The ACOVE-3 QI set is an updated and expanded set of QIs including five new conditions: COPD, colorectal cancer, breast cancer, sleep. The original studies regarding the development of the ACOVE quality indicators ( sets 1–3), opinion papers, editorials and letters were excluded. Measuring Medical Care Provided to Vulnerable Elders: The Assessing Care of Vulnerable Elders‐3 (ACOVE‐3) Quality Indicators.

Author: Mezijin Shakarr
Country: Andorra
Language: English (Spanish)
Genre: Love
Published (Last): 27 June 2011
Pages: 252
PDF File Size: 8.19 Mb
ePub File Size: 17.57 Mb
ISBN: 424-8-68316-198-3
Downloads: 65754
Price: Free* [*Free Regsitration Required]
Uploader: Faelrajas

Each QI reflects a care process that should, at minimum, be performed in virtually every eligible patient, and that if not performed indicates a deficiency in care quality. Overall, between 3 and quality indicators were used in the 18 studies. One study used a combination of medical records, direct observation and electronic afove [ 26 ]. Our results suggest that the ACOVE framework has mainly been used to assess care, rather than to achieve the ultimate goal of the quality indicators, that of improving the quality of care, although it is possible that such initiatives are not always published.

Many of the current methods are not intended to be comprehensive, but focus on a specific process of care or on the assessment of the quality of a treatment for scove condition [ 1113—15 ]. Developing quality indicators for elderly patients undergoing abdominal operations. Therefore, electronic capture of ACOVE-related data elements and facilitating their extraction forms important future work. In this study 18 quality indicators were used acovs the assessment of the quality of care.


Geriatrics Care | Geriatric Resources | Online events | Updates – Geriatrics Care Online

This may be related to the difficulty of developing a new quality indicator set. Developing quality indicators for older adults: Effect of a collaborative approach on the quality of prescribing for geriatric inpatients: Our results suggest two opportunities for additional work on quality indicator application.

The Qls can be applied to a representative sample of patients within a health system or practice to evaluate overall care quality and to identify areas for improvement. In most cases, the combination of medical record data and interviews with caregivers and patients was necessary for scoring the quality indicators [ 34—36adove ]. Eighteen studies [ 517—33 ] in this category assessed the quality of different types of care.

Relationship between quality of care and functional decline in hospitalized vulnerable elders.

Four studies had a more indirect approach to qcove an association with the quality of care: Latest Most Read Most Cited Targeted identification of pressure injuries and the effect of an educational campaign to improve handwashing. When viewed per condition, there were between 1 and 43 quality indicators used.

The association between quality of care and the following factors were studied: To get insight into the nature of these studies, we describe the most important findings per acve. Ten studies focused on specific domain acoe of care or overall quality: Two reviewers independently examined the collected studies in two rounds. Racial disparities in the quality of medication use in older adults: Beyond the initial indicators: Two studies used a different approach: Articles were included if they used the original ACOVE quality indicators or adaptations, updates or extensions thereof.


Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set.

This could be due to the difficulty of identifying who is vulnerable the VES considers age, self-rated health, limitations in physical function and functional disabilities. In most studies, the combination of patient record review and interviews was used to extract the data.

Incidence and types of preventable adverse events in elderly patients: The future of health systems to This assessment takes place after care has been delivered and often forms a painstaking, costly process typically requiring the examination of patient charts and interviewing patients or health-care workers. Disagreements in each round between the two reviewers were resolved by consensus.

Predictors of avove quality of care provided to vulnerable older people.

Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set.

Measuring the quality of care provided to community dwelling vulnerable elders dually enrolled in Medicare and Medicaid. In the 12 above-mentioned studies between 9 and quality indicators were used. A practice-based intervention to improve primary care for falls, urinary incontinence, and dementia.