The Cognitive Task Manager (CTM) integrates an individual’s performance in three primary cognitive domains: contextual memory, executive control functions, and complex attention. Together, these skills are among the most powerful predictors of key outcomes, including performance of basic and complex activities of daily living. The CTM score informs clinicians and families about impairments that can impact functional performance and highlight each individual’s risk for falls and adverse events at home, rehospitalizations and the need for residential support. The CTM score should be considered as part of a comprehensive assessment and be used to guide treatment interventions that address these underlying skill areas and promote a safe and sustainable transition to the next level of care.
The CTM is an important clinical tool that informs the plan of care and should be used to identify persons at higher risk for cognitively related functional deficits. When interpreting the CTM score, it is helpful to recognize what scores indicate normal functioning and what scores indicate higher risk. CTM scores in the 26-30 range are within normal limits. These patients have relatively low risk. CTM scores in the 20-25 range indicate moderate risk. CTM scores below 20 indicate relatively high risk. For patients with scores in the moderate or high-risk ranges, clinicians are advised to assess for functional deficits, home safety, and behavioral problems, creating person centered treatment plans that address these key areas of concern.
CTM Score Range | Outcomes Associated with Cognition | Discharge Planning Needs |
Low risk: Within normal limits 26-30 points |
| Rehospitalization and falls risk are lower. Need for residential support and assistance with ADLs/IADLs is relatively low. Low BPSD risk. |
Moderate risk 20-25 points |
| Risk for hospitalization and falls is approximately 1.5x relative to the “low risk” CTM category. The clinician should assess for residential and functional support needs as patient will likely require some support. BPSD risk is moderate. |
High risk <20 points |
| Risk for rehospitalization and falls is approximately 2x relative to the “low risk” CTM category. Need for residential support is terms of location and for ADLs/IADLs is high. BPSD risk is high. |