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.
Wenger NS, Roth CP, Shekelle P; ACOVE
For example, several of the ACOVE
measures relate to vulnerable elders with dementia who may develop behavioral symptoms.
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.