May 27, 2020   |   by admin

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: Dajinn Damuro
Country: Morocco
Language: English (Spanish)
Genre: Education
Published (Last): 6 October 2018
Pages: 346
PDF File Size: 15.15 Mb
ePub File Size: 17.51 Mb
ISBN: 189-8-40204-617-4
Downloads: 39675
Price: Free* [*Free Regsitration Required]
Uploader: Brakus

However, the gap between published studies on measuring and improving quality of care is still large. The studies are described in a thematic conceptual model meant to understand the different ways in which the ACOVE quality indicators have been used and to expose areas of promising future research. 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 one condition [ 1113—15 ].

Developing quality indicators for general practice care for vulnerable elders; transfer from US to The Netherlands. To update and increase the comprehensiveness of the Assessing Care of Acovve Elders ACOVE set of process-of-care quality indicators QIs for the medical care provided to vulnerable elders and to keep up with the constantly changing medical literature, the QIs were revised and expanded.

Inter-rater agreement has been calculated using Cohen’s kappa.

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

A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States. The quality of medical care provided to vulnerable older patients with chronic pain.

The studies were organized in a conceptual model containing five main categories providing a better understanding of where and how ACOVE quality indicators have been applied since Due to these properties, the ACOVE quality indicator set has a unique place amidst screening and assessment methods for measuring the quality of care of elders, especially the vulnerable ones. Computerized clinical decision support systems may play an important role in this vision. Eighteen studies [ 517—33 ] in this category assessed the quality of different types of care.

The remaining studies adapted and validated quality indicators within the same country to another health-care setting, to other patient populations or to other conditions. These QIs can be applied to identify areas of care in need of improvement and can form the basis of interventions to improve care. A future study is needed to report on the formal quality of the included studies, and the overall quality of care as assessed using the ACOVE quality indicators.


Assessing medication appropriateness in the elderly: Although the ACOVE set was developed for vulnerable elderly patients, the majority of the studies did not distinguish between the vulnerable elders and the general elderly population.

Cat A, studies that develop a new set of quality indicators; Cat B, studies that adapt the original ACOVE quality indicator set to a new setting; Cat C, studies that assess the quality of care; Cat D, studies that examine the association between the quality of care and other factors such as health-care outcomes, patient opinion and patient characteristics ; and Cat E, studies that aim to influence the behavior of or educate health-care professionals.

Multimorbidity is associated with better quality of care among vulnerable elders. Relationship between quality of care and functional decline in hospitalized vulnerable elders. 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 ].

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. Evaluating the implementation and use of the regional cancer plan in Western Sweden through concept mapping.

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.

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

Two studies assessed the quality of care with interviews only [ 2425 ], two studies by medical records only [ 2131 ] and three studies utilized administrative data [ 232732 ].

This may be related to the difficulty of developing a new quality indicator set. Disagreements in each round between the two reviewers were resolved by consensus.

Address reprint requests to: We hope that the organization chosen will prove useful for researchers to identify studies relevant to them and to put them in perspective. 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.


The use of targeting criteria in hospitalized HMO patients: The Clinical Committee evaluated the coherence of the complete set of QIs that the expert panels rated as valid.

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

Standardized quality-assessment system to evaluate pressure ulcer care in the nursing home. High quality of care did not imply increased hospital spending— nationwide cohort study among hip fracture patients. The association between quality of care and the following factors were studied: Assessment is meant to inform and, in consequence, to facilitate quality improvement efforts [ 916 ].

Three studies assessed the quality of care using only medical records [ 373845 ].

Health status assessment for elderly patients. Selecting process quality indicators for the integrated care of vulnerable older adults affected zcove cognitive impairment or dementia. Care for elderly patients is complex and not yet well understood [ 6 ]. All study characteristics are shown in Supplementary material, Appendix B.

Related articles in Web of Science Google Scholar. The quality of care provided to vulnerable older community-based patients acoev urinary incontinence. Second, in contrast to the abundance of studies that used the quality indicators for retrospective quality assessment by screening medical records, only two studies applied the quality indicators in a acovd manner to directly improve the delivered care [ 3346 ].

No other persons contributed to this project. Although our conceptual model for aclve 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.

Based on a bottom-up analysis of the study objectives and quality indicator application, sub-categories were identified.