ACOVEAssessing Care of Vulnerable Elders
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There is a need for a more comprehensive model that addresses the ACOVE measures, as well as comprehensive care for people with chromic illness.
Developing Quality of Care Indicators for the Vulnerable Elderly: The ACOVE Project.
For example, several of the ACOVE measures relate to vulnerable elders with dementia who may develop behavioral symptoms.
ACOVE recommends screening all vulnerable elderly patients who are new to a primary care practice or inpatient service, and following up with an annual evaluation to detect any changes in memory and function.
More information about ACOVE, including forms and physician and patient education materials, has been made available at www.
The ACOVE indicators are relatively self-explanatory even though it should be noted that liberal scoring rules were used to determine if a participant's medical record documentation met the pass criteria for each indicator.
Table 4: Measures of Licensed Nurse Care Processes 1 2 Low Homes High Homes < 25th 75-90th Percentile % Percentile % Licensed Nurse Care Process Indicators (n/total n) (n/total n) ACOVE Pressure Ulcer Indicators: Medical Record Data 1.