-
Initial Patient Population =
- AND: Count >= 2 of:
- OR: "Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Encounter, Performed: Nursing Facility Visit"
- OR: "Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Encounter, Performed: Home Healthcare Services"
- OR: "Encounter, Performed: Patient Provider Interaction"
- OR: "Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Encounter, Performed: Office Visit"
- OR: "Encounter, Performed: Outpatient Consultation"
- during "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Psych Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Behavioral/Neuropsych Assessment"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Occupational Therapy Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Office Visit" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Office Visit"
- OR:
- AND: "Occurrence A of Encounter, Performed: Outpatient Consultation" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Outpatient Consultation"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Outpatient Consultation"
- OR:
- AND: "Occurrence A of Encounter, Performed: Nursing Facility Visit" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Nursing Facility Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Care Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Encounter, Performed: Home Healthcare Services" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Home Healthcare Services"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Home Healthcare Services"
- OR:
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Psych Visit - Psychotherapy"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Encounter, Performed: Face-to-Face Interaction" during "Measurement Period"
- AND: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" starts before or during "Occurrence A of Encounter,
Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Dementia & Mental Degenerations" ends before start of "Occurrence A of Encounter,
Performed: Face-to-Face Interaction"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Risk Category Assessment: Standardized Tools for Assessment of Cognition (result)"
- OR: "Intervention, Performed: Cognitive Assessment"
- <= 12 month(s) starts before or during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
-
Denominator Exceptions =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Psych
Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Behavioral/Neuropsych
Assessment"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Occupational
Therapy Evaluation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Office
Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Outpatient
Consultation"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Outpatient Consultation"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Nursing
Facility Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Care
Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Home
Healthcare Services"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Home Healthcare Services"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Psych
Visit - Psychotherapy"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Severe Dementia" starts before or during "Occurrence A of Encounter, Performed: Face-to-Face
Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Severe Dementia" ends before start of "Occurrence A of Encounter, Performed:
Face-to-Face Interaction"
- OR: "Risk Category Assessment not done: Medical Reason" for "Standardized Tools for Assessment of Cognition" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Risk Category Assessment not done: Patient Reason" for "Standardized Tools for Assessment of Cognition" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Psych Visit - Diagnostic Evaluation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Diagnostic Evaluation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Behavioral/Neuropsych Assessment"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Behavioral/Neuropsych Assessment"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Occupational Therapy Evaluation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Occupational Therapy Evaluation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Office Visit"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Office Visit"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Outpatient Consultation"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Outpatient Consultation"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Nursing Facility Visit"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Nursing Facility Visit"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Care Services in Long-Term Residential Facility"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Care Services in Long-Term Residential Facility"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Home Healthcare Services"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Home Healthcare Services"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Psych Visit - Psychotherapy"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Psychotherapy"
- OR:
- AND: "Occurrence A of Intervention, Performed: Palliative Care" starts before or during "Occurrence A of Encounter, Performed:
Face-to-Face Interaction"
- AND NOT: "Occurrence A of Intervention, Performed: Palliative Care" ends before start of "Occurrence A of Encounter, Performed:
Face-to-Face Interaction"
- OR: "Intervention, Performed not done: Medical Reason" for "Cognitive Assessment" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR: "Intervention, Performed not done: Patient Reason" for "Cognitive Assessment" starts during
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- OR: "Occurrence A of Encounter, Performed: Behavioral/Neuropsych Assessment"
- OR: "Occurrence A of Encounter, Performed: Occupational Therapy Evaluation"
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Outpatient Consultation"
- OR: "Occurrence A of Encounter, Performed: Nursing Facility Visit"
- OR: "Occurrence A of Encounter, Performed: Care Services in Long-Term Residential Facility"
- OR: "Occurrence A of Encounter, Performed: Home Healthcare Services"
- OR: "Occurrence A of Encounter, Performed: Psych Visit - Psychotherapy"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
-
"Diagnosis, Active: Dementia & Mental Degenerations" using "Dementia & Mental Degenerations Grouping Value Set (2.16.840.1.113883.3.526.3.1005)"
-
"Diagnosis, Active: Severe Dementia" using "Severe Dementia Grouping Value Set (2.16.840.1.113883.3.526.3.1025)"
-
"Encounter, Performed: Behavioral/Neuropsych Assessment" using "Behavioral/Neuropsych Assessment Grouping Value Set (2.16.840.1.113883.3.526.3.1023)"
-
"Encounter, Performed: Care Services in Long-Term Residential Facility" using "Care Services in Long-Term Residential Facility Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1014)"
-
"Encounter, Performed: Face-to-Face Interaction" using "Face-to-Face Interaction Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1048)"
-
"Encounter, Performed: Home Healthcare Services" using "Home Healthcare Services Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1016)"
-
"Encounter, Performed: Nursing Facility Visit" using "Nursing Facility Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1012)"
-
"Encounter, Performed: Occupational Therapy Evaluation" using "Occupational Therapy Evaluation Grouping Value Set (2.16.840.1.113883.3.526.3.1011)"
-
"Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
-
"Encounter, Performed: Outpatient Consultation" using "Outpatient Consultation Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1008)"
-
"Encounter, Performed: Patient Provider Interaction" using "Patient Provider Interaction Grouping Value Set (2.16.840.1.113883.3.526.3.1012)"
-
"Encounter, Performed: Psych Visit - Diagnostic Evaluation" using "Psych Visit - Diagnostic Evaluation Grouping Value Set (2.16.840.1.113883.3.526.3.1492)"
-
"Encounter, Performed: Psych Visit - Psychotherapy" using "Psych Visit - Psychotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.1496)"
-
"Intervention, Performed not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
-
"Intervention, Performed not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
-
"Intervention, Performed: Cognitive Assessment" using "Cognitive Assessment Grouping Value Set (2.16.840.1.113883.3.526.3.1332)"
-
"Intervention, Performed: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.526.3.1024)"
-
"Risk Category Assessment not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
-
"Risk Category Assessment not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
-
"Risk Category Assessment: Standardized Tools for Assessment of Cognition" using "Standardized Tools for Assessment of Cognition Grouping Value Set (2.16.840.1.113883.3.526.3.1006)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"