Functional Status Assessment Review 32520 Functional Tests Included

Functional Status Assessment Review 3/25/20

Functional Tests Included in STU 1 FUNCTIONAL TESTS/SCREENS INCLUDE NOTES Prior Level of Function x Before current medical conditions/exacerbation for this episode. Need to identify: 1) Who provided the information; 2) What time period/When (Free Text, currently little consistency, minimal), Date Coded observations if available (0. . *) – used to set goals for the patient What were they able to do before episode? Eating x GG 0130 A 3 Oral hygiene x GG 0130 B 3 Toileting hygiene x GG 0130 C 3 Shower/bathe self x GG 0130 E 3 Upper body dressing x GG 0130 F 3 Lower body dressing x GG 0130 G 3 Putting on/taking off footwear x GG 0130 H 3 Roll left and right x GG 0170 A 3 Sit to lying x GG 0170 A 3 Lying to sitting on side of bed x GG 0170 A 3 Sit to stand x GG 0170 A 3 Chair/bed-to-chair transfer x GG 0170 A 3 Toilet transfer x GG 0170 F 3 © 2020 The MITRE Corporation. All rights reserved.

Functional Tests Included in STU 1 (continued) FUNCTIONAL TESTS/SCREENS INCLUDE NOTES Car transfer x GG 0170 G 3 Walk 10 feet x GG 0170 I 3 Walk 50 feet with two turns x GG 0170 J 3 Walk 150 feet x GG 0170 K 3 Walking 10 feed on uneven surface x 1 step (curb) x 4 steps x 12 steps x Picking up object x Wheel 50 feet with two turns x Wheel 150 feet x IADLs x Pain x Vital signs x © 2020 The MITRE Corporation. All rights reserved.

Cognitive Status Assessment Review 3/25/20

Meeting Recap from 1/22/20 and 1/29/20 1/22/20: • Group decided to pursue a “library” of cognitive assessments because different tests/screens are used in different settings • The chosen profile should not put value on which test/screen is more important. All the tests/screens are important. 1/29/20: • Overview of potential tests to include in the library • Several tests are proprietary • Often when LOINC requests approval from the organization holding the rights, they want the tool to remain private and cannot get the approval • Consider a workaround for the LOINC code, rather than limiting tests • Unassigned LOINC codes • 6 month process for petition © 2020 The MITRE Corporation. All rights reserved.

Cognitive Tests Included in STU 1 COGNITIVE TESTS/SCREENS INCLUDE NOTES CAM (Currently included) x BIMS (Currently included) x PHQ 2 -9 (Currently included) x PHQ for acute differs slightly from PAC – scores are comparable, but structured differently Montreal Cognitive Assessment (Mo. CA) x Already a LOINC code. Proprietary Mini Mental State Exam (MMSE) x Still used Trail Making Test x Glasgow Coma Scale (GCS) x FOUR Score x Ranchos x Mini Cog Test x St Louis University Mental Status Exam (SLUMS) x Brief Cognitive Assessment Test (BCAT) x This is the assessment BCAT SF (Short Form) x This is the screen Cognitive Performance Test (CPT) x screen Allen Scales x Based on the Allen Scales http: //www. allen-cognitive-network. org/ Functional Assessment Staging Tool (FAST) x Screen based on GDS Global Deterioration Scale x Assessment Rapid Geriatric Assessment x Similar to Allen scale or GDS © 2020 The MITRE Corporation. All rights reserved. ICD 10 codes.

Cognitive Tests Included in STU 1 COGNITIVE TESTS/SCREENS INCLUDE NOTES CAM (Currently included) x BIMS (Currently included) x PHQ 2 -9 (Currently included) x PHQ for acute differs slightly from PAC – scores are comparable, but structured differently Montreal Cognitive Assessment (Mo. CA) x Already a LOINC code. Proprietary Mini Mental State Exam (MMSE) x Still used Trail Making Test x Glasgow Coma Scale (GCS) x FOUR Score x Ranchos x Mini Cog Test x St Louis University Mental Status Exam (SLUMS) x Brief Cognitive Assessment Test (BCAT) x This is the assessment BCAT SF (Short Form) x This is the screen Cognitive Performance Test (CPT) x screen Allen Scales x Based on the Allen Scales http: //www. allen-cognitive-network. org/ Functional Assessment Staging Tool (FAST) x Screen based on GDS Global Deterioration Scale x Assessment Rapid Geriatric Assessment x Similar to Allen scale or GDS © 2020 The MITRE Corporation. All rights reserved. ICD 10 codes.

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