Mild Cognitive Impairment Diagnosis Disclosed and counseled on treatment options

Measure Purpose: Ensure patients are informed of their diagnosis.

The numerator: Patients informed of their mild cognitive impairment (MCI) diagnosis, educated on cognitive prognosis, and counseled on treatment plan options at least once in the measurement period

is divided by

The denominator: patients with a diagnosis of MCI

Exclusions are removed from the denominator:

• Patient declines information on their diagnosis. 
• Patient declines education on cognitive prognosis.
• Patient declines counseling on treatment plan options.
• Patient is actively suicidal or expressing self-harm statements

Key Phrases

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

• Diagnosis and education provided prior to treatment plan discussion
• Diagnosis and management discussed

Measure Calculation Example

Dr. Zhang had office encounters with 100 patients between January 1 and December 31 that were diagnosed with MCI. This is the denominator. Ten patients declined to discuss cognitive prognosis with Dr. Zhang, and three patients declined information on their diagnosis. These 13 patients (10+3) are removed from the denominator as exclusions.

Of the 87 remaining patients, 33 had a discussion with Dr. Zhang about their diagnosis and causation with a caregiver present.  This is the numerator.

Quality of patient care = 33/87. Dr. Zhang has a score of 37.9% for this measure.