In primary care, cognitive decline and functional decline are extremely difficult to detect during routine encounters. We often have limited time, fragmented information, and no structured way to capture the early signals that predict safety issues, caregiver strain, and downstream healthcare utilization.
That’s why we built Q-Cog™—a biopsychosocial, whole-person cognitive assessment designed to uncover what providers rarely have time to evaluate fully.
And now, the first real-world data is in. With over 100 patients assessed across multiple clinical partners, we’re gaining our first look at what is truly happening in the population we serve.
I recorded a short video walking through these early findings and why Q-Cog is revealing far more cognitive and functional impairment than expected.
Key Insights From the First 130 Real-World Assessments
1. Cognitive Decline Is Far More Prevalent Than Expected
- 6.2% of patients screened in the high-risk dementia range
- 65.4% showed mild–moderate impairment
- Only 28.5% had normal cognition
➡️ Nearly 72% of adults screened had measurable cognitive concerns.
This supports what we see clinically: cognitive decline is common, but we miss it without structured assessment.
2. Functional Decline Is Widespread
- 76.2% reported functional limitations
- 33.1% had executive dysfunction
These findings have major implications for daily safety, medication adherence, independent living, and care coordination.
3. Early Memory Impairment Is Emerging
- 13.1% showed delayed recall deficits
Often the earliest sign of future decline.
4. Falls Risk & SDoH Are Compounding the Problem
- 30.8% moderate/high falls risk
- 53.1% elevated SDoH burden
These combined factors create vulnerability that normal office visits fail to capture.
Why Q-Cog Matters
The real-world data makes the case clear:
We need a biopsychosocial tool that captures cognition, function, mental health, falls risk, and social determinants — all in one workflow. Q-Cog gives providers the information they don’t have time to collect during routine visits.
Q-Cog transforms a 10–15 minute, high-stakes, difficult conversation into a structured, scalable, reimbursable process that truly supports whole-person care.
Next Steps:
If your practice has activated Q-Cog, take a closer look at your early data. You’ll likely see the same patterns: cognitive decline and functional decline are more common than we realized.
If you haven’t activated Q-Cog yet, now is the right moment. The earlier we identify risk, the more effectively we can intervene.
