Percentage of actively enrolled home-based primary care and palliative care patients who received an assessment of their cognitive ability.
Measure Specs
General Information
Numerator
Submission Criteria 1 - Newly enrolled:
Number of newly enrolled home-based primary care and palliative care patients for whom cognitive assessment was performed
Submission Criteria 2 - Established patients:
Number of established home-based primary care and palliative care patients for whom cognitive assessment was performed annually
Denominator
Submission Criteria 1 - Newly enrolled:
Total number of newly enrolled (and active) home-based primary care and palliative care patients. The enrollment period includes 90 days from the first recorded new patient E&M visit code with the practice. *A patient is considered active if they have at least 2 E&M visit codes with a provider from the practice within the reporting period.
Submission Criteria 2 - Established patients:
Total number of established enrolled and active home-based primary care and palliative care patients. A patient is considered established if they have at least 2 Established Patient Encounter E&M visit codes with a provider from the practice within the reporting period.
Exclusions
Submission Criteria 1 - Newly enrolled:
Denominator Exceptions:
1. Most recent new patient encounter (with subsequent established patient encounter) occurs within the last 90 days of the measurement period
2. Documentation of medical reason(s) for not assessing cognition (eg, patient with very advanced stage dementia, other medical reason) or Documentation of patient reason(s) for not assessing cognition
Submission Criteria 2 - Established patients:
There are no exceptions or exclusions for this submission criteria.
Measure Record
Point of Contact
The Johns Hopkins University and the University of California, San Francisco. All Rights Reserved.
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