Implementation of Nurse-Led Cognitive Screening During Medicare Annual Wellness Visits

Journal Article (Journal Article)

Dementia is a serious and costly illness. Early identification of cognitive impairment provides opportunity for earlier intervention, and there is growing evidence suggesting that early intervention may help delay the onset of dementia. There is limited concensus and standardized recommendations for when and how cognitive screening should occur. This quality improvement project implemented a standardized nurse-led cognitive screening workflow during the Medicare annual wellness visit. Statistically significant differences were found between the baseline and implementation groups for Mini-Cog screening rates and referral for follow-up for further neurocognitive evaluation. A structured nurse-led workflow improved the cognitive screening process, providing opportunity for further evaluation and intervention.

Full Text

Duke Authors

Cited Authors

  • Peters Settje, KL; Yap, TL; Chapman, S; Brooks, K; Sabol, VK

Published Date

  • May 1, 2022

Published In

Volume / Issue

  • 18 / 5

Start / End Page

  • 516 - 521

International Standard Serial Number (ISSN)

  • 1555-4155

Digital Object Identifier (DOI)

  • 10.1016/j.nurpra.2022.01.003

Citation Source

  • Scopus