IA_PM_27
Population Management
To increase the detection rate of cognitive impairment, particularly in early stages, the MIPS eligible primary care clinician must perform the following activities:
- Determine his/her baseline detection rates for mild cognitive impairment (MCI), dementia, and cognitive impairment at either stage using the tool provided for this Improvement Activity
- If any of the three rates are below 1.0:
- Increase the uptake of the Annual Wellness Visit
- Ensure that each Annual Wellness Visit contains a structured cognitive assessment
- Include a question about subjective memory concerns to the collection of vital signs during intake for patients 65+, an conduct a structured cognitive assessment in those with concern
- Remeasure detection rates for MCI, dementia, and cognitive impairment at either stage quarterly
This Improvement Activity should only focus on Medicare patients aged 65 and older, given the strong correlation of cognitive impairment with age.
Evidence of establishment of a process or procedure to increase detection rate of cognitive impairment in primary care settings. Include the following elements:
1) Implementation of protocols that incorporate brief cognitive assessment into primary care workflows, including Annual Wellness Visits; AND
2) Documentation of the baseline detection rate and, for those who score less than 1.0, a plan for remeasurement during subsequent visits, including Annual Wellness Visits; AND
3) Documentation of remeasurement when needed.
Information:
• The tool referenced in this activity description is available here: (Or view Excel Sheet: Detection rate calculation tool)