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.

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However, the gap between published studies on measuring and improving quality of care is still large. A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States.

From the selected studies, the two reviewers independently used a structured form for abstraction to obtain the study characteristics, objectives, methods, affiliation of the authors and research group, and the number and focus of the quality indicators.

In the acovd above-mentioned studies between 9 and quality indicators were used. This is shown in the thematic conceptual model Fig. Twelve studies fell into this category [ 34—45 ].

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

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. Measuring medical care provided to vulnerable elders: The vulnerable elders, defined as the group of persons 65 years of age or older who are at high risk of death or functional decline, form an important subgroup for investigation [ 9 ].

Disagreements in each round between the two reviewers were resolved by consensus. Furthermore, our model showed that various studies were aimed at adapting the original ACOVE quality indicator set to a new setting. Your username and password are the same that you use to log onto MyAGS. The majority of the studies did not assess the reliability of the medical record review; however, most of them reported the inter-rator reliability of assessing the pass rates of quality indicators.


When viewed per condition, there were between 1 and 43 quality indicators used. Developing quality indicators for elderly patients undergoing abdominal operations.

Care for elderly patients is complex and not yet well understood [ 6 ]. Relationship between quality of care of hospitalized vulnerable elders and postdischarge mortality.

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

Multimorbidity and health-related quality of life in the older population: A total of 41 articles met our selection criteria.

Measuring the quality of care provided to dually enrolled Medicare and Medicaid beneficiaries living in nursing homes. Feasibility of quality indicators for the management of geriatric syndromes in nursing home residents. ACOVE-3 contains a set of QIs to comprehensively measure the care provided to vulnerable older persons at the level of the health system, health plan, or medical group.

Predictors of overall quality of care provided to vulnerable older people. Although the ACOVE set was developed for vulnerable elderly patients, the majority of the studies did not distinguish between the acovs elders and the general elderly population.

Documentation and evaluation of cognitive impairment in elderly primary care patients. Sign In or Create an Account. The distribution of studies over the model’s categories showed that quality indicators were mainly used in two categories: These QIs can be applied to identify areas of care in need of improvement and can form the basis of interventions to improve care.

In addition, many methods tend to be subjective, meaning that they depend to a large extent on the implicit knowledge and experience of the assessor, thus jeopardizing inter-rater reliability.

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The first round consisted of acofe reading the title, keywords and abstract. The future of health systems to These sub-categories were then organized into larger categories and put into a thematic conceptual model. Only one study in our review addressed the positive association between quality indicator performance and survival among community-dwelling vulnerable older adults.


Developing quality indicators for older adults: Selecting process quality indicators for the integrated care of vulnerable older adults affected by cognitive impairment or dementia. Eight articles pertained to the assessment of care for a specific condition: Assessment is meant to inform and, in consequence, to facilitate quality improvement efforts [ 916 ]. Although our conceptual model for categorizing studies was based on the original goals of the ACOVE initiative and on a bottom-up analysis of the articles that were found, it is possible that other researchers in a comparable process would define other categories.

Recorded quality of primary care for osteoarthritis: The source of data used to evaluate the quality indicators was in most cases a combination of medical record data and interviews with caregivers and patients. The first study implemented a pharmacotherapist-led educational intervention that consisted of a theoretical presentation and a knowledge test, both based on 30 pharmacology-related quality indicators [ 46 ].

Twitter Facebook Linkedin Rss. Two reviewers independently examined the collected studies in two rounds. First, only one study developed a completely original indicator set that consisted of quality indicators with content not based on ACOVE indicators.

The quality indicator set, which had already been adapted to the nursing home setting, was validated in terms of measurement feasibility utilizing two data sources medical record data and administrative aclve [ 56 ]. J Am Geriatr Soc.