Cognitive Assessment Toolkit - Alzheimer's Association
COGNITIVE
ASSESSMENT TOOLKIT
A guide to detecting cognitive impairment during the Medicare
Annual Wellness Visit
TABLE OF CONTENTS
Overview 3
Medicare Annual Wellness Visit Algorithm for
Assessment of Cognition 4
General Practitioner Assessment of Cognition (GPCOG) 5
Mini-Cog? ?
8
Short Form of the Informant Questionnaire on
Cognitive Decline in the Elderly (Short IQCODE) 10
Eight-Item Informant Interview to Differentiate Aging
and Dementia (AD8)
12
Alzheimer¡¯s Association Recommendations for Operationalizing
the Detection of Cognitive Impairment During the
Medical Annual Wellness Visit in a Primary Care Setting
15
800.272.3900 | ?
Overview
3
The Alzheimer¡¯s Association?, the leading voluntary health organization in Alzheimer¡¯s care, support and research, is
dedicated to driving early detection and diagnosis of dementia. To help, the Association has created an easy-to-implement
process to assess cognition during the Medicare Annual Wellness Visit. Developed by a group of clinical dementia experts,
the recommended process outlined on Page 4 allows you to efficiently identify patients with probable cognitive impairment
while giving you the flexibility to choose a cognitive assessment tool that works best for you and your patients.
This Cognitive Assessment Toolkit contains:
? The Medicare Annual Wellness Visit Algorithm for Assessment of Cognition, incorporating patient history,
clinician observations, and concerns expressed by the patient, family or caregiver
? Two validated patient assessment tools: the General Practitioner Assessment of Cognition (GPCOG) and
the Mini-Cog??. Both tools:
? Can be administered in five minutes or less
1. 3
? Are equal or superior to the Mini-Mental State Exam (MMSE) for detecting dementia
? Are easily administered by medical staff who are not physicians
? Are relatively free from educational, language and/or cultural bias
? Three validated informant assessment of patient tools: the Short Form of the Informant Questionnaire
on Cognitive Decline in the Elderly (Short IQCODE), the Eight-Item Informant Interview to Differentiate
Aging and Dementia (AD8) and the GPCOG
? The ¡°Alzheimer¡¯s Association Recommendations for Operationalizing the Detection of Cognitive Impairment
During the Medical Annual Wellness Visit in a Primary Care Setting,¡± as published in Alzheimer¡¯s & Dementia?:
The Journal of the Alzheimer¡¯s Association
For more information on the detection, diagnosis and treatment of Alzheimer¡¯s disease, as well as direct access to patient
and caregiver resources, please visit our Health Systems and Clinicians Center at hcps.
800.272.3900 | ?
Alzheimer¡¯s Association?
Medicare Annual Wellness Visit Algorithm for Assessment of Cognition
A. Review HRA, clinician observation, self-reported concerns, responses to queries
YES
NO
Signs/symptoms present
NO
Informant available to confirm
B.* Conduct brief structured assessment
? Patient assessment: Mini-Cog or GPCOG
? Informant assessment of patient: Short IQCODE, AD8 or GPCOG
1. 4
Brief assesment(s) triggers concerns: Patient: Mini-Cog ¡Ü3
or GPCOG ................
................
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