Percentage of patients, aged 70 and older, who undergo an elective surgical procedure under general anesthesia who receive a cognitive screening using a validated tool(s) within 90 days prior to their procedure and, for those who screen positive for cognitive impairment or cognitively at-risk, have two or more perioperative best practices for the older adult applied to their care. Instructions: This measure consists of a weighted average of two performance rates: Numerator Criteria 1: Patients received a cognitive screening using a validated tool within 90 days prior to their elective surgical procedure. Numerator Criteria 2: Patients who screened positive for cognitive impairment or cognitively at risk (positive cognitive screening or positive cognitively at-risk) using a validated tool within 90 days prior to their elective surgical procedure received two or more of the perioperative best practices for the older adult applied to their care. It is anticipated that qualified anesthesia professionals and eligible clinicians who provide denominator-eligible services will submit this measure.