Assessing Care of Vulnerable Elders-3 Quality Indicators

Published in: Journal of the American Geriatrics Society, v. 55, no. S2, Oct. 2007, p. S464-S487

Posted on RAND.org on October 01, 2007

by Alpesh Amin, Richard K. Besdine, Dan G. Blazer, Harvey Cohen, Terry Fulmer, Patricia A. Ganz, Mark Grunwald, William J. Hall, Paul R. Katz, Dalane W. Kitzman, Rosanne M. Leipzig, Ronnie A. Rosenthal

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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.

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