Cognitive impairment Screening and Follow-up for Patients with MS

Measure purpose: Routinely screen patients with multiple sclerosis (MS) for cognitive impairment

The numerator: Patients screened for cognitive impairment in the past 12 months, and if screening positive, patient was referred appropriately for further evaluation and management

is divided by

the denominator: All patients with a diagnosis of MS

Exclusions are removed from the denominator:

• Patient declines to complete a cognitive assessment on date of encounter
• Patient is not able to complete a cognitive assessment on date of encounter
• Patient currently receiving treatment to address cognitive impairment
• Patient not seen in past 12 months

Key Phrases

Examples of key phrases you could use to meet the measure include:

• BICAMS completed and f/u needed
• MSNQ completed and f/u not needed
• PROMIS completed and f/u needed
• Neuropsychological exam results reviewed

Measure Calculation Example

Dr. Johnson sees 100 patients diagnosed with MS between January 1 and December 31. This is the denominator.

Four patients decline to participate in a cognitive assessment. Three patients were receiving treatment to address known cognitive impairments. These seven (4+3) patients are removed from the denominator as exclusions.

Of the remaining 93 patients, 17 patients had documentation that they were screened for cognitive impairment and no follow-up was needed and 7 patients had documentation that screening was completed and appropriate follow-up cooordinated in the past 12 months. This is the numerator.

Quality of patient care = (17+7)/93 (100-7). Dr. Johnson has a score of 25.8% for this measure.