CMS 149 - Dementia: Cognitive Assessment

Overview

CMS149v8 (2020)

CMS149v9 (2021)

CMS149v10 (2022)

Identifiers

CMS eCQM ID NQF eCQM ID NQF MIPS Quality ID
CMS149v10 2872e โ€“ 281

*MIE only supports data collection and reporting using eCQM specifications

Definitions

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 Equals Initial Population
Denominator Exclusions โ€“
Numerator Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
Numerator Exclusions โ€“
Denominator Exceptions Documentation of patient reason(s) for not assessing cognition

Additional Information

Measure Type Process measure
Measure Scoring Proportion measure
Granularity Patient
Improvement Notation Higher score indicates better quality
Domain Effective Clinical Care

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

Name Value Set
Diagnosis: Dementia & Mental Degenerations 2.16.840.1.113883.3.526.3.1005
Encounter, Performed: Behavioral/Neuropsych Assessment 2.16.840.1.113883.3.526.3.1023
Encounter, Performed: Care Services in Long-Term Residential Facility 2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Home Healthcare Services 2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Nursing Facility Visit 2.16.840.1.113883.3.464.1003.101.12.1012
Encounter, Performed: Occupational Therapy Evaluation 2.16.840.1.113883.3.526.3.1011
Encounter, Performed: Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Outpatient Consultation 2.16.840.1.113883.3.464.1003.101.12.1008
Encounter, Performed: Patient Provider Interaction 2.16.840.1.113883.3.526.3.1012
Encounter, Performed: Psych Visit - Diagnostic Evaluation 2.16.840.1.113883.3.526.3.1492
Encounter, Performed: Psych Visit - Psychotherapy 2.16.840.1.113883.3.526.3.1496

Numerator

Name Value Set
Assessment, Performed: Standardized Tools for Assessment of Cognition 2.16.840.1.113883.3.526.3.1006
Intervention, Performed: Cognitive Assessment 2.16.840.1.113883.3.526.3.1332

Denominator Exceptions

Name Value Set
Assessment, Not Performed: Standardized Tools for Assessment of Cognition 2.16.840.1.113883.3.526.3.1006
Intervention, Not Performed: Cognitive Assessment 2.16.840.1.113883.3.526.3.1332

Source(s)

eCQI CMS149


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