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.
Abbreviations: ACOVE = Assessing Care of Vulnerable Elders; ACOVEprime = ACOVE/Practice Redesign for Improved Medical Care for Elders; EHR = electronic health record; HSR&D = Health Services Research and Development; QI = quality indicator; SVN = structured visit note; UCLA = University of California, Los Angeles; UI = urinary incontinence; VA = Department of Veterans Affairs.
[12.] Wenger NS, Roth CP, Shekelle P; ACOVE Investigators.
For example, several of the ACOVE
measures relate to vulnerable elders with dementia who may develop behavioral symptoms.
ACOVE defines the vulnerable elderly as individuals who are 65 years of age and older who live in the community and are at high risk of death or functional decline over the next 2 years.
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.geronet.ucla.edu/centers/acove/ index.htm.
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.
For example, in the Assessing Care of Vulnerable Elders (ACOVE
) study in 2001, researchers created a set of quality indicators for 22 conditions that affect older persons and examined the process of care for each condition.