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Ratio of observed over predicted rates for diagnosis of mild cognitive impairment

CBE ID
3707
Endorsed
Endorsement Status
Not Endorsed
1.1 New or Maintenance
New
E&M Cycle
Fall 2022
Is Under Review
No
Next Planned Maintenance Review
Fall 2027
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Fall 2022 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Fall 2022 “Intent to Submit.” Battelle took over the E&M work for the Fall 2022 cycle after developers and/or stewards submitted their full measure information to NQF, which for CBE #3707, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2024-02/3707%20.zip

Battelle took over the E&M work beginning with the public comment period to close the E&M committees for the post-comment meeting, convening the CSAC to render a final endorsement decision, and executing the appeals period.

 

1.3 Measure Description
Ratio of the number of patients 65 and older diagnosed with mild cognitive impairment attributed to a clinician or practice over the number predicted based on the demographic profile of that clinician or practice. Once the clinician’s or practice’s O/E ratio (i.e., ratio of the observed and expected rates) is calculated, a computation of its associated standard error (SE) can be used to draw inference whether the O/E ratio is significantly different from 1 or not.
    • 1.5 Measure Type
      Process
    • 1.14 Numerator

      Number of individuals aged 65 and older under the care of a clinician or practice who are diagnosed with mild cognitive impairment.

    • 1.15 Denominator

      Predicted number of individuals aged 65 and older under the care of a clinician or practice with mild cognitive impairment based on the demographic profile of the respective clinician or practice. Limit reporting to clinicians and practices with at least 25 attributed patients per CMS' guidance to ensure stability of measure results.

    • 1.13a Data dictionary not attached
      No
      OLD 1.12 MAT output not attached
      Attached
    • Most Recent Endorsement Activity
      Not Endorsed Geriatrics and Palliative Care Fall 2022
      Initial Endorsement
      Last Updated
    • Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off