My efforts to explain life and death to my 4-year-old, it seems, have failed and as a result she wants to make sure all current members continue living. If I remain positive and continue to say our family doesn’t die, then they will not. Or such is the logic for a 4-year-old.
Accurate measurement of cognitive-based functioning is an essential area within the forthcoming Patient-Driven Payment Model. Getting it right requires us to consider impacts of the environment, medical complexities that can mirror and complicate cognitive declines, and the need for assessors to have the skill sets needed to frame questions in a manner that allows for an accurate overall measure.