Heart failure imposes a significant burden on patients and on the health care system. Vulnerable elders are at especially increased risk for morbidity and mortality from heart failure. Elderly patients with heart failure frequently experience significant variation in processes and outcomes of care. Improvements in processes of care for this high-risk group may substantially reduce disease burden and improve patient outcomes. 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. Fourteen indicators were judges to be valid as measures of quality of heart failure care for vulnerable elders. These indicators may serve as a basis to compare the care provided by different health care delivery systems and to compare the change in care over time.
Originally published in: Annals of Internal Medicine, v. 135, no. 8, pt. 2, October 16, 2001, pp. 694-702.
This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
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.