martes, 28 de enero de 2014

National Guideline Clearinghouse | Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting.

full-text ►

National Guideline Clearinghouse | Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting.



Alzheimer's Association

National Guideline Clearinghouse (NGC)

January 27, 2014

Guideline Title
Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting.
Bibliographic Source(s)
Cordell CB, Borson S, Boustani M, Chodosh J, Reuben D, Verghese J, Thies W, Fried LB, Medicare Detection of Cognitive Impairment Workgroup. Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting. Alzheimers Dement. 2013 Mar;9(2):141-50. [61 references]PubMed External Web Site Policy
Guideline Status
This is the current release of the guideline.

 2013 Mar;9(2):141-50. doi: 10.1016/j.jalz.2012.09.011. Epub 2012 Dec 20.

Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting.

Abstract

The Patient Protection and Affordable Care Act added a new Medicare benefit, the Annual Wellness Visit (AWV), effective January 1, 2011. The AWV requires an assessment to detect cognitive impairment. The Centers for Medicare and Medicaid Services (CMS) elected not to recommend a specific assessment tool because there is no single, universally accepted screen that satisfies all needs in the detection of cognitive impairment. To provide primary care physicians with guidance on cognitive assessment during the AWV, and when referral or further testing is needed, the Alzheimer's Association convened a group of experts to develop recommendations. The resulting Alzheimer's Association Medicare Annual Wellness Visit Algorithm for Assessment of Cognition includes review of patient Health Risk Assessment (HRA) information, patient observation, unstructured queries during the AWV, and use of structured cognitive assessment tools for both patients and informants. Widespread implementation of this algorithm could be the first step in reducing the prevalence of missed or delayed dementia diagnosis, thus allowing for better healthcare management and more favorable outcomes for affected patients and their families and caregivers.
Copyright © 2013 The Alzheimer's Association. All rights reserved.

PMID:
 
23265826
 
[PubMed - indexed for MEDLINE]

1 comentario:

  1. You will see your essential consideration supplier which could be a doctor, attendant professional or medical practitioner partner. Nonetheless, the greater part of your time may be gone through with a partnered health calling, for example, an attendant or restorative right hand who will assemble the majority of your therapeutic history so your doctor can figure out a proper preventive health screening arrangement.
    Medicare Wellness Visit

    ResponderEliminar