This research brief summarizes the results of Assessing Care of Vulnerable Elderly (ACOVE)-2, which measured the quality of care delivered to a group of older adults, and describes a recent revision of the quality measures, known as ACOVE-3.
This is the technical appendix to ''Application Of ACOVE-3 Quality Indicators to Patients with Advanced Dementia and Poor Prognosis,'' published in the Journal of the American Geriatrics Society, Volume 55 Issue s2 Page S247-S252, October 2007.
Wenger N.
ACOVE Investigators
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S464-S487
Arora VM, McGory ML, Fung CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S347-SS358
Bates-Jensen BM, MacLean CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S409-SS416
Chang JT, Ganz DA.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S327-S334
Cheng EM, Fung CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S431-S437
Etzioni S, Chodosh J, Ferrell BA, MacLean CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S403-S408
Feil DG, MacLean C, Sultzer D.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S293-S301
Fung CH, Spencer B, Eslami M, Crandall C.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp S443-S449
Gnanadesigan N, Fung CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S417-S423
Grossman J, MacLean CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S392-S402
Heidenreich PA, Fonarow GC.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S340-S346
Kleerup E.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S270-S276
Lorenz KA, Rosenfeld K, Wenger N.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S318-S326
MacLean CH, Pencharz JN, Saag KG.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S383-S391
Martin JL, Fung CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S424-S430
McGory ML.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S277-S284
Min LC, Mehrotra R, Fung CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S359-S365
Naeim A. Sawhney R, MacLean CH, Sanati H.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S258-S269
Nakajima GA, Wenger NS.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S302-S311
Reuben DB.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S438-S442
Rowe S, MacLean CH.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S450-S456
Saigal CS.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S253-S257
Shekelle P, Vijan S.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, S312-S317
Shrank WH. Polinski JM, Avorn J.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S373-S382
Watson K, Fung CH, Budoff M.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S366-S372
Wenger NS, Roth CP, Shekelle P, and the ACOVE Investigators.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S247-S252
Wenger NS, Solomon DH, and the members of the ACOVE-3 Clinical Committee, Amin A, Besdine RK, Blazer DG, Cohen H, Fulmer T, Ganz PA, Grunwald M, Hall WJ, Katz PR, Kitzman DW, Leipzig RM, Rosenthal RA.
Journal of the American Geriatrics Society, Vol. 55, No. s2, Oct 2007, pp. S457-S463
Wenger NS, Young RT.
Journal of the American Geriatrics Society, Vol. 55, No. s2, Oct 2007, pp. S285-S292
Yueh B, Shekelle P.
Journal of the American Geriatrics Society Vol. 55, No. s2, Oct 2007, pp. S335-S339
MacLean CH, Louie R, Shekelle PG, Roth CP, Saliba D, Higashi T, Adams J, Chang J, Kamberg C, Solomon D, Young R, Wenger N.
Medical Care, Vol. 44, No. 2, February 2006, pp. 141-148
Ganz DA, Chang JT, Roth CP, Guan M, Kamberg CJ, Niu F, Reuben DB, Shekelle PG, Wenger NS, MacLean CH.
Arthritis Care & Research, Vol. 55, No. 2, April 15 2006, pp. 241-247
Higashi T, Shekelle PG, Adams JL, Kamberg CJ, Roth CP, Solomon DH, Reuben DB, Chiang L, MacLean CH, Chang JT, Young RT, Saliba DM, Wenger NS.
Annals of Internal Medicine 2005; 143(4):274-281
Rubenstein LZ, Solomon DH, Roth CP, Young RT, Shekelle PG, Chang JT, MacLean CH, Kamberg CJ, Saliba D, Wenger NS.
J Am Geriatr Soc. 2004; 52:1527-31
Saliba D, Solomon D, Rubenstein L, Young R, Schnelle J, Roth C, Wenger N.
J Am Med Dir Assoc. 2004;5:310-9.
Awarded “Year's Most Outstanding Article with the Greatest Impact on Long Term Care” and reprinted J Am Med Dir Assoc. 2005;6(Suppl):S50-9
Gnanadesigan N, Saliba D, Roth CP, Solomon DH, Chang JT, Schnelle J, Smith R, Shekelle PG, Wenger NS.
J Am Med Dir Assoc. 2004;5:141-6
Saliba D, Solomon D, Rubenstein L, Young R, Schnelle J, Roth C, Wenger N.
