient Characteristic Ethnicity: Ethnicity
Patient Characteristic Sex: ONC Administrative Sex
Patient Characteristic Payer: Payer
Patient Characteristic Race: Race