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 recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting
复制标题
DOI：
10.1016/j.jalz.2012.09.011
复制
发表时间：
2013-03-01
影响因子：
14
通讯作者：
Fried, Leslie B.
中科院分区：
文献类型：
--
作者：
Cordell, Cyndy B.;Borson, Soo;Fried, Leslie B.
《患者保护和平价医疗法案》增加了一项新的医疗保险福利——年度健康访问（AWV），于2011年1月1日生效。AWV需要进行评估以检测认知障碍。医疗保险和医疗补助服务中心（CMS）选择不推荐一个特定的评估工具，因为没有一个单一的，普遍接受的屏幕，满足检测认知障碍的所有需求。为了向初级保健医生提供AWV期间认知评估的指导，以及当需要转诊或进一步测试时，阿尔茨海默氏症协会召集了一组专家来制定建议。由此产生的阿尔茨海默病协会医疗保险年度健康访问算法的认知评估包括患者健康风险评估（HRA）信息的回顾，患者观察，AWV期间的非结构化查询，以及对患者和供方的结构化认知评估工具的使用。该算法的广泛实施可能是减少漏诊或延迟痴呆诊断患病率的第一步，从而为受影响的患者及其家人和护理人员提供更好的医疗管理和更有利的结果。(c) 2013年阿尔茨海默病协会。版权所有。
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. (c) 2013 The Alzheimer's Association. All rights reserved.