J Am Med Dir Assoc. 2004;5:297-309.
Reprinted J Am Med Dir Assoc. 2005;6(Suppl):S36-48
Chodosh J, Solomon DH, Roth CP, Chang JT, MacLean CH, Ferrell BA, Shekelle PG, Wenger NS.
J Am Geriatr Soc. 2004;52:756-61
Higashi T, Shekelle PG, Solomon DH, Knight EL, Roth C, Chang JT, Kamberg CJ, MacLean CH, Young RT, Adams J, Reuben DB, Avorn J, Wenger NS.
Ann Intern Med. 2004;140:714-20
Solomon DH, Wenger NS, Saliba D, Young RT, and the members of the Clinical Committee: Adelman AM, Besdine RK, Blazer DG, Cassell CK, Cummings JL, Katz PR, Kitzman DW, Lavizzo-Mourey RJ, Mondoux LC, Popovich R, Pories WJ, Wenger NK.
J Am Geriatr Soc. 2003;51:902-7
Wenger NS, Solomon DH, Roth CP, MacLean CH, Saliba D, Kamberg CJ, Rubenstein LZ, Young RT, Sloss EM, Louie R, Adams J, Chang JT, Venus PJ, Schnelle JF, Shekelle PG.
Ann Intern Med. 2003;139:740-7
Reuben DB, Roth C, Kamberg C, Wenger NS.
J Am Geriatr Soc. 2003; 51:1787-93
Saliba D, Schnelle JF.
J Am Geriatr Soc. 2002; 50:1421-30
Saliba D, Elliott M, Rubenstein LZ, Solomon DH, Young RT, Kamberg CJ, Roth C, MacLean CH, Shekelle PG, Sloss EM, Wenger NS.
J Am Geriatr Soc. 2001;49:1691-9
Wenger NS, Shekelle PG, ACOVE Investigators
Ann Intern Med. 2001;135 (8 Pt 2):653-67
With the concurrence of the Assessing Care of Vulnerable Elders (ACOVE) Policy Advisory Committee, the authors chose to assess the care of vulnerable elders by using processes rather than outcomes.
Medication use provides an ideal opportunity for monitoring quality of care in the vulnerable elders.
This paper presents indicators to assess the quality of care for patients with dementia.
This project investigated the relationship between processes and outcomes of care and sought to develop explicit criteria to evaluate the quality of end-of-life care of vulnerable elders.
This project investigated the relationship between processes and outcomes of care and aimed to develop explicit criteria to evaluate the quality of care of elderly patients with heart failure.
On the basis of a comprehensive literature review, a set of process indicators to assess the quality of health care for vulnerable elders with osteoarthritis was developed. This paper summarizes the methods used to develop these indicators and reviews the evidence on which they are based.
The methods for developing the ACOVE quality indicators for the management of osteoporosis, including the literature review and expert panel consideration, are detailed elsewhere in this supplement. A structured literature review found 2960 titles on osteoporosis, from which abstracts and articles were identified that were relevant to this report. Based on the literature and the authors' expertise, 24 potential quality indicators were proposed.
It has been estimated that 962 patients per 100,000 persons 65 years and older will require hospitalization for pneumonia annually; this figure is nearly four times the rate in the general population. The vulnerable older patient is at even greater risk for death and morbidity from pneumonia, and improving quality of care for this high-risk population may lead to substantial reductions in morbidity and mortality.
Falls and mobility problems generally result from multiple, diverse, and interacting causes. After detecting a problem, clinicians must use careful and thorough diagnostic approaches to identify the most likely causes, contributing factors, and associated comorbid conditions, many of which will respond to intervention.
This paper describes incontinence quality indicators that can be applied to vulnerable community-dwelling elders who may be treated across the spectrum of care, from primary care physicians to surgical specialists.
Although few experts disagree that painful conditions should be treated, less consensus exists on specific treatments for particular conditions. For this reason, indicators have been proposed for the general management of chronic pain in areas in which evidence is strong or a consensus among experts exists.
This paper presents quality indicators for the prevention and care of pressure ulcers among vulnerable elders and the evidence supporting these indicators.
Saliba D, Orlando M, Wenger NS, Hays RD, Rubenstein LS.
