Cognitive Status 1222020 Objectives 1 Current state of

Cognitive Status 1/22/2020

Objectives 1. Current state of Cognitive Status 2. Ideal state of Cognitive Status 3.

Current State of Cognitive Status During earlier discussions, initial set of data elements were chosen based on already standardized data elements in Post Acute Care (PAC) and availability of associated Health Information Technology (HIT) codes. Additionally the understanding was that this current framework would be the first iteration. Chosen data elements: • Short Confusion Assessment Method (CAM) • Screen for delirium • Brief Interview for Mental Status (BIMS) • Screen for cognition • Patient Health Questionnaire (PHQ) • Screen for depression © 2020 The MITRE Corporation. All rights reserved.

What is Ideal State of Cognitive Status? What additional data elements are important to include for a transition of care? Should we look at tests or individual questions? • Mini Mental State Exam (MMSE) versus “Is the patient oriented to time? ” • Should we have a library of cognitive assessments? • Do we need a combination of both? Should we be reaching out to HIT code organizations for data elements that are important to include but don’t currently have LOINC codes? Thoughts/Comments? © 2020 The MITRE Corporation. All rights reserved.

Additional Tests/Screens TEST/ SCREEN PURPOSE Montreal Cognitive Assessment (Mo. CA) Screen for mild cognitive impairment MMSE Screens for cognitive function in the elderly Trail Making Tests for cognitive dysfunction Glasgow Coma Scale (GCS) Assesses level of consciousness FOUR Score Assesses level of consciousness (doesn’t require verbal response like the GCS) Ranchos Assess patients’ cognition as they emerge from coma Mini Cog Test Screening for Cognitive Impairment St Louis University Mental Status Exam (SLUMS) Screens for dementia © 2020 The MITRE Corporation. All rights reserved.

The PACIO Project is a collaborative effort to advance interoperable health data exchange between post-acute care (PAC) and other providers, patients, and key stakeholders across health care and to promote health data exchange in collaboration with policy makers, standards organizations, and industry through a consensus-based approach. Learn and share more about the PACIO Project at www. PACIOproject. org