MDS Cognitive Performance Scale(C)
1994/07/01 by J. N. Morris, John N. Morris, Brant E. Fries +10 · 1,832 citations
Health Professions · Medicine · Nursing · Psychology · #Clinical psychology #Cognition #Cognitive test #Dementia #Dementia and Cognitive Impairment Research #Disease #Effects of sleep deprivation on cognitive performance #Geriatric Care and Nursing Homes #Gerontology #Intensive Care Unit Cognitive Disorders #Medical diagnosis #Medicine #Minimum Data Set #Nursing #Nursing Minimum Data Set #Nursing Outcomes Classification #Nursing homes #Nursing research #Psychiatry #Psychology #Psychosocial #Scale (ratio)
paper · doi:10.1093/geronj/49.4.m174
published in Journal of Gerontology 49(4), M174-M182 (Oxford University Press)
openalex publication_date 1994/07/01 · openalex created_date 2016/06/24 · openalex updated_date 2026/08/04
Abstract
BACKGROUND: Chronic cognitive impairment is a major problem in U.S. nursing homes, yet traditional assessment systems in most facilities included only limited information on cognitive status. Following the Congressional mandate in the Omnibus Reconciliation Act of 1987 (OBRA '87), U.S. nursing homes now complete the Minimum Data Set (MDS), a standardized, comprehensive assessment of each resident's functional, medical, psychosocial, and cognitive status. We designed a Cognitive Performance Scale (CPS) that uses MDS data to assign residents into easily understood cognitive performance categories. METHODS: Information was drawn from three data sets, including two multistate data sets constructed for the Health Care Financing Administration. The prevalence and reliability of the MDS cognitive performance variables were established when assessed by trained nursing personnel. Five selected MDS items were combined to create the single, functionally meaningful seven-category hierarchical Cognitive Performance Scale. RESULTS: The CPS scale corresponded closely with scores generated by the Mini-Mental State Examination and the Test for Severe Impairment, nursing judgments of disorientation, and neurological diagnoses of Alzheimer's disease and other dementias. CONCLUSIONS: The new CPS provides a functional view of cognitive performance, using readily available MDS data. It should prove useful to clinicians and investigators using the MDS to determine a resident's cognitive assets.
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