Journal of Gerontology: Medical Sciences. 2000; 55:M750-6
Sloss EM, Solomon DH, Shekelle PG, Young RT, Saliba DA, Maclean CH, Rubenstein LZ, Schnelle JF, Kamberg CJ, Wenger NS.
J Am Geriatr Soc. 2000;48:363-9
Med Care.
MacLean CH, Louie R, Venus PJ, Shekelle PG, Roth CP, Saliba D, Higashi T, Adams J, Chang JT, Kamberg CJ, Solomon DH, Young RT, Wenger NS.
J Am Geriatr Soc.
Min LC, Reuben DB, MacLean CH, Shekelle PG, Solomon DH, Higashi T, Chang JT, Roth CP, Kamberg CJ, Adams J, Young RT, Wenger NS
Ann Intern Med.
Higashi T, Shekelle PG, Adams J, Kamberg CJ, Roth CP, Solomon DH, Reuben DB, Chiang L, MacLean CH, Chang JT, Young RT, Wenger NS
Higashi T, Hays RD, Brown JA, Kamberg CJ, Pham C, Reuben DB, Shekelle PG, Solomon DH Young RT, Roth CP, Chang JT, MacLean CH, Wenger NS
Chang JT, Hays R, Shekelle PG, MacLean CH, Solomon DH, Reuben DB, Roth CP, Kamberg CJ, Young RT, Wenger NS
Min LC, Elliot MN, Wenger NS, Saliba D
Wenger NS, Roth CP, Shekelle PG, Young RT, Solomon DH, Kamberg C, Chang JT, Higashi T, MacLean C, Adams JL, Louie R, Chiang L, Ransohoff K, Hoffing M, Reuben DB.
Journal of General Internal Medicine . 20 (Supplement 1):52, April 2005
Chang JT, Hays RD, Shekelle PG, MacLean C, Solomon DH, Reuben DB, Roth CP, Kamberg C, Young RT, Wenger NS.
Journal of General Internal Medicine . 20 (Supplement 1):201, April 2005
Ganz DA, Chang JT, Adams JL, Louie R, Guan M, Kamberg CJ, Niu F, Shekelle PG, Wenger NS, MacLean CH.
American College of Rheumatology
Higashi T, Adams JL, Kamberg C, Shekelle PG, Reuben DB, MacLean C, Young RT, Chang JT, Ransohoff K, Hoffing M, Wenger NS.
Journal of General Internal Medicine. 20 (Supplement 1):207, April 2005
Chang JT, MacLean CH, Roth CP, Wenger NS.
J Gen Int Med. 2004: 19(Suppl 1):109
Chiang L, MacLean CH, Reuben DB, Wenger NS.
J Am Geriatr Soc. 2004; 52:S101
Zingmond DS, MacLean C, Saliba D, Wilber K, Wenger NS.
J Gen Int Med. 2004; 19(Supplement 1):224
Higashi T, Shekelle PG, Solomon DH, Knight E, Roth CP, Chang JT, Kamberg C, MacLean C, Young RT, Adams JL, Reuben DB, Avorn J, Wenger NS.
J Gen Int Med. 2004; 19(Suppl 1):224
Higashi T, Shekelle PG, Adams JL, Kamberg C, Roth CP, Solomon DH, Reuben DB, Chiang L, Chang JT, Young RT, Wenger NS.
J Gen Int Med. 2004: 19(Suppl 1):236
Higashi T, Hays RD, Brown J, Kamberg CJ, Pham C, Shekelle PG, Reuben DB, Solomon DH, Young RT, Roth CP, Chang JT, Wenger NS.
J Gen Int Med. 2003;18(Suppl 1):194
Chang JT, Shekelle P, Solomon DH, MacLean C, Saliba D, Roth CP, Kamberg C, Young RT, Wenger NS.
J Gen Int Med. 2003;18(Suppl):281
Chang JT, Shekelle P, Solomon DH, MacLean C, Saliba D, Roth CP, Kamberg C, Young RT, Wenger NS.
J Gen Int Med. 2002;17(Suppl 1):177
Young RT, Solomon DH, Saliba D, Roth C, MacLean C, Louie R, Shekelle PG, Wenger NS.
J Gen Int Med. 2001;16(Suppl 1):222
Chodosh J, Shekelle PG, Ferrell B, Solomon DH, Roth C, Saliba D, MacLean C, Young RT, Wenger NS.
