![]() The Mini-CogTM is one of three tools endorsed by the Alzheimer’s Association for use in the Medicare AWV.īEST TOOL: The Mini-CogTM is a simple screening tool that is well accepted and takes up to only 3 minutes to administer. The Centers for Medicare & Medicaid Services has included routine cognitive screening as a required component of the Medicare Annual Wellness Visit (AWV). Preventative Services Task Force (USPSTF) does not recommend routine cognitive screening in asymptomatic community-dwelling older adults, the Alzheimer’ s Association and the American Geriatrics Society do recommend incorporation of assessment of cognitive impairment into the Medicare AWV. Early identification and intervention in the form of medication and behavioral therapy may slow disease progression, delay functional decline, allow for pre-planning, and postpone nursing home placement. Using a reliable and valid tool that clinicians can quickly implement facilitates early identification and allows the person to receive prompt treatment. The increased availability of successful interventions for dementia and dementia-related illnesses means there is a substantial need for increased early identification of cognitive impairment, particularly in the older adult population. One in ten individuals over 65 and 32% of those over 85 are affected (2017 Alzheimer’s Disease Facts and Figures, 2017). WHY: Five and a half (5.5) million Americans of all ages have Alzheimer’s disease or other dementias (2017 Alzheimer’s Disease Facts and Figures, 2017). ![]()
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