CMS 149 - Dementia: Cognitive Assessment

Overview

CMS149v8 (2020)

CMS149v9 (2021)

CMS149v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS149v102872eโ€“281

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage 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 PopulationAll patients, regardless of age, with a diagnosis of dementia
DenominatorEquals Initial Population
Denominator Exclusionsโ€“
NumeratorPatients for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
Numerator Exclusionsโ€“
Denominator ExceptionsDocumentation of patient reason(s) for not assessing cognition

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainEffective Clinical Care

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

NameValue Set
Diagnosis: Dementia & Mental Degenerations2.16.840.1.113883.3.526.3.1005
Encounter, Performed: Behavioral/Neuropsych Assessment2.16.840.1.113883.3.526.3.1023
Encounter, Performed: Care Services in Long-Term Residential Facility2.16.840.1.113883.3.464.1003.101.12.1014
Encounter, Performed: Home Healthcare Services2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Nursing Facility Visit2.16.840.1.113883.3.464.1003.101.12.1012
Encounter, Performed: Occupational Therapy Evaluation2.16.840.1.113883.3.526.3.1011
Encounter, Performed: Office Visit2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Outpatient Consultation2.16.840.1.113883.3.464.1003.101.12.1008
Encounter, Performed: Patient Provider Interaction2.16.840.1.113883.3.526.3.1012
Encounter, Performed: Psych Visit - Diagnostic Evaluation2.16.840.1.113883.3.526.3.1492
Encounter, Performed: Psych Visit - Psychotherapy2.16.840.1.113883.3.526.3.1496

Numerator

NameValue Set
Assessment, Performed: Standardized Tools for Assessment of Cognition2.16.840.1.113883.3.526.3.1006
Intervention, Performed: Cognitive Assessment2.16.840.1.113883.3.526.3.1332

Denominator Exceptions

NameValue Set
Assessment, Not Performed: Standardized Tools for Assessment of Cognition2.16.840.1.113883.3.526.3.1006
Intervention, Not Performed: Cognitive Assessment2.16.840.1.113883.3.526.3.1332

Source(s)

eCQI CMS149


WebChart Documentation

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