Percentage of nursing home residents age 65+ with persistent indicators of dementia and no diagnosis of dementia.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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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.
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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.
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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.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Neurology Project 2015-2016Initial EndorsementLast UpdatedRemoval Date
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Steward Organization Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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