RAND Health Abstract

Assessing Care of Vulnerable Elders-3 Quality Indicators.

ACOVE Investigators. Journal of the American Geriatrics Society, Vol. 55, No. s2, Oct 2007, pp. S464–S487

Assessing Care of Vulnerable Elders (ACOVE) quality indicators (QIs) are implemented using medical records (unless specified) as follows. If it is documented that a patient refuses the specified care process or that there is a justification for not implementing the care process, the QI is considered to have been satisfied. If a care process is not indicated because of contraindications or other medical reasons, then the QI is excluded. If documentation indicates a global patient preference (e.g., not to be hospitalized or receive surgery) that contradicts a care process, the QI is excluded. For some quality indictors, patients with advanced dementia or poor prognosis (e.g., <6-month anticipated survival) are excluded.