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Increasing Cognitive Assessment Rates in an Internal Medicine Clinic: A Quality Improvement Project

  • Cara LevinEmail author
  • Emily Morgan
  • Steven Kassakian
  • Faiza Khan
  • Elizabeth Eckstrom
  • Christopher Terndrup
Concise Research Report

INTRODUCTION

In 2018, an estimated 5.7 million people were living with Alzheimer’s dementia; this number is projected to grow to nearly 13.8 million by 2050, with costs exceeding 1.1 trillion dollars.1 Clinical care enhancements and quality measures for management of dementia are critical to the health of older adults in the US.2 With variable and unpredictable rates of decline,3 having updated cognitive assessments allows the care team to target treatment goals, monitor interventions, and plan care-level transitions.

Our project aimed to promote regular cognitive assessments, as recommended in the 2018 “Dementia Work Group” quality measures report3 and supported as a Comprehensive Primary Care Plus (CPC+) Center for Medicare and Medicaid (CMS) metric. The “Dementia: Cognitive Assessment” (CMS149, version 7 available here) aims to increase the percentage of patients, “with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once...

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors of this article have no conflicts of interest to report.

References

  1. 1.
    Alzheimer’s Association. (2018). 2018 Alzheimer’s disease facts and figures. Alzheimers Dement, 14(3), 367–429CrossRefGoogle Scholar
  2. 2.
    Odenheimer, G., Borson, S., Sanders, A. E., Swain-Eng, R. J., Kyomen, H. H., Tierney, S., ... & Johnson, J. (2013). Quality improvement in neurology: dementia management quality measures. Neurology, 81(17), 1545–1549Google Scholar
  3. 3.
    Mitchell SL, Teno JM, Kiely DK, et al. The clinical course of advanced dementia. N Engl J Med 2009;361:1529–1538.CrossRefGoogle Scholar
  4. 4.
    eCQI Resource Center. “Dementia: Cognitive Assessment. Accessed August 28, 2019 at https://ecqi.healthit.gov/ecqm/ep/2019/cms149v7.
  5. 5.
    Loo, T. S., Davis, R. B., Lipsitz, L. A., Irish, J., Bates, C. K., Agarwal, K., ... & Hamel, M. B. (2011). Electronic medical record reminders and panel management to improve primary care of elderly patients. Arch Intern Med, 171(17), 1552–1558.Google Scholar
  6. 6.
    Harris, A. D., McGregor, J. C., Perencevich, E. N., Furuno, J. P., Zhu, J., Peterson, D. E., & Finkelstein, J. (2006). The use and interpretation of quasi-experimental studies in medical informatics. J Am Med Inform Assoc, 13(1), 16–23.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2020

Authors and Affiliations

  1. 1.Department of Medicine Oregon Health & Science UniversityPortlandUSA
  2. 2.Division of General Internal Medicine and GeriatricsOregon Health & Science UniversityPortlandUSA
  3. 3.Medical Informatics and Clinical EpidemiologyOregon Health & Science UniversityPortlandUSA
  4. 4.Business Intelligence & Advanced AnalyticsOregon Health & Science UniversityPortlandUSA

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