Improving Healthcare Outcomes, One Player at a Time

Cognitive Assessment and Training Tool


Our Cognitive Assessment and Training Tool (CATT) is an evidence-based cognitive assessment and intervention program1 Designed to be used without direct clinical supervision, patients can take assessments or complete home programs whenever and wherever it is convenient for them. Clinicians, at the same time, obtain standardized and objective patient performance data that is critical for their clinical decision-making process.

Typical standard of care requires patients to physically visit a clinic and take a battery of assessments that can last 4-5 hours. Clinicians administer the assessments, score evaluations and chart the results in the patient’s EHR. Depending on the battery of tests and the type of evaluation, clinicians spend up to 6-7 hours per patient evaluated.

Once assessed, patients are sent home with a binder full of workbook material. They are asked to complete an hour’s worth of home program practice each day in-between visits. The material is not engaging and often patients do not complete it. Moreover, patients lose sheets, and the clinician rarely reviews the home program.

Line Crossing

Figure 2 – Line Crossing

Line Crossing Data

Figure 3 Line Crossing Data

Which Cognitive Domains

CATT challenges five cognitive domains and multiple sub-domains including: Executive Function, Attention, Memory, Perceptual Motor and Visual Processing 2,3. After each challenging and engaging play-through, CATT immediately processes and scores their efforts. The scores display on an Internet-enabled web app, for the clinician to view and use in their clinical workflow. While patients complete the assessments and interventions, clinicians are free to observe or attend to other pressing clinical activities until they are ready to review their patient’s data.


CATT is a powerful tool that can have an immediate impact on an organization’s bottom line within days of being implemented. Patients waitlisted for evaluation can take the assessment at home. Clinicians can triage without administering complicated and time-consuming assessments. Critical patients move to the head of the line, while other patients can be sent to specialists or back to the referring source for additional screening. Patients win because they are receiving care they need in a timely manner. Clinicians win because they can focus on treating the patients who most need their direct attention. Healthcare facilities win because they have tools to extend their clinical reach into the home or after hours at the clinic using the same or fewer resources.

cognitive domain scores

Figure 4 – Cognitive Domain Scores

CATT is designed to:

  • Improve clinical workflows by leveraging Internet-enabled tablets and computers to generate objective, standardized and required patient reported outcomes
  • Improve patient outcomes by engaging patients to adhere to home based practice programs
  • Extend a provider’s clinical reach by enabling patients to complete assessments and interventions, within their home environment, at the place and at a time that is convenient for them

CATT is ready off the shelf to augment your:

  • Welcome to Medicare Program
  • Patient outcomes data analytics and predictive models
  • Regularly scheduled serial cognitive fitness and assessment programs

Blue Marble seeks ACOs, Clinically Integrated Networks or Provider organizations interested in piloting CATT. Blue Marble will review the findings from the first 100 patients with supervising clinicians at the site. Blue Marble will also enable no-cost tracking for the first 90 days. With the recent finding that patient outcomes using asynchronous rehabilitation is not statistically different from more resource intensive standard post rehabilitation4,5, now is the time to investigate how the benefits of tele-rehab effect your organization.

Contact us to start your pilot today!

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  1. Evidence Driven Game Design –
  2. RESET cognitive domains challenged –
  3. Treasure of Bell Island cognitive domains challenged –
  4. Settle JR, Robinson SA, Kane R, Maloni HW, Wallin MT., Remote cognitive assessments for patients with multiple sclerosis: a feasibility study.
  5. Allard M, Husky M, Catheline G, Pelletier A, Dilharreguy B, Amieva H, Pérès K, Foubert-Samier A, Dartigues JF, Swendsen J., Mobile technologies in the early detection of cognitive decline.