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Cognitive Reports

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Comprehensive and Easy-to-Read Physician Reports

For some patients, Screen’s Report might show that everything looks okay. For others, the doctor might decide that the low test scores should be followed up with a patient meeting, additional testing, or specialty referrals. Sometimes a specific contributing factor such as depression or alcohol use needs to be addressed before testing is repeated.

Screen’s Physician Reports are constructed so the doctor can show their patient and their families the graphs and information, and patients with their families can better understand the next steps.

Timely

Comprehensive, easy-to-read reports are sent back to the practice within an hour.

Longitudinal

Useful as a single baseline screen, or for precise evaluation of longitudinal changes.

Reimbursable

100% reimbursable through Medicare and most major insurance carriers.

You can open an example of our 2-page report in PDF format. This report is on a woman with reported depression who appeared cognitively unimpaired at her first testing. We recommended that she return in 6 months to track changes in depression. As her memory declined, we continued to recommend testing in 6 months and observed gradual, continued memory decline despite less depression. The report shows that her symbol fluency, usually the last domain to give out with impending Alzheimer’s, remained relatively unimpaired and stable.

View Sample Report

A closer look, section by section

In order to present the test data in relevant categories (normal, caution, impairment), the patient’s test data are first standardized. Z-scores record the patient’s “distance from average” comparing the results to those of hundreds of other people who took the CANS-MCI. That distance (the standard deviations) captures the likelihood that the patient’s ability deviates from the average (for people with a similar educational level).

The level of functioning within each cognitive domain is described, as well as the global functioning level. Patterns of functioning are assessed, within the context of reported risk and causation dimensions, by live professionals (MA or PhD, with geriatric testing experience).

Each dimension of testing and contextual information is discussed and patterns with implications detected by live testing professionals are described.

Reported contextual dimensions which influence cognitive performance are considered in the physician report. Attention to these can often clarify the likelihood of progressive decline.

Specific times and methods for follow-up testing are presented, along with recommendations for specialty follow-up procedures.

COGNITIVE SCORES

Standardized z-scores in the green bands represent a high likelihood that the patient’s memory health is normal (for their education). Z-scores that fall in the yellow bands (caution) suggest a lower likelihood that the patient’s test scores are normal.  Those that lie in the red bands show a high probability of cognitive impairment.  (Symbol Fluency and Executive Function graphs not shown.)

PROBABILITY OF MCI

A complex predictive algorithm estimates the probability of Mild Cognitive Impairment. Education-specific norms and sensitivity/specificity (using baseline and 1-year independent full neuropsychological evaluations as the criterion standards).

The prediction of the probability that a full neuropsychological evaluation will result in an MCI classification of the person tested is a unique product of CANS-MCI testing and is given with a description of its implications.

Partial and basic patient information helps the clinic re-identify who the report belongs to and lends additional context. The Patient Code is arbitrary: created by the clinic for its own use. It is entered into the CANS-MCI at the start of each test session and is held by Screen in order to be reprinted for reference.

Exact standard deviation information specific to education level is presented in the important context of the level of depression. Depression is not only an important possible cause of cognitive decline; it is treatable.