Assessment and treatment of factors contributing to mild cognitive impairment
Measure Purpose: Ensure patients are evaluated and treated for contributing factors
The numerator: Patients who have had treatment for contributing behavioral & psychiatric symptoms, hearing & vision deficits, sleep disturbances, neurologic diseases, OR medical illnesses following a comprehensive neuropsychological assessment* to determine potential contributing factors
is divided by
The denominator: patients diagnosed with mild cognitive impairment (MCI)
*see measure specifications for definition
Exclusions are removed from the denominator:
- Prior declines or is not adherent to treatment for contributing factor
Key Phrases
Examples of key phrases you could use to meet the measure include:
- Patient does not have any contributing behavioral health [OR hearing and vision deficits, sleep disturbances, neurologic diseases, OR medical illnesses] factor identified.
- Patient was referred to a specialist for further treatment. (For example, psychiatry, psychology, ENT, sleep specialist, Occupational Therapy, Physical Therapy)
- Patient is receiving treatment for behavioral and psychiatric symptoms [OR hearing and vision deficits, sleep disturbances, neurologic diseases, OR medical illnesses].
Measure Calculation Example
Dr. Pushka has office encounters for 100 patients between January 1 and December 31 with patients diagnosed with MCI. This is the denominator
Dr. Pushka determined 41 patients did not have a contributing factor. Dr. Pushka had 11 patients who were treated or referred for treatment for a contributing factor. These 52 patients (41+11) meet the numerator.
Three patients declined treatment for a contributing factor (e.g., patient declined referral to psychiatry and sleep specialist. These three patients are removed from the denominator as exclusions.
Quality of patient care = 52/(100-3). Dr. Pushka has a score of 53.6% for this measure.