Assessing Care of Vulnerable Elders-3 Quality Indicators

Alpesh Amin, Richard W. Besdine, Dan G. Blazer, Harvey Cohen, Terry Fulmer, Patricia A. Ganz, Mark Grunwald, William J. Hall, Paul R. Katz, Dalane W. Kitzman, et al.

ResearchPosted on rand.org Oct 1, 2007Published in: Journal of the American Geriatrics Society, v. 55, no. S2, Oct. 2007, p. 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.

Read More

Topics

Document Details

This publication is part of the RAND external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.