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Persistent Indicators of Dementia without a Diagnosis—Long Stay

CBE ID
2091
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of nursing home residents age 65+ with persistent indicators of dementia and no diagnosis of dementia.

        • 1.14 Numerator

          Number of adult patients 65 and older who are included in the denominator (i.e., have persistent signs and symptoms of dementia) and who do not have a diagnosis of dementia on any MDS assessment within the last 12 months.

        • 1.15 Denominator

          The denominator is the total of all long-stay residents in the nursing facility who have at least two MDS assessments which may be an admission annual, quarterly, significant change or significant correction assessment during the selected quarter and who do not meet the exclusion criteria.

          The denominator includes (i) residents with Section C Brief Interview for Mental Status (BIMS) score <8 on most recent target assessment and a BIMS < 8 on the prior assessment; or (ii) residents with a staff assessment for cognitive status on both the most recent target assessment and the prior assessment that shows severe cognitive impairment.

        • Exclusions

          Residents who are hospice or end of life, or who are comatose or with delirium, or with psychotic disorders including hallucinations, anxiety disorder, manic depressive disease, post-traumatic stress disorder, bipolar disorder or schizophrenia will be excluded from the denominator.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Neurology Project 2015-2016
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          American Medical Directors Association
          Steward Organization POC Email