J Am Geriatr Soc. 2001;49:S146.
Wenger NS, Rosenfeld K, MacLean C, Solomon DH, Roth C, Saliba D, Louie R, Young RT, Shekelle PG.
J Gen Int Med. 2001;16(Suppl 1):222
Rubenstein LZ, Solomon DH, Roth C, Saliba D, MacLean C, Young RT, Shekelle PG, Wenger NS.
J Am Geriatr Soc. 2001;49:S4
Wenger NS, Saliba D, Roth C, MacLean C, Young RT, Kamberg CJ, Shekelle PG, Solomon DH.
J Am Geriatr Soc. 2001;49:S34
Higashi T, Avorn J, Knight E, Solomon DH, Shekelle PG, Wenger NS.
J Gen Int Med. 2001;16(Suppl 1):200.
Wenger NS, Solomon DH, MacLean C, Saliba D, Roth C, Kamberg CJ, Rubenstein LZ, Schnelle JF, Young RT, Shekelle PG.
J Gen Int Med. 2001;16(Suppl 1):222
Solomon DH, Saliba D, Young RT, Wenger NS and the Clinical Committee of the ACOVE project
J Am Geriatr Soc. 2000;49:S34
Shapiro NL, Shekelle PG, MacLean CH, Wenger N, Morton S.
Submitted September 7, 1999, for presentation at the 103rd Annual Triologic Association Meeting, Orlando, Florida, May 15-17, 2000
Saliba D, Schnelle J, Rubenstein LZ, Young R, Solomon DH.
Presented at the AGS-AFAR 2000 Annual Scientific Meeting, Nashville, TN, May 2000
Saliba D, Elliott M, Rubenstein LZ, Solomon DH, Wenger N.
Presented at the AGS-AFAR 2000 Annual Scientific Meeting, Nashville, TN, May 2000
Chodosh J, Shekelle PG, Ferrell B, Solomon DH, Roth CP, Saliba D, MacLean CH, Young RT, Wenger NS.
J Am Geriatr Soc. 2000;49:S146
Rubenstein LZ, Solomon DH, Roth CP, Saliba D, MacLean C, Young RT, Shekelle P, Wenger NS.
J Am Geriatr Soc. 2000;49:S4
Wenger NS, Saliba D, Roth C, MacLean C, Young RT, Kamberg C, Shekelle P, Solomon DH.
J Am Geriatr Soc. 2000;49:S34
MacLean CH, Steinfeld R, Hasenfeld R, Wenger NS, Morton SC, Shekelle PG
Presented at the 1999 Annual Meeting of the Academy of Clinical Rheumatology, Boston, Nov 1999
Grossman JM, MacLean CH, Steinfeld R, Hasenfeld R, Wenger NS, Morton SC, Shekelle PG
Presented at the 1999 Annual Meeting of the Academy of Clinical Rheumatology, Boston, Nov 1999
Saliba D, Elliot M, Solomon D, Wenger N.
Presented at the 1999 Annual meeting of the Claude Pepper Older American Independence Centers, Newport, Rhode Island, April, 1999
Shekelle PS, Wenger NS.
ACP-ASIM, San Diego, CA, April 5, 2003
Wenger NS.
Kaiser Regional Conference, Long Beach, May 9, 2003
Wenger NS.
Maccabi Care System Geriatrics Group. Tel Aviv, Israel, December 14, 2003
Wenger NS.
AGS 2003 Annual Meeting. Baltimore, MD. May 16, 2003
Saliba D.
American Geriatrics Society National Meeting. May 2002
Wenger NS.
Public Health School, Cambridge University. July 6, 2001
Wenger NS.
Israel Society for Quality in Health Care. Tel Aviv, Israel, May 31, 2001
Solomon DH, Saliba D, Schnelle J, Rubenstein L, Wenger N.
Symposium at the American Geriatric Society national meeting, May 2000
Wenger N.
Presented to the UCLA Aging Symposium, June 1999
Wenger N.
National Forum on Quality Improvement in Health Care. New Orleans, LA, December 10, 1999
Rubenstein L, Wenger N, Saliba D, Solomon D, Schnelle J and Besdine R.
Symposium to be presented at the 1999 Annual meeting of the Gerontological Society of America, San Francisco, November 20, 1999
